COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Form 20Calendar No.FORM 20. Application for Fees and Other Expenses Under the Equal Access to Justice ActAPPLICATION FOR FEES AND OTHER EXPENSES UNDER THE EQUAL ACCESS TO JUSTICE ACTJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Title 28 U. S. C. § 2412( d) , Title II of Public Law 96-481, 994 STAT 23251. COURT2. DATE FILED3. DOCKET NO.UNITED STATES COURT OF APPEALS FOR THE FEDERAL CIRCUIT5. GOVERNMENT AGENCY INVOLVED IN CLAIM4. NAME OF APPLICANT ( one per form). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6. NATURE OF APPLICATIONOriginal application under 28 U. S. C. § 2412 ( d) ( 1) ( A) after judgment in civil action against U. S. Appeal of fees and expenses awarded by Lower Court. ( If item 6B is checked go to item 7. ) Original application under 28 U. S. C. § 2412 ( d) ( 3) after review of agency decision.Petition for leave to appeal an administrative agency fee determination under 5 U. S. C. § 504 ( c) ( 2) . B.A..7. APPEAL FROM: . DISTRICT COURT . BANKRUPTCY COURTTHE PEOPLE OF THE STATE OF NEW YORK TO.C..7B. DOCKET NO.. OTHER: 7A. DATE FILED IN LOWER COURTD..8. ADMINISTRATIVE AGENCY DOCKET NO.9. DATE FILED IN ADMINISTRATIVE AGENCYGREETINGS:10. SHOWING IF PREVAILING PARTY STATUS ( 28 U. S. C. § 2412 ( d) ( 1) ( B) ) : IS AGENCY ORDER, COURT ORDER, OR OTHER RELEVENT DOCUMENT ATTACHED?WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable. NO. YES,located at County of11. SHOWING OF ELIGIBILITY ( 28 U. S. C. § 2412 ( d) ( 2) ( B) ) :o'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 roomIS NET WORTH INFORMATION ATTACHED?. YES. NO12. ENTER ALLEGATION THAT GOVERNMENT POSITION WAS NOT SUBSTANTIALLY JUSTIFIED ( 28 U. S. C. § 2412 ( d) ( B) ) :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 $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,13. FOR EACH AMOUNT CLAIMED, PLEASE ATTACH ITEMIZATION INFORMATION INDICATING SERVICE PROVIDED, DATE,AMOUNT CLAIMED(Attorney must sign above and type name below)HOURS, AND RATE ( 28 U. S. C. § 2412 ( d) ( B) ) : A. ATTORNEY FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ B.STUDY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C. ANALYSIS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D. ENGINEERINGREPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E. TESTAttorney(s) for. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F. PROJECT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G. EXPERTWITNESS FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . H. OTHERFEES AND EXPENSES -SPECIFY( 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Office and P.O. Address( 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I. TOTAL FEES AND EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ 14. SIGNATURETelephone No.: Facsimile No.: E-Mail Address:15. DATENOTE: THIS FORM SHOULD ACCOMPANY YOUR CLAIM WHEN FILED WITH THE CLERK OF COURT.Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comMay 1, 2004 Edition
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