Haw. R. Penal P. Form F

Atty. No.

Tel. No.

IN THE [CIRCUIT][DISTRICT][FAMILY] COURT OF THE [FIRST][SECOND][THIRD][FIFTH] CIRCUIT

STATE OF HAWAI‘I,

STATE OF HAWAIʻI, Plaintiff, vs. Defendant. ) ) ) ) ) ) ) ) CR.No. CHARGE(S) Date of Appointment (Order Attached) Presiding Judge: Trial Date:

REQUEST FOR ATTORNEY'S FEES

PURPOSE: [] Felony [] Misd. Jury Tr. [] Misd. Jury Waived [] Petty Misd.

[] Other Administrative Judicial Proceeding

BILLING PERIOD FROM: ________________ TO: _______________

[] Partial [] Final Billing

ACTIVITY HOURS AMOUNT

1. Client Contact. . . . . . . . . . . . . .

2. Investigation. . . . . . . . . . . . . . .

3. Research. . . . . . . . . . . . . . . . .

4. Conferences (Plea Bargain/Pre-Trial)

5. Other: (Specify). . . . . . . . . . . .

______________________________

6. Court Appearances. . . . . . . . .

TOTAL:

TOTAL FEE FOR PROFESSIONAL SERVICES: $_________

Attached hereto as Exhibit A are hourly worksheets prepared contemporaneously with the work performed as noted thereon and truthfully reflecting the amount of work actually performed in the representation of Defendant. Payment has not been received and the BILLING RECAP is attached.

I, ________________________________, declare under penalty of law that the foregoing is true and correct.

DATED: ______________________. _______________________________________

Attorney Signature

APPROVED FOR $

Judge of the Above-Entitled Court Date

APPROVED FOR $

Administrative Judge Date

Counsel (Page 2 of Form F)

Address

Atty. No.

Tel. No.

IN THE [CIRCUIT][DISTRICT][FAMILY] COURT OF THE [FIRST][SECOND][THIRD][FIFTH] CIRCUIT

STATE OF HAWAI‘I,

STATE OF HAWAIʻI, Plaintiff, vs. Defendant. ) ) ) ) ) ) ) ) CR.No. CHARGE(S) Date of Appointment (Order Attached) Presiding Judge: Trial Date:

REQUEST FOR ATTORNEY'S COSTS

PURPOSE: [] Felony [] Misd. Jury Tr. [] Misd. Jury Waived [] Petty Misd.

[] Other Administrative Judicial Proceeding

BILLING PERIOD FROM: ________________ TO: _______________

[] Partial [] Final Billing

Summary of Expenses Cost

TOTAL COST: $_______________

Attached hereto as Exhibit A are expense worksheets, prepared contemporaneously with the work performed as noted thereon and truthfully reflecting the expenses incurred in the representation of Defendant. True and correct invoices and receipts for these necessary expenses are attached as Exhibit B. Payment has not been received and the BILLING RECAP is attached.

I, ________________________________, declare under penalty of law that the foregoing is true and correct.

DATED: ______________________. _______________________________________

Attorney Signature

APPROVED FOR $

Judge of the Above-Entitled Court Date

APPROVED FOR $

Administrative Judge Dat