ATTORNEY FEES EXPENSE CLAIM FORM
Denton County District Courts
DEFENDANT
_
ATTORNEY
CAUSE NUMBER
CHARGE
Check How Disposed
Date Notified
of
Appointment
Date First
Contacted
Defendant
Date
Disposed
Plea
TBC
Dism
Appl
Elect to be paid on a fixed or hourly basis below. For agreed pleas you will be paid on a fixed fee basis unless you submitted a completed claim
form at the time of the plea.
FIXED FEE
One payment is made for each defendant regardless of the number of cases disposed. You may use the case which yields the greatest payment. For example,
if a defendant has three cases, and one is disposed of by a 3-day jury trial and the other two dismissed, the reimbursement would be $2,400 (6, 1/2 days at
$400 = $2400) but, you would not add an additional $400 for the two dismissals. For appeals attach a copy of the brief(s) filed.
Type of Disp.
Fixed
Fee
Amount
Claimed
Amt. Approved
by Court
Dismissal
$200
Plea
$500
Trial
Number of
1/2
days in court X $400
Appeal
$1200
HOURLY FEE
Attach in triplicate a detailed explanation of services performed including the date performed, the time spent on each activity, and a designation of in
court or out of court time. For appeals attach a copy brief(s) filed.
i
CERTIFICATION
I swear or affirm to the Court and the County Auditor that the information contained above is true and correct and payment wo uld not be contrary to the
fee schedule adopted by the District Court Judges pursuant to Article 26.05 Texas Code of Criminal Procedure. I further swear or affirm that I have not received
nor will I receive any other money or anything else of value for representing the accused.
_
Attorney At Law (signature) Texas State Bar Number
Explanation of Variance
ORDER AUTHORIZING PAYMENT
I do hereby certify to the Commissioners Court of Denton County, Texas that the above-named Defendant was charged with a felony offense(s).
The Court found the Defendant was indigent and/or in the interest of justice was entitled to appointment of counsel. That sai d counsel is entitled to the
reasonable sum authorized below as compensation for such services to be paid from the General Fund of Denton County, Texas, pursuant to Article 26.05
of the Texas Code of Criminal Procedure.
Entered and Certified on this day of , 20
AMOUNT AUTHORIZED: $
Presiding Judge, District Court
Type of Time
Requested
Hours
Requested
Rate
Requested Amount
Approved
Hours
Approved Rate
Approved Amount
In Court Time
($125)
Out of Court Time ($125)
Otber Direct Litigation
Expenditure
Total
EXCESSIVE INCREMENT ALLOTMENT
REDUCED FEE
LACK OF APPOINTMENT
OUTSIDE THE SCOPE
OTHER
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