Free AO 291. Application for Fees and Other Expenses Under the Equal Access to Justice Act. (10/81) - Federal

AO 291.

Application for Fees and Other 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 SUPREME COURT A. CUSTOMS AND PATENT B. APPEALS COURT OF CLAIMS C. COURT OF INTERNATIONAL TRADE D. 4. NAME OF APPLICANT (one per form) 6. NATURE OF APPLICATION A. B.

E. F. G.

COURT OF APPEALS DISTRICT COURT BANKRUPTCY COURT

2. DATE FILED

3. DOCKET NO.

5. GOVERNMENT AGENCY INVOLVED IN CLAIM (use agency code on reverse side)
Original application under 28 USC § 2412 (d) (3) after review of agency decision. Petition for leave to appeal an administrative agency fee determination under 5 USC § 504 (c) (2).

Original application under 28 USC § 2412 (d) (1) (A) after judgment in civil action against U.S. Appeal of fees and expenses awarded by Lower Court, (If Item 6B is checked, go to Item 7)

C. D.

7. APPEAL FROM: DISTRICT COURT OTHER: 8. ADMINISTRATIVE AGENCY DOCKET NO. 10. SHOWING OF PREVAILING PARTY STATUS (28 USC §2412(d)(1)(B)): IS NET WORTH INFORMATION ATTACHED? 12. ENTER ALLEGATION THAT GOVERNMENT POSITION WAS NOT SUBSTANTIALLY JUSTIFIED (28 USC §2412(d)(1)(B)): BANKRUPTCY COURT

7A. DATE FILED IN LOWER COURT 7B. DOCKET NO. 9. DATE FILED IN ADMINSTRATIVE AGENCY

YES

NO

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

I. TOTAL FEES AND EXPENSES...........................................................................................................$ 14. SIGNATURE 15. DATE

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

FORM FOR EAJA Fee Application - Page 2 ADMINSTRATIVE 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 Saftey 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 Department of Housing & Urban Development...................................................HUD Deapartment of the Interior....................................................................................DOI Department of Justice.............................................................................................DOJ Department of Labor (Except OSHA)................................................................LABR Department of Transportation, National Transportation Saftey Board..............TRAN Department of the Treasury (Except IRS)..........................................................TREA Drug Enforcement Agency....................................................................................DEA Environmental Protection Agency.........................................................................EPA Equal Employment Opportunity Commissiom...................................................EEOC Federal Aviation Agency.......................................................................................FAA Federal Coal Mine Saftey Board.........................................................................FCMS Federal Communications Commisssion................................................................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 Marritime Board....................................................................................FMBD Federal Marritime 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 Adminstration............................................................................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