You are on page 1of 4

After printing your completed form, click on 'Clear Form' to

Print Form Clear Form
prevent others from viewing your information.

CALIFORNIA TRIAL COURTS, CITY AND COUNTY OF SAN FRANCISCO

Petitioner: __________________________________ CASE NO. _____________________________

v. ORDER FOR ATTORNEY FEES
Respondent: ________________________________

ORDER FOR PAYMENT OF COMPENSATION IN UNIFIED FAMILY COURT CASE

Pursuant to an order of appointment made by Judge/Commissioner , the
attorney named below represented a party on the day(s) set forth in the attached worksheet.

The court finds that the attorney did perform work and is entitled to compensation as follows:

Total Hours
Hourly Rate $85.00
Compensation in the sum of
Necessary expenses due Attorney
TOTAL now payable to Attorney

Previous total billings to the Court for this case

The Court orders that a warrant be drawn by the Controller upon the Treasurer from the General Fund of the
City and County of San Francisco in favor of the following:

Attorney Name and Bar Number:

Address:

Social Security No.: Telephone No.: Fax No.#:

Date Judge/Commissioner of the Unified Family Court
Petitioner: __________________________________ CASE NO. _____________________________

v. DECLARATION OF COUNSEL RE
Respondent: ________________________________ ATTORNEY FEES

In this action I am the attorney for Name Of
Minor(s)______________________________________

Minor(s) age(s):

Mother’s Attorney:____________________ Father’s Attorney:

Date of Appointment: Department (where case is being heard for current bill):

Before the Judge/Commissioner Presiding
Honorable:

Please provide a brief narrative statement describing billing activity. (Use extra sheets as needed):

I have not received payment from any outside source except as follows:

AMOUNT: RECEIVED FROM: PURPOSE:

I declare under penalty of perjury under the laws of the State of California that the foregoing, and the information
provided on the attachments, are true and correct. I agree to produce, upon request, records concerning the specific times
and total hours billed to the Court for in- and out-of-court services at the Court’s request(s).

Date Printed Name Signature
SAN FRANCISCO SUPERIOR COURT
UNIFIED FAMILY COURT
ATTORNEY FEE WORKSHEET

CASE NAME AND #

For Preparation Time (PT*) and Investigation Time (IT*) fill out date and daily totals ONLY! In-
Court (IC*) hours should be completely filled out. The explanation columns should include the names
of persons contacted and/or a brief description of subject matter. Attorneys must also provide the
actual times and department number related to any in-court appearances. All hours should be listed in
tenths (.10) or quarters (.25 or .75) of an hour. If reviewing documents or reports, please list
number of pages reviewed.

DATE IN-COURT TIME DEPARTMENT or
TIME BILLED EXPLANATION of TASK
FROM TO
SAN FRANCISCO SUPERIOR COURT
UNIFIED FAMILY COURT
ATTORNEY EXPENSES WORKSHEET

CASE NAME AND #

This form must be filled out and returned ONLY if you are requesting reimbursement for expenses. By
returning this form, the attorney/investigator certifies that the following monies were expended for necessary
costs and do not include expert and/or investigator fees. Attach receipts for any individual item over $20.00:

ITEM AMOUNT

TOTAL

Additional comments that may assist the court:

Print Form After printing your completed form, click on 'Clear Form' to Clear Form
prevent others from viewing your information.