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Appendix J - Application For Approval As Indigent Criminal Defense Counsel Butler County Common Pleas Court

APPENDIX J (L.R. 9.05)

APPLICATION FOR

APPROVAL AS INDIGENT CRIMINAL DEFENSE COUNSEL

BUTLER COUNTY COMMON PLEAS COURT

Name_______________________________________________________________________

Butler County Business Address__________________________________________________

____________________________________________________________________________

(Location where you intend to confer with your clients; not a P.O. Box)

Preferred Mailing Address_______________________________________________________

____________________________________________________________________________

Phone_______________________Fax___________________Cell_______________________

E-mail______________________________ Attorney Registration # _____________________

Preferred contact individual (for case assignments) and individual’s phone

____________________________________________________________________________

List any formal post-law school training for criminal representation (including seminars).

Include the year in which the formal training took place:

List any professional associations affiliated with, with regards to criminal defense:

Estimate the number of criminal defendants, along with the types of offenses, you have

represented (we recognize that for some of you, this will be a very rough estimate). State if case

went to evidentiary hearing (motion, court or jury trial, etc):

Appendix

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Appendix J - Application For Approval As Indigent Criminal Defense Counsel Butler County Common Pleas Court