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Claim And Order For Compensation Of Court-Appointed Professional Services TUO-FSC-100 - California
| Claim And Order For Compensation Of Court-Appointed Professional Services Form. This is a California form and can be used in Tuolumne Local County . |
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TUO- FSC-100 Court Appointed Professional (Name, Address and Phone No.): California Bar No.: Space below for use of Court Clerk only SUPERIOR COURT OF CALIFORNIA, COUNTY OF TUOLUMNE 60 N. Washington Street, Sonora, CA 95370 (209) 533-5563 41 W. Yaney Avenue, Sonora, CA 95370 (209) 533-6975 Case Title: (Abbreviated) Case Number: CLAIM AND ORDER FOR COMPENSATION OF COURT-APPOINTED PROFESSIONAL SERVICES Appointment by: Honorable _________________________________________________________________ Date of Appointment: ___________________________ Services completed on: ________________________ Type of Appointment: _____ Court-Appointed Criminal Counsel _____ Court-Appointed Dependency Counsel _____ Arbitrator (Civil) _____ Other: ___________________________________________________________ Investigator: _____ Civil _____ Conservatorship _____ Family Law _____ Guardianship _____ Probate I, _________________________________________, hereby request payment of $___________________, as reasonable compensation and expense relating to my court appointment for the above-entitled case. Court-appointed services rendered: (Itemize each service, including the date, the time devoted to, and the amount requested for each service.) OUT-OF-COURT WORK AND COURT APPEARANCES Date(s) Description of Service Time Amount TOTAL COMPENSATION REQUESTED: $ _________________________________________________________________________________________________ Form Adopted for Mandatory Use - Local Rules of the Superior Court of California Page 1 of 2 TUO-FSC-100 (Revised Oct. 1, 2009) American LegalNet, Inc. www.FormsWorkFlow.com CLAIM AND ORDER FOR COMPENSATION OF COURT-APPOINTED PROFESSIONAL SERVICES EXPENSES Date(s) Item(s) Amount TOTAL EXPENSE(S) REQUESTED: Total compensation requested (from previous page): TOTAL AMOUNT OF CLAIM: $ $ $ Each of the above professional services and expenses was reasonably required in the discharge of my legal duties in this case and I have not received, not have I promised, any compensation for such services and expenses from any source other than this Court. I certify under penalty of perjury that the foregoing us true and correct, and this certification was executed on ________________________________ at ___________________________, California. __________________________________________ Signature of Claimant ORDER Good cause appearing, the Court finds that the reasonable compensation for professional services necessarily performed, and for the expenses necessarily incurred, by the Claimant pursuant to appointment by this Court is $________________; and IT IS ORDERED that such sum be paid to: _______________________________. (Claimant, insert sum.) (Claimant, insert your name here.) DATED: ______________________________ ____________________________________________ JUDGE OF THE SUPERIOR COURT _________________________________________________________________________________________________ Form Adopted for Mandatory Use - Local Rules of the Superior Court of California Page 2 of 2 TUO-FSC-100 (Revised Oct. 1, 2009) American LegalNet, Inc. www.FormsWorkFlow.com CLAIM AND ORDER FOR COMPENSATION OF COURT-APPOINTED PROFESSIONAL SERVICES
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