APPELLATE CLAIM FORM - STATE OF CALIFORNIA Case No. AOC Suffix DISTRICT DIVISION LOWER COURT CASE NO. Client Last Name First Name M.I. Appellant INTERIM FINAL Criminal Respondent Other CLAIM FOR COMPENSATION AND EXPENSES Delinquency Court Trial Dependency Guilty Plea Prob. Viol. Other Other (A) Type of Case (check one only) (B) Main Proceedings (check one only) Jury Trial (C) Counts (List only the counts resulting in conviction or other adverse disposition, with major count first. For dependency cases use WI 300; for delinquency cases use WI 602. Attach additional sheet if necessary.) CODE 2 letters SECTION NUMBER (Include Subdivision) DEGREE (1 or 2) # of Counts same sec. DESCRIPTION (murder, poss. for sale, brandishing, robbery, abuse/neglect, etc.) (D) Sentence or other disposition: Years Months # of Counts # of Counts Total determinate term (criminal only): (Combine consecutive time, including enhancements) Non-LWOP life-tops: (e.g., life, 25-life) Term doubled per PC 667(b)-(i)/1170.12 LWOPs: Strikes (insert "x" if): Life with min. 25 or more per PC 667(b)-(i)/1170.12 DELINQUENCY If other than commitment to state prison, check one appropriate box below. CRIMINAL Probation Civil Commit Other CYA Camp Home on Prob Other DEPENDENCY Adj/Disp. (358,360) RevHrg PermPlan (364,366.21/.22) (366.26) PostPermPlan (366.3) PetMod (388) Other OTHER (E) Motion to suppress under 1538.5 raised in appeal? (Y/N) (F) I certify under penalty of perjury that the statements in this claim and attached documents are true and correct. MM DD YY Signature: Dated: ATTORNEY LAST NAME FIRST NAME M.I. ( ) STATE BAR TAX ID# (Last 4 Digits) TELEPHONE ______________________________________________________________________________________________ ADDRESS (AOC 10/2005) American LegalNet, Inc. www.USCourtForms.com Page 2 of 3 Case No. Client Last Name Attorney Last Name Use decimal place to tenths only (G) (1) (2) Detail of Hours (include total hours, including any previously claimed in this case): Communications with Client and/or Trial Counsel ........................................................... Review of Record............................................................................................................ + + = Length (pages): CT (incl. prelim.) RT Other Prelim (subtract) Total (1) (2) (3) (4) *(5) (6) Extensions of Time .............................................................. Motions to Augment ............................................................ Other Motions (Specify) ____________________________ Opening Brief (Insert date filed) How many? How many? How many? (3) (4) (5) (6) ...................................................... Mark A if abandoned, D if involuntary dismissal by the Court, W if Wende or S if Sade C: (7) (8) (9) (10) (11) (12) (13) *(14) (15) (16) (17) *(18) (19) (20) (21) (22) (23) (24) (25) Unbriefed Issues (Attach separate sheet) .................................................................................... (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18) (19) (20) (21) (22) (23) (24) (25) Reply Brief.................................................................................................................... Supplemental or Letter Briefs......................................................................................... Review of Opposing Brief(s).......................................................................................... Habeas Corpus Petition.............................................. Case #: Petition for Rehearing ............................................................................................................. Petition for Review (or Answer)..................................................................................... Other Petition (Specify)_________________________ Case #: Review of Response to Petition ...................................................................................... Reply to Response to Petition......................................................................................... Oral Argument Date: .................... Telephonic? (y/n) Travel (Specify destination and purpose) ____________________________________ Review of Court Opinion(s) ........................................................................................... Review of Superior Court File........................................................................................ Consultation with Project Staff .............................................................................................. Other (Specify) ______________________________________________________________ Other (Specify) ______________________________________________________________ Other (Specify) ______________________________________________________________ TOTAL HOURS CLAIMED Items marked by an asterisk (*) must be specified or explained at item (J) on page 3. In addition, please attach: (a) a list of all unbriefed issues claimed, including hours claimed for each; (b) an explanation for any hours claimed over Guidelines or other items you wish to explain; and (c) any checklists required by the Project or the Court of Appeal, including Associate Counsel logs. American LegalNet, Inc. www.USCourtForms.com Page 3 of 3 Case No. (H) Detail of Expenses: (1) (2) (3) (4) (5) Client Last Name Attorney Last Name Photocopy: pages at $/page:.................................................. (1) (2) (3) (4) (5) Brief Binding, etc.:................................................................................................................ Postage/Delivery:.................................................................................................................. Telephone:................................................................................................................... Travel Expenses:................................................................................................................... miles at per mile *(6) *(7) (8) *(9) (10) Computer Research: ............................................................................................................. Paralegal/Clerks: Translator/Interpreter: hrs @ $ hrs @ $ ........................................................ ................................................ (6) (7) (8) (9) (10) Miscellaneous (including certifications, fees, experts, etc.): .............................................. TOTAL EXPENSES CLAIMED: (I) Claim Summary Hours