STATE OF CONNECTICUT MONTHLY SUMMARY OF BILL FOR SERVICES RENDERED NON-COURT TIME COMPENSATION SUPERIOR COURT BILL I.D. NO. JD-FM-76B Rev. 1-2001 INSTRUCTIONS TO ATTORNEY 1. Use only for billing Non-Court case preparation time for Family Matters. Use only one form per month. 2. For each date you worked, list the docket number of each case you handled and the total number of hours you worked. Leave days not worked blank. 3. Enter total number of hours and total amount due at bottom. 4. Attach to this form all of the completed Bill For Services Rendered Non-Court Time (etc.) forms (JD-FM-76) for the entire month and a completed CO-17 form. Submit all forms to the clerk at the court location where services were rendered. NAME OF INDIVIDUAL ATTORNEY (First, middle initial, last) JURIS NO. MAILING ADDRESS OF ATTORNEY SOCIAL SEC. OR TAX I.D. NO. MONTH YEAR NON-COURT TIME FOR NAME AND ADDRESS OF COURT LOCATION WHERE SERVICES WERE RENDERED DATE DOCKET NUMBER(S) OF CASE(S) TOTAL HOURS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL NON-COURT HOURS WORKED FOR ALL CASES DURING MONTH (MULTIPLY TOTAL HOURS WORKED BY $25.00 PER HOUR RATE) X $25.00 TOTAL AMOUNT DUE FOR ALL CASES FOR THIS MONTH $ $0.00 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 2001 © American LegalNet, Inc. 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.) 2001 © American LegalNet, Inc.