Free CJA 28H - Federal

OCJA 28H (04/04)

Other Services Summary Budget Worksheet for Non-capital Representations with the Potential for Extraordinary Cost
This summary budget worksheet summarizes anticipated "other" services. The document should be submitted to the court in representations that "appear likely to become or have become extraordinary in terms of potential cost" as set forth in subparagraph 2.22B(4) of the Guidelines for the Administration of the Criminal Justice Act and Related Statutes, Volume VII, Guide to Judiciary Policies and Procedures. The accompanying detailed budget worksheet may be of assistance to counsel in preparing the summary. The document automatically totals hours and dollar amounts.

Date: Case Name: Case Number: Type of Service: Name of Provider: Hourly Rate:

$0.00
Other Service Hours

I. Nature and Purpose of Services A. Nature: Purpose: B. Nature: Purpose: C. Nature: Purpose: D. Nature: Purpose:

II. Estimated Hours of Services (including travel time)

Total Hours:

OCJA 28H (04/04) Other Services Summary/Page 2

Dollars III. Travel Expenses

Travel Costs:

IV. Other Miscellaneous Costs and Expenses

Miscellaneous Costs and Expenses:

Approved Case Budget for Other Services: Other Services Time Hourly Rate: Hours:
$0.00

Dollars

0.0
$0.00

Fees Approved (hours multiplied by hourly rate): Travel Costs: Other Miscellaneous Costs and Expenses:

$0.00

$0.00

Grand Total Budget for Other Services:

$0.00

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