Request payment form 2026

1. Click ‘Get Form’ to open the request payment form in the editor.
2. Begin by filling in Section I with the case number, representation details, and court type. Ensure all fields are accurately completed.
3. In Section II, provide your appointee information. This includes your attorney registration number and any confidential information as required.
4. Select the appropriate appointment type in Section III by checking one of the options provided.
5. Complete Section IV by indicating the appointment authority and percentage covered by the state if applicable.
6. In Section V, indicate if indigence has been determined and provide relevant dates or reasons.
7. Finally, summarize billed activities in Section VI. Enter hours worked, current hourly rates, and total expenses accurately before signing and dating the form.

Start using our platform today to streamline your document editing and submission process for free!