Affidavit Of Expenses Of Counsel Or Guardian Ad Litem {JD-FM-225}

AFFIDAVIT OF EXPENSES OF COUNSEL OR GUARDIAN AD LITEM FOR MINOR CHILD OR CHILDREN JD-FM-225 New 10-14 PA 14-3 as amended by PA 14-207 STATE OF CONNECTICUT Court Use Only JUDICIAL BRANCH www.jud.ct.gov AFFEXP *AFFEXP* Instructions Not later than 30 days after the entry of a final judgment in a family relations matter involving counsel or guardian ad litem for the minor child or children, such counsel or guardian ad litem shall file this affidavit with the court. Name of case (Plaintiff v. Defendant) Docket number Address of court Name of counsel or guardian ad litem for minor child or children A. Hourly fee charged B. Total number of hours billed C. Expenses billed D. Total amount charged Signature $ per hour hours $ $ Print name of person signing Sworn to before me (Assistant Clerk/Commissioner of Superior Court/Notary Public) Date signed ADA NOTICE The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA. American LegalNet, Inc. www.FormsWorkFlow.com