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CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN (California)

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SDSC D-137 (Rev. 5/09) DECLARATION AND ORDER FOR PAYMENT OF Fam. Code §§ 3150-3153; CRC, rules 5.240-5.242
ATTORNEY FEES AND COSTS OF MINOR’S COUNSEL SDSC Local Rule 5.12.7
Page 1 of 2
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.: FAX NO.(Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO
CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA 92101
CENTRAL DIVISION, COUNTY COURTHOUSE, 220 W. BROADWAY, SAN DIEGO, CA 92101
CENTRAL DIVISION, FAMILY COURT, 1555 6TH AVE., SAN DIEGO, CA 92101
CENTRAL DIVISION, MADGE BRADLEY, 1409 4TH AVE., SAN DIEGO, CA 92101
EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020
NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081
SOUTH COUNTY DIVISION, 500 3RD AVE., CHULA VISTA, CA 91910
PETITIONER(S)
RESPONDENT(S)
THIRD PARTY
DECLARATION AND ORDER FOR PAYMENT OF
ATTORNEY FEES AND COSTS OF MINOR’S COUNSEL
CASE NUMBER
I, , declare:
(Attorney Name)
1. I am an attorney duly licensed to practice law within the State of California, practicing in the County of San Diego.
The last four digits of my tax ID number are: _________. My Phoenix vendor number is: ___________.
2. On _____ , I was appointed by the San Diego Superior Court to represent ______________________
in the above-entitled action at the rate of $60.00 per hour.
3. I have timely filed the Declaration of Counsel for a Child Regarding Qualifications (JC Form #FL-322).
4. a. As minor’s counsel, I understand I must submit this declaration at every review hearing or no less than
every 90 days if there is no pending review hearing. I further understand that failure to timely submit this
declaration may result in any billings older than 180 days being forfeited. I further understand that the
court shall be fully reimbursed before any payments are made on my direct billings to the parties.
Attached is a detailed billing showing the date, number of hours, and description of activity, as well as receipts and
supporting documentation for any expenses/costs that I advanced in this case in accordance with the duties of
minor’s counsel set forth in the Order Appointing Counsel for Minors (SDSC Form #D-041).
b. has performed psychological evaluation(s) on
and/or provided expert testimony in this case. Attached is his/her invoice(s) for the(se) evaluations in the
amount of $ .
5. My representation in this case is complete. continuing.
6. For the period to , I request payment by the San Diego Superior Court for the following:
a. Fees (number of hours x $60/hour): $ .
b. Costs: $ .
c. Total Fees and Costs: $ .
7. The total amount claimed in this case to date is $ which includes the amount of this claim.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
Signature
For your protection and privacy, press the Clear This Form button on the last page after printing.
SDSC D-137 (Rev. 5/09) DECLARATION AND ORDER FOR PAYMENT OF Fam. Code §§ 3150-3153; CRC, rules 5.240-5.242
ATTORNEY FEES AND COSTS OF MINOR’S COUNSEL SDSC Local Rule 5.12.7
Page 2 of 2
CASE TITLE
CASE NUMBER
ORDER
The court, upon reviewing the declaration above dated , and good cause appearing, orders that the San Diego Superior
Court pay to minor’s counsel the sum of $ ;
and to the sum of $ .
Minor’s counsel forfeits the following amount of fees and costs for failure to timely file the Declaration and Order for
Payment of Attorney Fees and Costs of Minor’s Counsel (SDSC Form #D-137): $ .
IT IS SO ORDERED.
Date:
Judge/Commissioner of the Superior Court
For Office Use Only
Order to reimburse in effect dated ____________.
Distribution: Orig. to file. cc: Minor’s Counsel Admin. Services C-44 Petitioner Respondent Third Party
Entered in database. Entered in fiscal system. ____________
Date Initials Date Initials
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CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN (California)

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Completed 9 March 2022

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