Fillable AO 291. Application for Fees and Other Expenses (US Courts)

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AO 291. Application for Fees and Other Expenses (US Courts)

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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
CUSTOMS AND PATENT
APPEALS
COURT OF CLAIMS
COURT OF INTERNATIONAL TRADE
COURT OF APPEALS
DISTRICT COURT
BANKRUPTCY COURT
B.
C.
A.
D.
E.
F.
G.
2. DATE FILED
4. NAME OF APPLICANT
(one per form)
5. GOVERNMENT AGENCY INVOLVED
IN CLAIM (use agency code on reverse side)
6. NATURE OF APPLICATION
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)
A.
B.
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).
C.
D.
7. APPEAL FROM:
DISTRICT COURT
BANKRUPTCY COURT
OTHER:
7A. DATE FILED IN LOWER COURT
10. SHOWING OF PREVAILING PARTY
STATUS (28 USC §2412(d)(1)(B)):
9. DATE FILED IN
ADMINSTRATIVE AGENCY
IS NET WORTH INFORMATION ATTACHED?
YES
NO
12. ENTER ALLEGATION THAT
GOVERNMENT POSITION WAS NOT
SUBSTANTIALLY JUSTIFIED
(28 USC §2412(d)(1)(B)):
13. FOR EACH AMOUNT CLAIMED, PLEASE ATTACH ITEMIZATION INFORMATION INDICATING SERVICE PROVIDED,
DATE, HOURS, AND RATE (28 USC §2412 (d)(2)(A)):
AMOUNT CLAIMED
15. DATE
I. TOTAL FEES AND EXPENSES...........................................................................................................$
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)
..................$
..................$
..................$
NOTE: THIS FORM SHOULD ACCOMPANY YOUR CLAIM WHEN FILED WITH THE CLERK OF COURT
14. SIGNATURE
3. DOCKET NO.
7B. DOCKET NO.
8. ADMINISTRATIVE
AGENCY DOCKET NO.
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
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AO 291. Application for Fees and Other Expenses (US Courts)

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Completed 28 April 2021

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