COURT COUNTY OFSTATE OF CONNECTICUT SUPERIOR COURT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::JD-JM-69 Rev. 12-2002Index No.www.jud.state.ct.us NON-COURT TIME JUVENILE MATTERS MONTHLY BILL FOR SERVICES RENDEREDINSTRUCTIONS TO ATTORNEYCalendar No.1. See detailed instructions on reverse/page 2 of this form, Including court location and client type codes. 2. Use only for billing non-court case preparation for Juvenile Matters cases. 3. Complete one form per case per month, including all services rendered for that case during that month. 4. Submit one CO-17 at the end of each month, for the total of all non-court time, attaching one JD-JM-69 for each case. Retain copy for your records. ALL INFORMATION MUST BE TYPED OR PRINTED LEGIBLY.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)MONTH/YEARNAME OF INDIVIDUAL ATTORNEY (First, M.I., Last)JURIS NO.NAME OF PERSON REPRESENTED (Last, First)CASE NAMECASE TYPEDOCKET NO. (Including prefix)CLIENT CODECOURT CODE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DAYOF MONTHHOURS (in 1/10 hour increments)DAILY ACTIVITIES (Include time spent in 1/10 hour increments for each activity. Leave lines blank for days not worked)THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTotal non-court hours worked for the above-named case during month:(Multiply total hours of preparation worked by $25.00 per hour to be billed in 1/10 hour increments.)$ 25.00XTelephone No.: Facsimile No.: E-Mail Address:TOTAL AMOUNT DUE FOR THE ABOVE-NAMED CASE FOR THIS MONTH:SIGNED (Attorney)DATE SIGNEDATTORNEY CERTIFICATION: I have worked the hours represented on this document and am due the amount claimed.Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.1.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)INSTRUCTIONS FOR SUBMISSION OF BILLS FOR SERVICES RENDERED In order to receive payment for services rendered out of court after January 1, 1996, attorneys representing clients in Juvenile Matters cases are required to complete the NON-COURT TIME -JUVENILE MATTERS (JD-JM-69) monthly billing form. Travel time, in the course of case preparation, to court or elsewhere, other than the attorney's office, may be included.Court approval in advance shall be required before payment for hours worked in excess of 20 hours is authorized. Approval will be granted in 10-hour increments.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .The definitions of preparation time, allowable expenses and excluded expenses are set forth in the Superior Court Guidelines Concerning Appointment of Attorneys and Guardians Ad Litem for Children and Indigent Parents in Child Protection and Families With Service Needs (FWSN) Cases, in Juvenile Matters incorporated by reference in the Letter of Agreement by and between each attorney representing clients in Juvenile Matters cases and the Judicial Branch. 2.THE PEOPLE OF THE STATE OF NEW YORK TOUsing only one form PER CASE per month, a NON-COURT TIME JUVENILE MATTERS (JD-JM-69) form must be completed for each case in which you rendered services during a given month. All services rendered in one case during one month must be listed on one form. Non-court time rate is $25.00 per hour for preparation of each case, to be billed in 1/1/0 hour increments.3.GREETINGS:At the end of each month, each attorney must submit only one Invoice Voucher for Goods or Services (CO-17) that reflects the total of all non-court services provided on all cases during that month. Documentation of services provided must be detailed on the NON-COURT TIME JUVENILE MATTERS (JD-JM-69) form for each case in which you provided services during that month. Each CO-17 must list the appropriate payee: either the attorney with social security number, or the law firm with FEIN.4.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomOriginal completed CO-17 invoices must be submitted to the JUVENILE MATTERS BILLING UNIT no more than 30 days following the end of the month in which services were provided. Failure to submit billing in a timely manner may result in removal from the panel. CO-17 invoices with properly completed NON-COURT TIME JUVENILE MATTERS (JD-JM-69) forms attached must be submitted for payment to the following address:5.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.JUDICIAL BRANCH/SUPERIOR COURT OPERATIONS DIVISION JUVENILE MATTERS ATTORNEY BILLING UNIT 225 SPRING STREET WETHERSFIELD, CT 06109, one of the Justices of theCourt in Witness, Honorableday of, 20 County,CO-17 invoices and NON-COURT TIME JUVENILE MATTERS (JD-JM-69) forms not submitted in accordance with these procedures will be returned for correction. 6.(Attorney must sign above and type name below)CODESAttorney(s) forCOURT LOCATIONCLIENT TYPECASE TYPENorwalkRockvilleStamfordTorringtonWaterburyWaterfordWillimanticCPOGBVMNWRVSTTRWBWFWLBPCPSDBHDMTNBNHCPFNDLTPDAURLFSBridgeportMiddletownDanburyHartfordMiddletownNew Brittain New HavenChild Protection Family With Service Needs DelinquencyTermination of Parental RightsGrandpa
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