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Dependency Representation Claim Form. This is a California form and can be use in Sacramento Local County.
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Tags: Dependency Representation Claim Form, JC E-308, California Local County, Sacramento
SUPERIOR COURT OF CALIFORNIA,
COUNTY OF SACRAMENTO
Sitting as the Juvenile Court
3341 Power Inn Road, Sacramento, CA 95826
For Accounting Use Only
Claim No:
Reviewed:
Approved:
To Auditor:
#
DEPENDENCY REPRESENTATION CLAIM FORM
Date:
Claim Month/Year
Attorney Name:
Telephone No: (
)
Attorney Address:
Social Security/Fed ID NO:
County Vendor NO:
DECLARATION PURSUANT TO WIC §317
The above-named Attorney at Law, being duly licensed to practice in the State of
California, was appointed to provide representation in the matters set forth in the
attachment pursuant to WIC § 317. Further, said Attorney has not presented billings on
the cases in the attachment during the fiscal year of 2005-2006. Attorney is requesting
payment of $__________ for number of _________ cases. Further, Attorney has a total
of ____ clients in his/her workload.
I declare, under penalty of perjury, under the laws of the State of California, that the
foregoing is true and correct.
Executed: _________at ________________
__________________________________
DECLARANT
ORDER
The Court finds that $ __________ is a reasonable sum for compensation and for
necessary expenses and orders that payment be made by the Sacramento County Auditor
Controller for said sum.
APPROVAL
I declare, under penalty of perjury, that an itemized billing maintained in the Court’s
Administrative Office supports the charges listed above.
_________________________________
_____________________
ADMINISTRATOR
DATE
COMMENTS
J:/mo/Procedure/formsdep/DPA Claim Form.doc
JC\E-308 (03.05)
page______of ____ pages
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www.USCourtForms.com
American LegalNet, Inc.
www.USCourtForms.com
__________________________
(Attorney Name)
Dependency Representation Billing Log
Family
ID
Case Number
Case Name
Hearing
Date
Representing
(Name)
Relationship
Operations
Accounting
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Relationship Legend
S: Minor
O: Other
M: Mother
F: Father
Operations Legend
OK: Verified for payment
NH: No Hearing
RL: Relieved (date)
DT: Dependency Term. (date)
PT: Parental Rights Term. (date)
Accounting Legend
VP: Verified for payment
DP: Declined for payment
For Court Use Only
J:/mo/Procedure/formsdep/DPA Claim Form.doc
JC\E-308 (03.05)
page______of ____ pages
American LegalNet, Inc.
www.USCourtForms.com
