Equal Access to Justice Act Form

• Legal Form Number: 5
• Court: U.S. Claims Court
• Section: Court of Federal Claims

191

Form 5. Equal Access to Justice Act Form

APPLICATION

FOR FEES AND OTHER EXPENSES UNDER THE EQUAL ACCESS TO JUSTICE ACT

1. COURT:

U.S. Court of Federal Claims

2. DATE FILED:

3. DOCKET NO.:

4. NAME OF APPLICANT:

(one per form)

5. GOVERNMENT AGENCY INVOLVED IN

CLAIM: (use agency code on reverse side)

6. NATURE OF APPLICATION:

A. Original application under 28 USC§2412(d)(1)(A)

after judgment in a civil action against the U.S.

B. Appeal of fees and expenses awarded by Lower

Court, (If Item 6B is checked, go to Item 7).

C. Original application under 28 USC§2412(d)(3)

after review of agency decision.

D. Petition for leave to appeal an administrative

agency fee determination under 5 USC§504(c)(2).

7. APPEAL FROM:

DISTRICT COURT BANKRUPTCY COURT

OTHER:

7A. DATE FILED IN LOWER COURT:

7B. DOCKET NO.

8. ADMINISTRATIVE

AGENCY DOCKET NO:

9. DATE FILED IN

ADMINISTRATIVE AGENCY:

10. SHOWING OF PREVAILING PARTY

STATUS (28 USC § 2412(d)(1)(B)):

IS AGENCY ORDER, COURT ORDER, OR OTHER RELEVANT DOCUMENT ATTACHED? YES NO

11. SHOWING OF ELIGIBILITY (28 USC § 2412(d)(2)(B)):

IS NET WORTH INFORMATION ATTACHED? YES NO

12. ENTER ALLEGATION THAT

GOVERNMENT POSITION WAS NOT

SUBSTANTIALLY JUSTIFIED

(28 USC § 2412(d)(1)(B)):

13. FOR EACH AMOUNT CLAIMED, PLEASE ATTACH ITEMIZATION INFORMATION INDICATING

SERVICE PROVIDED, DATE, HOURS, AND RATE (28 USC §2412(d)(2)(A)):

AMOUNT CLAIMED

A. ATTORNEY FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $___________

B. STUDY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

C. ANALYSIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

D. ENGINEERING REPORT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

E. TEST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

F. PROJECT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $___________

G. EXPERT WITNESS FEES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $___________

H. OTHER FEES AND EXPENSES—SPECIFY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

1. _________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

2. _________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

3. _________________________________ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

I. TOTAL FEES AND EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$___________

14. SIGNATURE:

15. DATE: