Criminal Legal Aid Form (Solicitors Expenses)

.L.A. 10

CRIMINAL LEGAL AID CLAIM FORM

(SOLICITOR'S EXPENSES)

Name:_____________________________________ Payee No.: __________________

Address:________________________________________________________________

________________________________________________________________

CASE DETAILS:

Bill No.: ___________________________Legal Aid Cert. No.: _____________________

Defendant(s): ____________________________________________________________

____________________________________________________________

SOLICITORS TRAVELLING AND SUBSISTENCE EXPENSES

Reason(From - To)

Sub-

sistenc

e€ C

Travel

€ C

Distance

in km.

Mode of

Convey-

ance

Journey(s)Return

Time

Depart

Time

Date

Other Expenses: e.g. Photocopying, etc.

Amount

Claimed

€ C

Expense

I certify that the details supplied above are correct and in all respects true and the expenses claimed are in strict accordance with

regulations under the Criminal Legal Aid Scheme.

I declare that in my claim for travelling and subsistence expenses set out above I have made no claim either for travelling expenses or

for subsistence allowance in connection with another case where Legal Aid was granted and the case was heard on the same date(s)

or where I attended Court on business other than in connection with the Legal Aid Scheme on the same date(s) to which this case

relates.

I also declare that no payment has been made by or on behalf of the defendant(s) towards the cost of the case and no agreement has

or will be entered into by me with or on behalf of such defendant(s).

Signed: _________________________________Date: __________________

Completed form should be submitted to:Legal Aid Section, Financial Shared Services, Department of Justice

and Equality, Deerpark Road, Killarney, County Kerry.