Expression, Other Services Summary Budget Worksheet for Non-capital Representations with the Potential for Extraordinary Cost

• Court: United States Federal Court
• Legal Form Number: CJA 28H
• Section: United States Federal Court

CJA 28H (Rev. 10/12) Other Services Summary Budget Worksheet

for Non-capital Representations with the Potential for Extraordinary Cost

This summary budget worksheet summarizes anticipated “other” services. The document should be

submitted to the court in representations that “appear likely to become or have become extraordinary in

terms of potential cost” as set forth in section 230.26.10 of the Guidelines for Administering the CJA and

Related Statutes, Volume 7A, Guide to Judiciary Policy. The accompanying detailed budget worksheet

may be of assistance to counsel in preparing the summary. The document automatically totals hours and

dollar amounts.

Date:

Case Name:

Case Number:

Type of Service:

Name of Provider:

Hourly Rate:

Other Service

Hours

I. Nature and Purpose of Services

A. Nature:

Purpose:

B. Nature:

Purpose:

C. Nature:

Purpose:

D. Nature:

Purpose:

II. Estimated Hours of Services (including travel time)

Total Hours:

$0.00