Form to Accompany Application for Attorneys Fees Summary of work performed by (name): Total compensation requested for this person: Hourly rate of compensation requested for this person: This person is an: G attorney G law student/graduate G certified paralegal G other: Category Total Hours Interviews and conferences Obtaining and reviewing records Legal research Brief writing Preparing for and attending oral argument Other (specify on additional sheets if necessary): Total hours claimed for this person Instructions: on the applicable lines, enter the total time spent in each category. A separate form must be completed for each person for whom time is claimed. Attach contemporaneous time records reflecting all hours listed and indicating the dates on which the work was performed. An affidavit attesting to the truthfulness of the information contained in the application and demonstrating the basis for the hourly rate(s) requested must also accompany the application. Rev.: 1/03 American LegalNet, Inc. www.USCourtForms.com