REQUEST FOR PAYMENT FOR INDIGENT DEFENSE SERVICES
Additional Form Hours must be rounded to nearest 1/10. Time over one hour must be specified (e.g. 9:15-10:30 a.m.). A summary of in and out of court time must be provided. In-court time must include the type of hearing (e.g. trial). Attach additional forms if necessary. Compensation for time exceeding the above thresholds must be approved in advance by the Chief or Presiding Judge.
DATE
HOURS
EXPLANATION (give detail for out of court time and
type of court hearing)
TOTAL HOURS =
Expenses--Cost for service of process and transcripts will be reimbursed. Indicate date, type of expense, and amount.
TOTAL $________________________________
CARRY TOTALS OVER TO PAGE ONE
Attach to Request for Payment for Indigent Defense Services 4/05