ALA FL-021 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, ALAMEDA COUNTY STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER: CASE NUMBER: APPLICATION AND ORDER FOR MINOR'S COUNSEL FEES OVER CAP 1. I (Name): declare that I am the attorney appointed to represent the minor(s) in this action. 2. I have received (Amount): $ in attorney's fees to date. This amount is at or over the payment cap in the court's rules. A declaration describing my previous billings is attached. 3. In order to represent the minor(s) properly, the following additional services are needed (specify): 4. To perform these services, _________ hours of attorney time are required, at the hourly rate lump sum of $ ______________. Date: _________________________________________________________ ATTORNEY FOR MINOR(S) 5. The request for attorney's fees over the cap is GRANTED; DENIED without prejudice to being resubmitted with a declaration describing previous billings in this matter more detailed explanation of services needed; or DENIED. 6. Additional fees in no more than the following amount shall be paid to the minor's counsel (specify): Date: _________________________________________________________ (JUDICIAL OFFICER) Page 1 of 1 Form Approved ALA FL-021 [Rev. 01-01-2013] APPLICATION AND ORDER FOR MINOR'S COUNSEL FEES OVER CAP American LegalNet, Inc. www.FormsWorkFlow.com