First Judicial District of Pennsylvania Modified Guaranteed Fee System
Per Diem Appearance Slip
(Continuances Are Not Compensable)
(please print)
DATE COURTROOM
Assigned Counsel/Expert
Less than 3 hours (limit of two claims per day) More than 3 hours (must be present in courtroom for more than 3 hours)
JUDGE
Attorney
CASE # CASE TYPE
Expert
Felony Other Than Homicide
INVOICE #
Homicide
ATTORNEY/EXPERT SIGNATURE
ATTORNEY/EXPERT NAME (Last, First, Middle Initial)
DEFENDANT NAME (Last, First, Middle Initial)
JUDICIAL SIGNATURE
08-001 (Rev. 6/01)