County Court

District Court

Denver Juvenile Court

Denver Probate Court

_________________________________________ County, Colorado Court Address:

Case Name: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Case Number:

Phone Number: FAX Number:

E-mail: Division Courtroom Atty. Reg. #: MOTION AND ORDER TO PAY EXPERT WITNESS FEES AND EXPENSES

I, __________________________________, move the Court for an order authorizing payment of the following expert witness fees and/or expenses, based on the attached itemized statement from the expert witness. Said fees were incurred pursuant to §13-33-102(4), C.R.S., in the above case and are reasonable for the services performed. Fees and compensation follow the policy and guidelines set forth in Chief Justice Directive 87-01. Expert's Name, Degree/Certification, Address, and Social Security/or Federal Tax Identification number: Name: __________________________________________________ Address: ________________________________________________ Degree/Certification: _______________ City/State/Zip: ____________________

Social Security Number or Federal Tax Identification Number: _________________________________________
(A completed W-9 form containing the payee's Tax Identification Number (Social Security Number or Federal Employer Tax Identification Number) must be on file before a payment will be processed. If the payee has not previously received payment from the State of Colorado Judicial Department, a W-9 form must be completed, including the payee's signature, and attached to this form along with required payment documentation as per CJD 87-01 guidelines. A W-9 form can be accessed and printed from the following web sites):

http://www.irs.gov/pub/irs-fill/fw9.pdf or http://www.colorado.gov/dpa/dfp/sco/forms/substitute%20form%20w-9.pdf

Fees: Case preparation: Hourly rate $ ________ x ______ hours = Testimony time Hourly rate $ ________ x ______ hours = Time waiting to testify due to the scheduled appearance being delayed Hourly rate $ ________ x ______ hours = Travel time Hourly rate $ ________ x ______ hours =

$ ________________________ $ ________________________ $ ________________________ $ ________________________ $ ________________________

Total Fees
Expenses: Mileage/travel expense at statutory rate Rate $ __________ x __________ miles = or Airfare for out-of-state witness (receipts attached) Food and/or lodging expenses due to extraordinary circumstances (receipts and itemization attached)

$ _________________________ $ _________________________ $ _________________________ $ _________________________ $ _________________________ ______________________________
Signature of Attorney

Total Expenses Total Payment Requested
Dated: ___________________________ Reviewed by District Administrator/designee: Approved by Judge or Magistrate:

______________________________Date: ________________ ______________________________ Date: ________________

JDF 204 R8/04 MOTION AND ORDER TO PAY EXPERT WITNESS FEES AND EXPENSES