U NITED S TATES D ISTRICT C OURT for the Southern District of Illinois ) ) ) ) ) ) Plaintiff(s) v. Case Number: Defendant(s) MOTION FOR OUT-OF-POCKET EXPENSES Pursuant to Section 2.6 of the Plan for the Administration of the District Court Fund, the undersigned pro bono counsel seeks reimbursement for out-of-pocket expenses incurred in representing the plaintiff in this action. A detailed explanation and documentation of the expenses in excess of $75.00 is attached to this motion. The total amount of reimbursement sought is $. The undersigned acknowledges that no more than $,000 in out-of-pocket expenses may be reimbursed, as funds are available. No portion of the filing fee assessed pursuant to 28 U.S.C. 2471915 shall be reimbursed from the fund. Signed on: Date Signature of Attorney American LegalNet, Inc. www.FormsWorkFlow.com