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Petition And Order Directing Compensation For Special Prosecutor CR-211 - Wisconsin
| Petition And Order Directing Compensation For Special Prosecutor Form. This is a Wisconsin form and can be used in Criminal Circuit Court Statewide . |
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FORM SUMMARY _______________________________________________________________________________ Name of Form: Petition and Order Directing Compensation for Special Prosecutor Form Number: CR-211 _______________________________________________________________________________ Statutory Reference: Purpose of Form: Who Completes It: Distribution of Form: §§978.045, Wisconsin Statutes To order payment for special prosecutor services. Attorney completes petition; judge completes order. Original to court, copy to State Prosecutors Office and county clerk (if county ordered to pay costs). Itemization of time (on form DOA-5188 used by the Department of Administration). Modification, last update 10/97. Accompanying Forms: New Form/Modification: Modifications: Added a file/date stamp area to upper left corner. Added a statement on the bottom indicating that the form shall not be modified. The Department of Administration is responsible for compensation for attorney fees. The county receiving the service is responsible for any other costs and disbursements incurred by the special prosecutor. This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. Comments: About this form: Date: 11/19/99 Page 1 2001 © American LegalNet, Inc. For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Petition and Order Directing Compensation for Special Prosecutor (Print or type information. Submit an original and two copies of this petition to the court.) Under oath I state: 1. I was appointed special prosecutor for: State of Wisconsin Other: vs. , Case No. . The period to . 2. A complete and truthful itemization on form DOA5186, issued by the Department of Administration, of the time involved in completing this appointment is attached. This is an interim request for compensation. The duties of special prosecutor have not yet been completed. This is a final billing. All duties must have been completed. 3. I request payment by the Department of Administration for these services. 4. An itemization of disbursements is attached, for which I request payment by the county. Payment should be sent to: Name of Special Prosecutor Complete Mailing Address Telephone Number Bar Number Social Security No. or Taxpayer ID No. (for income tax purposes) Subscribed and sworn to before me on Signature of Special Prosecutor Notary Public, State of Wisconsin Date My commission expires: ORDER DIRECTING COMPENSATION IT IS ORDERED: 1. The Secretary of the Department and Administration pay the total sum of $ compensation for the special prosecutor. 2. > Submit this order and itemization to: 1. Director State Prosecutor's Office Department of Administration P.O. Box 7869 Madison, WI 53707-7869 Telephone: (608)267-2700 2. County Clerk of county responsible for paying disbursements, if ordered under #2. as County pay disbursements in the amount of $ BY THE COURT: . Signature of Circuit Judge Name Printed or Typed Date Telephone Number CR-211, 11/99 Petition and Order Directing Compensation for Special Prosecutor §978.045, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. 2001 © American LegalNet, Inc.
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