Court Verification Form

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[ ] ORIGINAL [ ] DUPLICATE COURT VERIFICATION FORM FOR COURT-APPOINTED PARENT’S ATTORNEY IN FC-S CASES INSTRUCTIONS 1. The attorney shall complete the following information below before submission to the Court Clerk at the hearing/trial: � Case Name � Case No. � Name of Attorney � Date of Hearing � Name of Judge � Type of Hearing 2. The Court Clerk shall verify the start and end time of the hearing/trial, sign this form and return the form to the attorney. 3. The attorney shall attach this verification form to his/her Invoice for Attorney’s Fees and Costs. CASE NO.: FC-S No. CASE NAME: NAME OF ATTORNEY: DATE OF HEARING: SCHEDULED HEARING TIME: TYPE OF HEARING: START TIME: END TIME: CLERK’S SIGNATURE: PRINT CLERK’S NAME: NAME OF JUDGE: FC Adm 2/15/17 RG-AC-508 (2/17) Court Verification Form for Court-Appointed Parent’s Attorney in FC-S Cases 1F-P-1016

Transcript of Court Verification Form

Page 1: Court Verification Form

[ ] ORIGINAL [ ]DUPLICATE COURT VERIFICATION FORM

FOR COURT-APPOINTED PARENT’S ATTORNEY IN FC-S CASES

INSTRUCTIONS

1. The attorney shall complete the following information below before submission to the Court Clerk at the hearing/trial:

� Case Name � Case No. � Name of Attorney � Date of Hearing � Name of Judge � Type of Hearing

2. The Court Clerk shall verify the start and end time of the hearing/trial, sign this form and return the form to the attorney.

3. The attorney shall attach this verification form to his/her Invoice for Attorney’s Fees and Costs.

CASE NO.: FC-S No.

CASE NAME:

NAME OF ATTORNEY:

DATE OF HEARING:

SCHEDULED HEARING TIME:

TYPE OF HEARING:

START TIME: END TIME:

CLERK’S SIGNATURE:

PRINT CLERK’S NAME:

NAME OF JUDGE:

FC Adm 2/15/17

RG-AC-508 (2/17)

Court Verification Form for Court-Appointed Parent’s Attorney in FC-S Cases

1F-P-1016

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