BILL FOR SERVICES RENDERED NON-COURT TIME COMPENSATION FAMILY CONTEMPT PROCEEDINGS STATE OF CONNECTICUT BILL I.D. NO. SUPERIOR COURT www.jud.state.ct.us JD-FM-76 Rev. 4-99 Pr. Bk. Secs. 25-63, 25-64 INSTRUCTIONS TO ATTORNEY 1. Complete this form for each case in which you were appointed by the court to act as an attorney for an indigent respondent facing incarceration in a family civil contempt case. Retain last copy for your records.THIS FORM CONSTITUTES YOUR BILL FOR SERVICES RENDERED FOR CASE PREPARATION. 2. Obtain forms JD-FM-76B and CO-17 from the clerk's office and complete them, including the total amount of bill below. 3. At the end of the month, mail forms JD-FM-76B and CO-17 with this form attached to the clerk of the court location where the services were rendered. NAME OF INDIVIDUAL ATTORNEY (First, middle initial, last) JURIS NO. MAILING ADDRESS OF ATTORNEY SOCIAL SEC. OR TAX I.D. NO. NAME AND ADDRESS OF COURT LOCATION WHERE SERVICES WERE RENDERED NAME OF APPOINTING JUDGE OR MAGISTRATE NAME OF CASE DOCKET NO. TYPE OF CASE IVD/AFDC TOTAL PRIOR HOURS BILLED ON THIS CASE (see #4 below) NON-IVD IVD/NON-AFDC The fees for all counsel appointed to represent indigent respondents facing potential incarceration in civil contempt proceedings involving their failure to comply with a court order in a family relations case shall be based upon the following schedule: NON-COURT TIME 1. $25 per hour for preparation of each case. 2. Travel time in the course of case preparation to court or elsewhere, other than the attorney's office, may be included in the computation of time. 3. The attorney must itemize all time spent in the preparation of the case. 4. Court approval in advance shall be required before payment for hours worked in excess of 20 hours is authorized. 5. Preparation charges for a case are not allowed on any date for which a hearing is scheduled on that case. DATE HOURS OF DAY DESCRIPTION OF SERVICES (list each type of service on separate line) FROM TO TOTAL TIME HRS./MIN. $25/Hr. RATE NO. OF HOURS TOTAL AMOUNT OF BILL This is to certify that this Bill For Services Rendered is submitted in full compliance with the Fees For Counsel section of the Judicial Branch's Administrative Policies and Procedures (see back/page 2). SIGNED PRINT NAME DATE SIGNED American LegalNet, Inc. www.FormsWorkflow.com FEES FOR COUNSEL (Effective October 1, 1995) Counsel for Indigent Respondents Facing Potential Incarceration in Civil Contempt Proceedings Involving their Failure to Comply with a Court Order in a Family Relations Case. The fees for all counsel appointed to represent indigent respondents facing potential incarceration in civil contempt proceedings involving their failure to comply with a court order in a family relations case shall be based upon the following schedule: (a) NON-COURT TIME • $25 per hour for preparation on each case. • Travel time in the course of case preparation to court or elsewhere, other than the attorney's office, may be included in the above computation. • The attorney must itemize all time spent in the preparation of the case. • Preparation charges for a case are not allowed on any date for which a hearing is scheduled on that case. • Court approval in advance shall be required before payment for hours worked in excess of 20 hours is authorized. (b) COURT TIME • $55.00 for the first hour or any portion thereof for one or more court hearings. • $39.00 for the second hour or any portion thereof for one or more court hearings. • $22.00 for each subsequent hour or portion thereof for one or more court hearings, subject to a maximum per diem payment of $182.00. • Court time shall be construed to include time spent in the courthouse interviewing clients and awaiting the call of the case. Travel time to and from the courthouse shall not be allowed in the above computations. (See §25-63 and §25-64 of the Practice Book.) American LegalNet, Inc. www.FormsWorkflow.com