OCJA 31 DEATH PENALTY PROCEEDINGS: EX PARTE REQUEST FOR AUTHORIZATION AND VOUCHER FOR EXPERT AND OTHER SERVICES (Rev. 9/05) 1. CIR./DIST./ DIV. CODE 2. PERSON REPRESENTED VOUCHER NUMBER
3. MAG. DKT./DEF. NUMBER 7. IN CASE/MATTER OF (Case Name) 4. DIST. DKT./DEF. NUMBER 5. APPEALS DKT./DEF. NUMBER 6. OTHER DKT. NUMBER
G Adult Defendant G Habeas Petitioner
8. TYPE PERSON REPRESENTED
G Appellant G Other G Appellee
9. REPRESENTATION TYPE
G D1 28 U.S.C. § 2254 Habeas (Capital) G D3 28 U.S.C. § 2255 (Capital) G D2 Federal Capital Prosecution G D4 Other (Specify)
10. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) If more than one offense, list (up to five) major offenses charged, according to severity of offense.
REQUEST AND AUTHORIZATION FOR EXPERT SERVICES
11. ATTORNEY'S STATEMENT
G Authorization to obtain the service. Estimated Compensation and Expenses: Z G Approval of services already obtained to be paid for by the United States pursuant to the Criminal Justice Act.
Signature of Attorney
As the attorney for the person represented, who is named above, I hereby affirm that the services requested are necessary for adequate representation. I hereby request: OR (See Instructions)
ATTORNEY'S NAME (First Name, M.I., Last Name, including any suffix), AND MAILING ADDRESS
G Retained Attorney
G Legal Organization
12. DESCRIPTION OF AND JUSTIFICATION FOR SERVICES (See Instructions) 13. TYPE OF SERVICE PROVIDER
01 G Investigator 15 G Other Medical 02 G Interpreter/Translator 16 G Voice/Audio Analyst 03 G Psychologist 17 G Hair/Fiber Expert 04 G Psychiatrist 18 G Computer (Hardware/ 05 G Polygraph Software/Systems) Financial eligibility of the person represented having been established to the Court's 06 G Documents Examiner 19 G Paralegal Services 14. COURT ORDER satisfaction, the authorization requested in Item 11 is hereby granted. 07 G Fingerprint Analyst 20 G Legal Analyst/Consultant 08 G Accountant 21 G Jury Consultant Signature of Presiding Judge or By Order of the Court 09 G CALR (Westlaw/Lexis, etc.) 22 G Mitigation Specialist 10 G Chemist/Toxicologist 23 G Duplication Services Date of Order Nunc Pro Tunc Date 11 G Ballistics (See Instructions) Repayment or partial repayment ordered from the person represented for this service at time of authorization. 13 G Weapons/Firearms/Explosive Expert 24 G Other (Specify) 14 G Pathologist/Medical Examiner G YES G NO 15. STAGE OF PROCEEDING Check the box which corresponds to the stage of the proceeding during which the work claimed at Item 16 was performed even if the work is intended to be used in connection with a later stage of the proceeding. CHECK NO MORE THAN ONE BOX. Submit a separate voucher for each stage of the proceeding.
a. b. c. d.
g. h. i. j.
l. m. n. o. G Other G Stay of Execution G Appeal of Denial of Stay G Petition for Writ of Certiorari to the U.S. Supreme Court Regarding Denial of Stay
G Pre-Trial G Trial G Sentencing G Other Post Trial
Appeal Petition for the U.S. Supreme Court Writ of Certiorari
G Habeas Petition G Evidentiary Hearing G Dispositive Motions G Appeal
G Petition for the
U.S. Supreme Court Writ of Certiorari
CLAIM FOR SERVICES AND EXPENSES
16. SERVICES AND EXPENSES (Attach itemization of services with dates) AMOUNT CLAIMED
a. Compensation b. Travel Expenses (lodging, parking, meals, mileage, etc.) c. Other Expenses
FOR COURT USE ONLY
MATH/TECHNICAL ADJUSTED AMOUNT ADDITIONAL REVIEW
GRAND TOTALS (CLAIMED AND ADJUSTED):
17. PAYEE'S NAME (First Name, M.I., Last Name, including any suffix), AND MAILING ADDRESS
TIN: Telephone Number:
CLAIMANT'S CERTIFICATION FOR PERIOD OF SERVICE FROM
G Final Payment
G Interim Payment Number
G Supplemental Payment
I hereby certify that the above claim is for services rendered and is correct, and that I have not sought or received payment (compensation or anything of value) from any other source for these services.
Signature of Claimant/Payee
18. CERTIFICATION OF ATTORNEY I hereby certify that the services were rendered for this case.
Signature of Attorney
19. TOTAL COMPENSATION 23 G 20. TRAVEL EXPENSES 21. OTHER EXPENSES
APPROVED FOR PAYMENT -- COURT USE ONLY
22. TOTAL AMOUNT APPROVED/CERTIFIED
Either the cost (excluding expenses) of these services does not exceed $500, or prior authorization was obtained; OR In the interest of justice the Court finds that timely procurement of these necessary services could not await prior authorization, even though the cost (excluding expenses) exceeds $500.
Signature of Presiding Judge
24. TOTAL COMPENSATION 25. TRAVEL EXPENSES
26. OTHER EXPENSES
27. TOTAL AMOUNT APPROVED
28. FOR REPRESENTATIONS COMMENCED AND APPELLATE PROCEEDINGS IN WHICH AN APPEAL IS PERFECTED ON OR AFTER APRIL 24, 1996,
A. B. Total compensation and expense payments approved to date (include amounts withheld for interim payments) for investigative, expert and other services for this representation is $ Payment approved (compensation and expenses) in excess of the statutory threshold for investigative, expert and other services under 21 U.S.C. § 848(q)(10)(B).
Signature of Chief Judge, Court of Appeals (or Delegate)
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