Claim for Allowances by a Witness who Attended Court on Behalf of the Defence

Published date01 February 2019
IssuerDepartment of Justice
____________________________________
CLAIM FOR ALLOWANCES BY A WITNESS WHO WAS SUMMONED AND ATTENDED COURT
ON BEHALF OF THE DEFENCE TO GIVE EVIDENCE AS TO FACT AT THE HEARING OF A
CASE IN RELATION TO WHICH A CERTIFICATE FOR FREE LEGAL AID HAS BEEN GRANTED
_____________________________________________
(to be completed by witness)
I, (a) .......................................................................................................................................
of ............................................................................................................................................
(b) ..........................................................................................................................................
make application for payment to me of (c) € ........................... in connection with my summons
to and attendance as a witness (d) from ................................. a.m. on ........................... 20.......
to ................................. p.m. on ........................... 20.......
at the (e) ......................................................... Court at (f) ........................................................
in the case of (g) .........................................................................................................................
My business address / the address of my place of employment is
(h) ..............................................................................................................................................
As a result of my summons to and attendance at the Court I was necessarily absent from my
employment / business or home (in the case of unwaged persons)
from ...................................................... a.m. on ................................................ 20 ...........
to ...................................................... p.m. on ................................................ 20............
The amount of allowances claimed by me is made up as follows (c) :-
Allowance for loss of time .......................
or claim for loss of wages or salary,
if greater than ordinary allowance
for loss of time *
Subsistence Allowance .......................
Travelling Expenses .......................
State mode of transport used and, Total:
if other than train or bus, give
distance to Court and return
in kilometres**
Mode of Transport ........................................................................
Return distance (km.) ........................................................................
Signed: ............................................................... Date:......................................
L.A.
2
PART 1
Letters (a) - (h)
see footnote.
* If loss of wages or
salary is claimed,
employer's
certificate as to
actual earnings
permanently lost
must be attached.
** Vouchers should
accompany claims
for taxi or car hire
expenses.

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