Claim for Fees and Expenses by a Witness holding a Professional Qualification

Published date12 February 2019
IssuerDepartment of Justice
____________________________________
CLAIM FOR FEES AND EXPENSES BY A WITNESS HOLDING A PROFESSIONAL QUALIFICATION,
WHETHER MEDICAL OR OTHERWISE, WHO WAS SUMMONED AND ATTENDED COURT
ON BEHALF OF THE DEFENCE TO GIVE PROFESSIONAL EVIDENCE
AT THE HEARING OF A CASE IN RELATION TO WHICH
A CERTIFICATE FOR FREE LEGAL AID HAS BEEN GRANTED
________________________________________________________________________________________
___
(to be completed by the witness)
I, (a).......................................................................................................................................
of ...........................................................................................................................................
(b)...........................................................................................................................................
make application for payment to me of ...............................................................................
in connection with my summons to and attendance as a witness
(c) from.......................a.m. on ..........................................................20 ...................
to ................................p.m. on ..........................................................20..................... at the
(d) ............................................................................................................................... Court
at (e) ......................................................................................................................................
to give professional evidence in the case of (f) .....................................................................
..............................................................................................................................................
My business address is (g).....................................................................................................
As a result of my summons to and attendance at Court I was necessarily absent from my
home/place of business
from ........................................................a.m. on...............................................20................
To ...........................................................p.m. on ..............................................20................
The amount claimed is made up as follows:-
Fee
Subsistence allowance
Travelling Expense
Total
State what mode of transport
used, and if other than train
or bus, give distance to Court
and return in kilometres.
Mode of transport..................................................................................................................
Return distance (km.).............................................................................................................
Signed:...........................................................................................................
Date:...............................................................................................................
PART 1
Letters (a) - (g)
Delete whichever
is inapplicable
Vouchers should
accompany claims
for taxi or car hire
expenses in excess
of 63c for a
single hiring

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