L.A. 1 (Debtors) Claim for Fees (Solicitor Only, District Court or an appeal to the Circuit Court) and Solicitors Travelling

L.A. 1(Debtors)

ENFORCEMENT OF COURT ORDERS ACT 1940

ENFORCEMENT OF COURT ORDERS (LEGAL AID) REGULATIONS 2009

CLAIM FOR FEES (SOLICITOR ONLY, DISTRICT COURT OR AN APPEAL TO THE CIRCUIT COURT) AND

SOLICITOR’S TRAVELLING AND SUBSISTENCE EXPENSES

PART 1

1.Name(s) and address(es) of person(s) (please use block capitals) in respect of whom a Debtor's Legal Aid Certificate

was granted.

Surname

Forename

Address

L.A. Cert. No.

I declare that I have not made or agreed to make and will not make or agree to make a payment towards the costs or

expenses of the case in relation to which the certificate for free legal aid was granted on ____/___/20___ on my behalf. I

further declare that I am not aware of a payment or intention to make a payment by any other person (other than under the

Act) towards such costs or expenses.

Applicant’s signature(s):…….…………………………………Date ____/___/20___

…….…………………………………Date ____/___/20___

2.Name and location of Court which granted legal aid cert(s): ……..........................................................................................

Date granted: ____/___/20___ District Court Case Number:

3.Amount claimed:€ ________________

SOLICITORS TRAVELLING AND SUBSISTENCE EXPENSES

Date

Depart

Time

Return

Time

Journey(s)

(From - To) ( Reason)

Mode

(Car etc.)

Distance

in km.

Travel

€

Sub.

€

I declare that:Total claimed:

(i) the particulars given by me in this form are correct,

(ii) that I have not received, nor will I accept any payment towards the cost of this case from, or on behalf of, the defendant(s),

(iii) that I have not made any claim for payment to which I am not entitled,

(iv) that I am liable for V.A.T., and

(v) I further declare that I was on the Criminal Legal Aid panel when assigned to this case.

Signed: ........................................................................... (Solicitor assigned) Payee No.: ……………….………..

Name in capitals: ......................................................................................................... Date: ____/___/20___

Name/Address of Solicitor's Office:……………………………………………………………………………………..……….....

_______________________________________________________________________________

€