Form Cja 28h - Other Services Summary Budget Worksheet For Non-Capital Representations With The Potential For Extraordinary Cost

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CJA 28H (04/04)
Other Services Summary Budget Worksheet
for Non-capital Representations with the Potential for Extraordinary Cost
This summary budget worksheet summarizes anticipated “other” services. The document should be
submitted to the court in representations that “appear likely to become or have become extraordinary in
terms of potential cost” as set forth in subparagraph 2.22B(4) of the Guidelines for the Administration of
the Criminal Justice Act and Related Statutes, Volume VII, Guide to Judiciary Policies and Procedures.
The accompanying detailed budget worksheet may be of assistance to counsel in preparing the summary.
The document automatically totals hours and dollar amounts.
Date:
Case Name:
Case Number:
Type of Service:
Name of Provider:
$0.00
Hourly Rate:
Other Service
Hours
I. Nature and Purpose of Services
A. Nature:
Purpose:
B. Nature:
Purpose:
C. Nature:
Purpose:
D. Nature:
Purpose:
II. Estimated Hours of Services (including travel time)
Total Hours:

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