Free ALASKA COURT SYSTEM - Alaska

ALASKA COURT SYSTEM ATTORNEY FEES BILLING FORM 1. 2. 3. Case Name: Case Number: Attorney's Name: Law Firm: Address: Telephone: Federal Tax ID No.: Name of Person Represented: Date of Appointment: Name of Appointing Judge: Describe Nature of Case and Other Pertinent Information:

4. 5. 6. 7.

8.

Services and Expenses: Attach an itemized list of the time spent on this case, including a brief description of each service, date and time spent (in hours and tenths of hours). Also include an itemized list of necessary expenses. List the totals in each of the following three categories: a. Total Time Spent In Open Court: b. Total Time Spent Out Of Court: c. Itemized Expenses: Has compensation and/or reimbursement for work in this case been previously applied Yes No for or received? If yes, how much were you paid? $ By whom? Have you previously billed the Alaska Court System for any of the services or expenses included on this billing form? Yes No If so, what was the date of your billing?

9.

10.

The undersigned states: My services in this case have concluded and the facts stated above are true according to my best knowledge and belief. Date Recommend Approval: Judge Approved: Administrative Officer ADM-121 (10/87)(cs) Date Amount Approved Admin. R. 12 Date Attorney's Signature