Claim for Fee For Medical or Technical Report

• Published date: 01 February 2019
• Issuer: Department of Justice

L.A. 5

CRIMINAL JUSTICE (LEGAL AID) ACT, 1962

CRIMINAL JUSTICE (LEGAL AID) REGULATIONS, 1965

____________________________________________ ____

CLAIM FOR FEE FOR MEDICAL OR TECHNICAL REPORT NEC ESSARILY REQUIRED

FOR USE BY THE DEFENCE IN A CASE IN RELATION T O WHICH A CERTIFICATE FOR

FREE LEGAL AID HAS BEEN GRANTED

____________________________________________ ___________

(to be completed by the person who prepared the Report)

Part I

1. Name:__________________________________________ ____________________

2. Address:___________________________________________ __________________

3. Professional or technical qualifications:

____________________________________________ ________________________

____________________________________________ ________________________

4. Subject matter of Report:

____________________________________________ ________________________

____________________________________________ ________________________

5. Outline of work involved in preparing Report:

____________________________________________ ________________________

____________________________________________ ________________________

6. Number of hours (i) preparing Report: ________________________ _____________

(ii) travel time ___________________________ ___________

7. Date on which Report submitted: __________________________ _______________

8. Fee claimed: ___________________________________

Signed: __________________________________

Date: ____________________________________

Part II

(to be completed by the Solicitor assigned under the certificat e for free legal aid)

CASE DETAILS

Courts Policy Division’s Reference No. (Re: Prior authorisatio n to engage Expert Witness)

SEW/________________________

Defendant(s): ________________________________ ________________

Legal Aid Cert Number: ________________________ ________________