Itemization Form And Court Order Approving Claim For Court Interpreters Fees And Expenses
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Itemization Form And Court Order Approving Claim For Court Interpreters Fees And Expenses Form. This is a Iowa form and can be use in District Court Statewide.
Loading PDF...
Tags: Itemization Form And Court Order Approving Claim For Court Interpreters Fees And Expenses, Iowa Statewide, District Court
Itemization Form and Court Order Approving Claim For
Court Interpreter's Fees and Expenses
( To be attached to State Public Defenders "Miscellaneous Fee Claim" Form )
INTERPRETER INFORMATION
Name ( Please Print):
CASE INFORMATION
County:
Case Title:
Case Number:
INFORMATION ON FEES AND EXPENSES CHARGED FOR SERVICES
Date of Service:
Starting Time: A.M./P.M.
Stop Time:
A.M./P.M.
Date of Service:
Starting Time: A.M./P.M.
Stop Time:
A.M./P.M.
Date of Service:
Starting Time: A.M./P.M.
Stop Time:
A.M./P.M.
Date of Service:
Starting Time: A.M./P.M.
Stop Time:
A.M./P.M.
Itemization of Time Spent on This Case
(to the nearest tenth of an hour)
Itemization of Interpreter Fees & Expenses
Amount charged for
interpreting time
Waiting time*
$
(Interpreting time X hourly rate)
Time spent interpreting in court
Other time (specify)
Mileage expenses
____________________________
(# Miles x $.30 per mile)
____________________________
$
Other charges (specify)
_______________________
Hourly rate
$
$
_______________________
Total time charged (in hours):
$
_______________________
____________________________
$
Total Amount of Claim
$
*Waiting time is payable only for actual time between a scheduled court appearance and the actual time of
the appearance. Waiting time should be apportioned among all clients to whom services were provided at a given time.
CERTIFICATION
I, the undersigned, certify that the above information is true and correct.
Date:
Interpreter's signature
COURT APPROVAL OF CLAIM
On this ________ day of _____________________________, 20______, the court has duly considered this
claim and approves the sum of $ ______________.
Version: 11-28-2005
Judge's signature
American LegalNet, Inc.
www.FormsWorkflow.com
