Free CJA 30 - Death Penalty Proceedings: Appointment of and Authority to Pay Court Appointed Counsel - Missouri

OCJA 30 DEATH PENALTY PROCEEDINGS: APPOINTMENT OF AND AUTHORITY TO PAY COURT APPOINTED COUNSEL (Rev. 5/99)
1. CIR./DIST./ DIV. CODE 3. MAG. DKT./DEF. NUMBER 7. IN CASE/MATTER OF (Case Name) 2. PERSON REPRESENTED 4. DIST. DKT./DEF. NUMBER VOUCHER NUMBER 5. APPEALS DKT./DEF. NUMBER 6. OTHER DKT. NUMBER

8. TYPE PERSON REPRESENTED

9. REPRESENTATION TYPE

G Adult Defendant G Appellant G Other G Habeas Petitioner G Appellee

G D1 28 U.S.C. § 2254 Habeas G D2 Federal Capital Prosecution

G D3 28 U.S.C. § 2255 (Capital) G D4 Other

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.

11. ATTORNEY'S NAME (First Name, M.I., Last Name, including any suffix), AND MAILING ADDRESS

12. COURT ORDER: G O Appointing Counsel G F Subs For Federal Defender G P Subs For Panel

G C Co-Counsel G R Subs For Retained Attorney G Y Standby Counsel

Telephone Number: 13. NAME AND MAILING ADDRESS OF LAW FIRM (Only provide per instructions)

Prior Attorney's Appointment (A) Because the above-named person represented has testified under oath or has otherwise satisfied this Court that he or she (1) is financially unable to employ counsel and (2) does not wish to waive counsel, and because the interests of justice so require, the attorney whose name appears in Item 11, who has been determined to possess the specific qualifications by law, is appointed to represent the person in this case. (B) The attorney named in Item 11 is appointed to serve G LEAD COUNSEL G CO-COUNSEL Name of Co-Counsel as: or Lead Counsel: Appointment (C) If you represented the defendant or petitioner in any prior proceeding related to this matter, attach to your initial claim a listing of those proceedings and describe your role in each (e.g., lead in counsel or co-counsel). G (D) Due to the expected length of this case, and the anticipated hardship on counsel in undertaking representation time, for such a period without compensation, interim payments of compensation and expenses are approved pursuant the attached order. Signature of Presiding Judicial Officer or By Order of the Court Date of Order Nunc Pro Tunc Date

(E) Repayment or partial repayment ordered from the person represented for this service at time of appointment. G YES G NO

CLAIM FOR SERVICES AND EXPENSES
14. STAGE OF a. b c. d 15. CATEGORIES (Attach itemization of services with dates) Check the box which corresponds to the stage of the proceeding during which the work claimed at Item 15 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 CAPITAL PROSECUTION HABEAS CORPUS OTHER PROCEEDING the proceeding. Pre-Trial e. G Appeal g. G Habeas Petition k G Petition for the l. G Stay of Execution o G Other Trial f. G Petition for the h G Evidentiary Hearing U.S. Supreme m. G Appeal of Denial of Stay Sentencing U.S. Supreme Court i. G Dispositive Motions Writ of Certiorari n. G Petition for Writ of Certiorari to the U.S. Other Post Trial Writ of Certiorari j. G Appeal Supreme Court Regarding Denial of Stay

G G G G

HOURS AND COMPENSATION CLAIMED
HOURS CLAIMED TOTAL AMOUNT CLAIMED

FOR COURT USE ONLY
MATH/TECH. ADJUSTED HOURS MATH/TECH. ADJUSTED AMOUNT IN COURT TOTAL Category a ADDITIONAL REVIEW IN COURT TOTAL Category a

a. In-Court Hearings (RATE PER HOUR = ) b. Interviews and Conferences with Client c. Witness Interviews d. Consultation with Investigators & Experts e. Obtaining & Reviewing the Court Record f. Obtaining & Reviewing Documents and Evidence g. Consulting with Expert Counsel h. Legal Research and Writing i. Travel j. Other (Specify on additional sheets) TOTALS: Categories b thru j (RATE PER HOUR ) CLAIM FOR TRAVEL AND EXPENSES (Attach itemization of expenses with dates) 16. Travel Expenses (lodging, parking, meals, mileage, etc.) 17. Other Expenses (other than expert, transcripts, etc.)

OUT OF COURT TOTAL Categories b-j

OUT OF COURT TOTAL Categories b-j

GRAND TOTALS (CLAIMED AND ADJUSTED):
18. CERTIFICATION OF ATTORNEY/PAYEE FOR THE PERIOD OF SERVICE TO: 21. CLAIM STATUS 19. APPOINTMENT TERMINATION DATE IF OTHER THAN CASE COMPLETION 20. CASE DISPOSITION

G Final Payment

G Interim Payment Number

G Supplemental Payment

Have you previously applied to the court for compensation and/or reimbursement for G YES G NO If yes, were you paid? G YES G NO Other than from the Court, have you, or to your knowledge has anyone else, received payment (compensation or anything of value) from any other source in connection with this representation? G YES G NO If yes, give details on additional sheets. I swear or affirm the truth or correctness of the above statements. Signature of Attorney Date

APPROVED FOR PAYMENT -- COURT USE ONLY
22. IN COURT COMP. 23. OUT OF COURT 24. TRAVEL EXPENSES 25. OTHER EXPENSES DATE 26. TOTAL AMT. APPROVED 27a. JUDGE CODE

27. SIGNATURE OF THE PRESIDING JUDICIAL OFFICER