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cja20

The document is a CJA 20 form used for the appointment and payment of court-appointed counsel. It includes sections for case details, attorney information, and claims for services and expenses. The form is designed to ensure proper documentation and approval for legal representation in federal cases.

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marcuswalters39
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10 views

cja20

The document is a CJA 20 form used for the appointment and payment of court-appointed counsel. It includes sections for case details, attorney information, and claims for services and expenses. The form is designed to ensure proper documentation and approval for legal representation in federal cases.

Uploaded by

marcuswalters39
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CJA 20 APPOINTMENT OF AND AUTHORITY TO PAY COURT-APPOINTED COUNSEL (Rev.

07/17)
1. CIR./DIST./ DIV. CODE 2. PERSON REPRESENTED VOUCHER NUMBER

3. MAG. DKT./DEF. NUMBER 4. DIST. DKT./DEF. NUMBER 5. APPEALS DKT./DEF. NUMBER 6. OTHER DKT. NUMBER

7. IN CASE/MATTER OF (Case Name) 8. PAYMENT CATEGORY 9. TYPE PERSON REPRESENTED 10. REPRESENTATION TYPE
G Felony G Petty Offense G Adult Defendant G Appellant (See Instructions)
G Misdemeanor G Other G Juvenile Defendant G Appellee
G Appeal G Other
11. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) If more than one offense, list (up to five) major offenses charged, according to severity of offense.

12. ATTORNEY’S NAME (First Name, M.I., Last Name, including any suffix), 13. COURT ORDER
AND MAILING ADDRESS G O Appointing Counsel G C Co-Counsel
G F Subs For Federal Defender G R Subs For Retained Attorney
G P Subs For Panel Attorney G Y Standby Counsel

Prior Attorney’s
Appointment Dates:
G Because the above-named person represented has testified under oath or has otherwise
Telephone Number : satisfied this Court that he or she (1) is financially unable to employ counsel and (2) does
not wish to waive counsel, and because the interests of justice so require, the attorney whose
14. NAME AND MAILING ADDRESS OF LAW FIRM (Only provide per instructions) name appears in Item 12 is appointed to represent this person in this case, OR
G Other (See Instructions)

Signature of Presiding Judge or By Order of the Court

Date of Order Nunc Pro Tunc Date


Repayment or partial repayment ordered from the person represented for this service at time
appointment. G YES G NO
CLAIM FOR SERVICES AND EXPENSES FOR COURT USE ONLY
TOTAL MATH/TECH. MATH/TECH.
HOURS ADDITIONAL
CATEGORIES (Attach itemization of services with dates) AMOUNT ADJUSTED ADJUSTED
CLAIMED REVIEW
CLAIMED HOURS AMOUNT
15. a. Arraignment and/or Plea 0.00 0.00
b. Bail and Detention Hearings 0.00 0.00
c. Motion Hearings 0.00 0.00
d. Trial 0.00 0.00
In Court

e. Sentencing Hearings 0.00 0.00


f. Revocation Hearings 0.00 0.00
g. Appeals Court 0.00 0.00
h. Other (Specify on additional sheets) 0.00 0.00
(RATE PER HOUR = $ ) TOTALS: 0.00 0.00 0.00 0.00
16. a. Interviews and Conferences 0.00 0.00
b. Obtaining and reviewing records 0.00 0.00
Out of Court

c. Legal research and brief writing 0.00 0.00


d. Travel time 0.00 0.00
e. Investigative and other work (Specify on additional sheets) 0.00 0.00
(RATE PER HOUR = $ ) TOTALS: 0.00 0.00 0.00 0.00
17. Travel Expenses (lodging, parking, meals, mileage, etc.)
18. Other Expenses (other than expert, transcripts, etc.)
GRAND TOTALS (CLAIMED AND ADJUSTED): 0.00 0.00
19. CERTIFICATION OF ATTORNEY/PAYEE FOR THE PERIOD OF SERVICE 20. APPOINTMENT TERMINATION DATE 21. CASE DISPOSITION
IF OTHER THAN CASE COMPLETION
FROM: TO:
22. CLAIM STATUS G Final Payment G Interim Payment Number G Supplemental Payment
Have you previously applied to the court for compensation and/or reimbursement for this case? G YES G NO If yes, were you paid? G YES G NO
Other than from the Court, have you, or to your knowledge has anyone else, received payment (compensation or anything of value) from any other source in connection with this
representation? G YES G NO If yes, give details on additional sheets.
I swear or affirm the truth or correctness of the above statements.
Signature of Attorney Date

APPROVED FOR PAYMENT — COURT USE ONLY


23. IN COURT COMP. 24. OUT OF COURT COMP. 25. TRAVEL EXPENSES 26. OTHER EXPENSES 27. TOTAL AMT. APPR./CERT.
$0.00
28. SIGNATURE OF THE PRESIDING JUDGE DATE 28a. JUDGE CODE

29. IN COURT COMP. 30. OUT OF COURT COMP. 31. TRAVEL EXPENSES 32. OTHER EXPENSES 33. TOTAL AMT. APPROVED
$0.00
34. SIGNATURE OF CHIEF JUDGE, COURT OF APPEALS (OR DELEGATE) Payment approved DATE 34a. JUDGE CODE
in excess of the statutory threshold amount.

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