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Attorneys Fee Declaration (Juvenile) For Appointments Made On Or After 6-14-2011 C-62E - Alabama
| Attorneys Fee Declaration (Juvenile) For Appointments Made On Or After 6-14-2011 Form. This is a Alabama form and can be used in CR-Series (Criminal) Statewide . |
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.SECIVRES ESNEFED TNEGIDNI FO ECIFFO EHT OT DETTIMBUS NEHT DNA ,KRELC EHT HTIW DELIF ,NOITACIFITREC ROF TRUOC ETALLEPPA EH T FO ECITSUJ FEIHC RO EGDUJ GNIDISERP RO EGDUJ TRUOC LAIRT EHT OT DETTIMBUS EB TSUM NOITAZIMETI DEHCATTA HTI W MROF SIHT .EGDUJ EHT DNA YENROTTA EH T FO SERU TANGIS LANIGIRO NIATNOC TSUM MROF SIHT .sgnideecorp noitcivnoctsop ni dna ,)truoC emerpuS amabalA eht ot iraroitrec fo tirw rof noititep gnidulcni( laeppa no ,level lairt eht ta stnadnefed tnegidni tneserper ot detnioppa lesnuoc yb derrucni sesnepxe yranidroartxe dna seef yenrotta fo tnemyap eht rof edivorp ,5791 edoC .alA ,322151 hguorht 122151 snoitceS etaD ________________________________________ J erutangiS s'egdu _________________________________________________________________ NOTICE TO ATTORNEY AND JUDGE: .dedivorp esnefed eht no desab elbanosaer si mialc eht taht noinipo eht fo rehtruf ma I .dedulcnoc neeb sah rettam dias taht dn a rettam siht ni noitatneserper dedivorp mialc siht gnitneserp yenrotta eht taht yfitrec ybereh ,egduj dengisrednu eht ,I ______________________ rebmuN xa F ____________________ rebmuN enohpeleT _____________________________________:sserddA liamiE _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _____________________________________ edoC yenrottA (please type or print) (including city, state, and zip code) y ____tA f _ er _ angi _ _________________________________________________enrot___o __ut____S )esiwrehto ro noinapmoc( esac yna ni s4esnepxe dna segrahc fo noitacilpud a ton si mialc evoba eht taht eralced rehtruf I .elbayap dna eud si tnuoma eht dna yenrotta na sa reh/mih yb deredner yllautca secivres eht stneserper dna tcerroc dna eurt si mialc evoba eht taht seralced rehtruf yenrotta dengisrednu ehT This form and attachments must be received by the Office of Indigent Defense Services no later than 90 days from final disposition of the case. Attorneys serving in the capacity as Guardian Ad Litem must be certified as per Ala. Code (1975) ยง12-15-304. .sdrocer ruoy ro ypoc a dna drocer s'truoc eht rof emas fo ypoc a ekaM .sredro truoc gnidnopserroc dna sesnepxe lla rof tpiecer ro eciovni lanigiro hcattA .ytivitca hcae ni devlovni emit fo tnuoma dna snoitca fo etad eht gnitcelfer sesnepxe daehrevoinon elbasrubmier )5( ro/dna ;sesnepxe trepxe )4( ;slaeppa rof noitaraperp )3( ;noitaraperp truocifoituo )2( ;secnaraeppa truocini )1( fo noitazimeti etelpmoc a fo ypoc a hcattA .mrof siht etelpmoC :YENROTTA OT ECITON ______________________ Y ENROTTA FO MIALC LATOT ___________________ ___________________ ___________________ = ruoh rep 00.07 $ x __________ sruoH latoT ___________________ = ruoh rep 00.07 $ x __________ sruoH latoT ___________________ = ruoh rep 00.07 $ x __________ sruoH latoT )stpiecer hcattA( sesnep xE daehrevoinoN elbasrubmieR )truoc yb ecnavda ni devorppa fI( sesnepxE trepxE )leveL etalleppA( noitaraperP )gnideecorP noitcivnoCitsoP ro leveL lairT( noitaraperP truoCifoitu O )gnideecorP noitcivnoCitsoP ro leveL lairT( ecnaraeppA truoc nI )5( )4( )3( )2( )1( _________________________________________________________________________________________________________________________ ______________________________________________ , ________________ yb fo desopsid saw esac eht ___________________________)etad( no dna renoititep naidotsuc lagel / naidraug lagel / tnerap dlihc eht tneserper ot dengisrednu eht detnioppa ,egduJ ,_______________________ , ___________________________________ elbaronoH eht ____________________________ )etad( no taht seralced yenrotta dengisrednu ehT _________________________________ ________________________________ __________________ O )ebircsed( reht yenrottA s'tneraP yenrottA s'dlihC metiL dA naidrauG _________________ O )ebircsed( reht noisivrepuS fo deeN n I ycnednepeD ycneuqnileD amaba lA fo truoC emerpuS slaeppA liviC fo truoC amabalA s laeppA lanimirC fo truoC amabalA N E ro rebmuN ytiruc laicoS IF ______________________________________eS______ __ In the Juvenile Court of: Form C-62E State of Alabama Unified Judicial System Rev.6/2011 ATTORNEY'S FEE DECLARATION (Juvenile) [For Appointments made on or after 6/14/2011] County ______________________________________________ Attorney Name (Please type or print) __________________________ Appeal to: MAIL TO: Office of Indigent Defense Services, P.O. BOX 302602, Montgomery, Alabama 36130-2602. Filed in the Clerk's Office at ____________________________________________________, Alabama, on __________________________. date (Adjudication of dependency, in need of supervision or delinquency, cert. denied, etc.) Type of Case: Role: County Code __ __ Jurisdiction __ ____ _____ __ American LegalNet, Inc. www.FormsWorkFlow.com yenrottA fo sserddA gniliaM Case Number Year Case# Suffix
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