Alabama > Statewide > CR-Series (Criminal)
Attorneys Fee Declaration (Juvenile) For Work Performed On Or After 10-1-2000 C-62B - Alabama
| Attorneys Fee Declaration (Juvenile) For Work Performed On Or After 10-1-2000 Form. This is a Alabama form and can be used in CR-Series (Criminal) Statewide . |
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State of Alabama Unified Judicial System Form C-62B Rev.11/07 ATTORNEY'S FEE DECLARATION (Juvenile) [For Work Performed On or After 10/1/2000] County Code __ __ Case Number __ ____ _____ __ Jurisdiction Year Case# Suffix IN THE JUVENILE COURT OF ____________________________ COUNTY In the matter of juvenile case number above Attorney Name (Please Type or print) ________________________________________________________ ________________________________________________________ Social Security Number of FEIN Appeal to the court of: Alabama Court of Criminal Appeals Alabama Court of Civil Appeals Supreme Court of Alabama Type of Case Delinquency Dependency In Need of Supervision Other (Describe) ____________________________________________ The undersigned attorney declares that on (date) _________________________________, the Honorable ___________________________________ ______________________________________________________________________________, Judge, appointed the undersigned to represent the child or parent/guardian, and on (date) __________________________________________________ the case was disposed of by ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ (Adjudication of dependency, in need of supervision or delinquency, cert. denied, etc.) The undersigned attorney further declares that he/she has provided services in the case as attorney or guardian and litem and makes the following claims for such services: (1) (2) (3) (4) (5) In court Appearance (Trial Level or Post-Conviction Proceeding) Out-of-Court Preparation (Trial Level or Post-Conviction Proceeding) Preparation (Appellate Level) Extraordinary Expenses (If approved in advance by court) Overhead Expenses (If approved in advance by court) Total Hours __________ x $ 60.00 per hour = ___________________ Total Hours __________ x $ 40.00 per hour = ___________________ Total Hours __________ x $ 60.00 per hour = ___________________ _________________________________________________________ Total Hours __________ x $ ____ Per hour = ___________________ TOTAL CLAIM OF ATTORNEY _______________________________ NOTICE TO ATTORNEY: Complete this form. Attach a copy of a complete itemization of (1) in-court appearance; (2) out-of-court preparation; (3) preparation for appeals;(4) extraordinary expenses; and/or (5)overhead expenses reflecting the date of actions and amount of time involved in each activity. Make a copy of same for the court's record and a copy for your records. * Note: In Juvenile cases, this fee shall not exceed $2,000. The undersigned attorney further declares that the above claim is true and correct and represents the services actually rendered by him/her as an attorney and the amount is due and payable. I further declare that the above claim is not a duplication of charges and expenses in any case (companion or otherwise) _________________________________________________________________ Signature of Attorney Sworn to and subscribed before me this ____________ Attorney Code _____________________________________ Mailing Address of Attorney (please type or print) (including city, state, and zip code) day of ___________________________, ___________ _____________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Notary Public Telephone Number _________________ Fax Number _________________ I, the undersigned judge, hereby certify that the foregoing claim has been presented to me, and I have reviewed the same and believe the same to be true and correct. I am further of the opinion that said attorney is not duplicating said charges and expenses in any case (companion or otherwise). Based on the above, I hereby approve the declaration and claim in the amount of $ __________________________________________________ Done this _______________ day of _______________________________, ___________. _________________________________________________________________ Judge's Signature NOTICE TO ATTORNEY AND JUDGE: Sections 15-12-21 through 15-12-23, code of Alabama 1975, provide that fees and expenses of court appointed attorney's shall be paid by the State of Alabama. THIS FORM MUST CONTAIN ORIGINAL SIGNATURES OF THE ATTORNEY AND THE JUDGE. THIS FORM WITH ATTACHED ITEMIZATION MUST BE SUBMITTED TO THE TRIAL COURT JUDGE OR PRESIDING JUDGE OR CHIEF JUSTICE OF THE APPELLATE COURT FOR APPROVAL. AFTER APPROVAL, FILE WITH THE CLERK, WHO SHALL SUBMIT THE ORIGINAL DECLARATION TO THE STATE COMPTROLLER FOR AUDIT. MAIL TO: State Comptroller, Indigent Defense Section, P.O. BOX 302602, Montgomery, Alabama 36130-2602. Filed in the Clerk's Office at ______________________________ Alabama, on ___________________ date Original: Comptroller Yellow: Court File Pink: Attorney American LegalNet, Inc. www.FormsWorkFlow.com
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