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Arbitrator Compensation Voucher And Claim For Expenses - New York
| Arbitrator Compensation Voucher And Claim For Expenses Form. This is a New York form and can be used in Northern District District Court Federal . |
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UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF NEW YORK L A W R E N CE K . B A ER M A N Clerk J OH N M . D O M U R AD Chief Deputy James M. Hanley Federal Building P.O. Box 7367, 100 S. Clinton St. Syracuse, New York 13261-7367 (315) 234-8500 Fax (315) 234-8501 ARBITRATOR COMPENSATION VOUCHER AND CLAIM FOR EXPENSES (FORWARD TO THE CLERK OF COURT DO NO T E-FILE) TITLE OF ACTION: _________________________________________________________ CASE NO: ________________________ DATE(S) OF HEARING: __________________ Arbitrators sitting as a panel of three are each compensated at the rate of $100.00 per day of hearing or portion thereof. Single Arbitrators are compensated at the rate of $250.00 per day of hearing or portion thereof, in accordance with NYND Local Rule 83.7-4(e). 1) ARBITRATION FEES: $___________ (note rates above) NUMBER OF DAYS__________ 2) TRAVEL AND OTHER EXPENSES: a) Mileage: Number of miles __________ @ 44.5 cents per miles = $___________ (Mileage from office to place of hearing and return. Please indicate time of departure and time of return to office after the hearing): Time of Departure:________ Time of Return:_________ $_____________ (total me al expense canno t excee d #3 8.00 per d ay) Meals: (Attach receipts & indicate breakfast, lunch or dinner) Lodging: $____________ (Attach receipts - consult with ADR clerk for overnight travel rates.) Miscellaneous Expenses: $_____________ (Cost of Parking, Tolls, etc. - attach receipts) b) c) d) Totals (Items 1 and 2a thru d): $________________ Payee ______________________ SSN or Tax ID: ___________________ Address: ____________________________________________________ ____________________________________________________ Date: ________________________________ Signature of Arbitrator ---------------------------------------------------------------------------------------------------------------------Amount: ________________________ Approved for Payment by: ____________________ ____________________________ Lawrence K. Baerman, Clerk Date:___________________________ American LegalNet, Inc. www.USCourtForms.com
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