Free Form 7 - Hawaii

NO. _________ IN THE (SUPREME COURT or INTERMEDIATE COURT OF APPEALS) OF THE STATE OF HAW AI`I

IN RE ATTORNEYS' FEES AND NECESSARY EXPENSES FOR

) ) ) __________________________________, ) ) Defendant-Appellant. ) ____________________________________)

CR. NO. _________

REQUEST AND DECLARATION OF COUNSEL In accordance with Hawai#i Rules of Appellate Procedure (HRAP) Rule 39(d), I, ___________________________, Defendant-Appellant's attorney, request compensation for necessary and authorized expenses and attorneys' fees incurred on appeal on Defendant-Appellant's behalf and, in conjunction herewith aver, as follows: 1. I was appointed to represent Defendant-Appellant __________________ by order of the ______________court of the _____________circuit, on ________________, which order is attached as Appendix A. 2. I request reimbursement for necessary and authorized expenses as follows: Expense Amount $ $ $ $ TOTAL EXPENSES $ ______ Authority

A true and correct itemized accounting of these necessary expenses, including relevant invoices and receipts, is attached as Appendix B.

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3. I have expended the following hours in attorney work for this appeal and, pursuant to Hawaii Revised Statutes § , request amounts as follows: Activity a. b. c. d. e. f. Correspondence, Interviews and Conferences Obtaining & Reviewing Records Legal Research Drafting Oral Argument (In-court) Other (Specify) Hours @$ @$ @$ @$ @$ @$ $ $ $ $ $ $ Amount

TOTAL FEES

$

Attached hereto as Appendix C are hourly worksheets, prepared in accordance with HRAP Form 7 and contemporaneously with the work performed as noted thereon and truthfully reflecting the amount of work actually performed in the representation of the Defendant-Appellant. I, foregoing is true and correct. DATED: , declare under penalty of law, as provided by HRAP Rule 52, that the

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