Free AO 291 Application for Fees under EAJA - Federal


File Size: 42.2 kB
Pages: 2
Date: August 23, 2002
File Format: PDF
State: Federal
Category: Court Forms - Federal
Author: Systems Department
Word Count: 610 Words, 9,845 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.ca2.uscourts.gov/Docs/Forms/AEJA.pdf

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AO 291. Application for Fees and O ther Expenses Under the Equal Access to Justice Act. (10/81)
APPLICATION FOR FEES AND OTHER EXPENSES UNDER THE EQUAL ACCESS TO JUSTICE ACT 1. COURT A. 9 SUPREME COURT B . 9 CUSTOMS AND PARENT APPEALS C. 9 COURT OF CLAIMS D. 9 COURT OF INTERNATIONAL TRADE 4. NAME OF APPLICANT (one per form) E. 9 COURT OF APPEALS F. 9 DISTRICT COURT G. 9 BANKRUPTCY COURT 2. DATE FILED 3. DOCKET NO.

5.

GOVERNMENT AGENCY INVOLVED IN CLAIM (Use agency code on reverse side) APPEAL FROM: 9 DISTRICT COURT 9 BANKRUPTCY COURT 9 OTHER: _______________________________

6. NATURE OF APPLICATION A. 9 Original application under 28 USC 2412 (d) (1) (A) after judgment in civil action against U.S. B. 9 Appeal of fees and expenses awarded by Lower Court, (If Item 6B is checked, go to Item 7.) C. 9 Original application under 28 USC 2412 (d) (3) after review of agency decision. D. 9 Petition for leave to appeal an administrative agency fee determination under 5 USC 504 (c) (2). 8. ADMINISTRATIVE AGENCY DOCKET NO.

7.

7A. DATE FILED IN LOWER COURT

DOCKET NO.

9.

DATE FILED IN ADMINISTRATIVE AGENCY

10. SHOWING OF "PREVAILING PARTY" STATUS (28 U.S.C. 2412 (d) (1) (B)): IS AGENCY ORDER, COURT ORDER, or OTHER RELEVANT DOCUMENT ATTACHED? 11. SHOWING OF ELIGIBILITY (28 U.S.C. 2412 (d) (2) (B)): IS NET WORTH INFORMATION ATTACHED? YES 9 NO 9 YES 9 NO 9

12. ENTER ALLEGATION THAT GOVERNMENT POSITION WAS NOT SUBSTANTIALLY JUSTIFIED (28 U.S.C. 2412(d)(1)(B)):

13. FOR EACH AMOUNT CLAIMED, PLEASE ATTACH ITEMIZATION INFORMATION INDICATING SERVICE PROVIDED, DATE, HOURS, AND RATE (28 U.S.C. 2412 (d)(2)(A))" AMOUNT CLAIMED A. B. C. D. E. F. G. H. ATTORNEY FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STUDY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ANALYSIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ENGINEERING REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PROJECT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EXPERT WITNESS FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OTHER FEES AND EXPENSES SPECIFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (1) ____________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) ____________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (3) ____________________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL FEES AND EXPENSES $ $ $ $ $ $ $ $ $ $ $ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________

I.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ________________________ 15. DATE

14. SIGNATURE

NOTE: THIS FORM SHOULD ACCOMPANY YOUR CLAIM WHEN FILED WITH THE CLERK OF COURT.

FORM FOR EAJA Fee Application - Page 2

ADMINISTRATIVE AGENCY CODES Use the following abbreviation for the U.S. Government Agency Involved in claim in item 5. Benefits Review Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BRE Civil Aeronautics Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CAB Civil Service Commission (U.S.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CSC Consumer Products Safety Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . CPSC Copyright Royalty Tribunal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CRT Department of Agriculture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGRI Department of Commerce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . COMM Department of Defense . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DOD Department of Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EDUC Department of Energy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DOE Department of Health, Education & Welfare . . . . . . . . . . . . . . . . . . . . . . . . HEW Department of Health & Human Services . . . . . . . . . . . . . . . . . . . . . . . . . . . HHS Departm ent of Housing & Urban Development . . . . . . . . . . . . . . . . . . . . . . . HUD Department of Interior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DOI Department of Justice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DOJ Department of Labor (Except OSHA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LABR Department of Transportation, National Transportation Safety Board . . . . . TRAN Department of the Treasury (Except IRS) . . . . . . . . . . . . . . . . . . . . . . . . . . TREA Drug Enforcement Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DEA Environmental Protection Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EPA Equal Employment Opportunity Commission . . . . . . . . . . . . . . . . . . . . . . . . EEOC Federal Aviation Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FAA Federal Coal Mine Safety Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FCMS Federal Communications Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FCC Federal Deposit Insurance Corporation . . . . . . . . . . . . . . . . . . . . . . . . . . . . FDIC Federal Election Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FEC Federal Energy Agency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FEA Federal Energy Regulatory Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . FERC Federal Home Loan Bank Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FHLB Federal Labor Relations Authority . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FLRA Federal Maritime Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FMBD Federal Maritime Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FMC Federal Mine Safety & Health Administration . . . . . . . . . . . . . . . . . . . . . . . MSMA Federal Mine Safety & Health Review Commission . . . . . . . . . . . . . . . . . . MSHR Federal Reserve System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FRS Federal Trade Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FTC Food & Drug Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FDA General Services Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GSA Immigration & Naturalization Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INS Internal Revenue Service (Except Tax Court) . . . . . . . . . . . . . . . . . . . . . . . . . IRS Interstate Commerce Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ICC Merit Systems Protection Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . MSPB National Labor Relations Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NLRB Nuclear Regulatory Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NRC Occupational Safety & Health Administration . . . . . . . . . . . . . . . . . . . . . . . . OSHA Occupational Safety & Health Review Commission . . . . . . . . . . . . . . . . . . OSHC Office of Management & Budget . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OMB Office of Personnel Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OPM Office of Workers Compensation Program . . . . . . . . . . . . . . . . . . . . . . . . OWCP Patent Office . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PATO Postal Rate Commission (U.S.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PRC Postal Service (U.S.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . USPS RR Retirement Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RRRB Securities & Exchange Commission . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SEC Small Business Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SBA Tax Court, Internal Revenue Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TXC