County Court District Court ____________________________ County, Colorado Court Address:

People of the State of Colorado v. Defendant: Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Atty. Reg. #:

Division

Courtroom

MOTION AND ORDER TO PAY LANGUAGE INTERPRETER
__________________________________________________ Interpreter's Name __________________________________________________ Address ___________________________________________________ City State Zip Code
I request the Court for an order authorizing payment of the following fee(s) based upon the itemized hours and mileage listed: Name of Party Dates of Interpreting Mileage @ $.50 per Mile Court Time Waiting Time Hours of Travel Time $ Total Cost per Day

_____________________________ Language Interpreted _________________________ Phone (include area code)

Total Payment Requested: $____________________. I certify the above hours and mileage are correct. Agency verification of interpreter service is attached.
__________________________________________________

Interpreter's signature

Date

ORDER
GRANTED DENIED _________________________________________________

Judge

Magistrate

JDF 316 R1/09 MOTION AND ORDER TO PAY LANGUAGE INTERPRETER

Court Copy (white)

Interpreter Copy (yellow)