Request For Appointment Of Counsel printable pdf download

Request For Appointment Of Counsel

UNITED STATES DISTRICT COURT

DISTRICT OF NEW HAMPSHIRE

IN RE THE MATTER OF:

_____________________________________

Case No. _________________________

(Petitioner's name)

(If known)

REQUEST FOR APPOINTMENT OF COUNSEL

(name)

respectfully request appointment of counsel to represent me as a

G grand jury target

G criminal defendant

G grand jury witness

G trial witness

G other: ______________________________________________________________________

______________________________________________________________________________

I am financially unable to hire counsel. A completed Financial Affidavit is

attached.

I declare under penalty of perjury that the foregoing is true and correct.

Date:

Signature of Petitioner

NOTE FOR GRAND JURY OR WITNESS REPRESENTATION REQUESTS: In order for

a request for counsel to be considered by the court, the petitioner must attach either

a 1) grand jury target letter, or 2) witness subpoena.

RULING BY JUDICIAL OFFICER

Request Approved. Appoint counsel.

Request Denied.

Date:

U.S. Magistrate Judge

USDCNH-17 (Rev. 5-07) (Previous Editions Obsolete)

Request For Appointment Of Counsel