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Expert Services And Representation Expense Pre-Approval Form - New York

Expert Services And Representation Expense Pre-Approval Form Form. This is a New York form and can be used in Law Guardian 3rd Department Appellate Division Appellate Courts .
 Fillable pdf Last Modified 6/8/2015
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SUPREME COURT, APPELLATE DIVISION THIRD JUDICIAL DEPARTMENT OFFICE OF ATTORNEYS FOR CHILDREN 286 Washington Avenue Extension Suite 202 ALBANY, NY 12203 Phone (518) 471-4825 FAX (518) 471-4757 E-mail: ad3oac@nycourts.gov EXPERT SERVICES AND REPRESENTATION EXPENSE PRE-APPROVAL FORM Date:_________________________ Children's Attorney _____________________________________________________________ Address _____________________________________________________________________ Zip:____________ City _____________________________________ State: _________ Telephone _____________________________ Client Surname___________________________ Fax_________________________________ Proceeding Type______________________ Service Provider ________________________________________________________________ Address ______________________________________________________________________ City _____________________________________ State: _________ Zip:____________ Services to be Performed_________________________________________________________ _____________________________________________________________________________ Explain Need for Services________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ______________________________________________________________________________ Hourly Rate____________________________ Total Maximum Cost____________________ Allocation of Cost for Child's Share ________________ Approved: _________________________________ Supreme/Family/Surrogate Court Judge _________________County ______________________________________ Director, Office of Attorneys for Children Third Judicial Department Date:_____________________________ rev.1-12-15 Date________________________________ American LegalNet, Inc. www.FormsWorkFlow.com
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