PROBATE JUDGE FEE DECLARATION - Alabama
PROBATE JUDGE MENTAL COMMITMENT
FEE ITEMIZATION
MENTAL COMMITMENTS
PROBATE COURT __________________ COUNTY CASE # _______________
In the Matter of __________________________________ Date of Petition _____________________
Date of Final Disposition: _________________________ Date Commitment/Recommitment Expires: ____________
Final Disposition: ( ) Dismissed ( ) Committed ( ) Recommitment ( ) Other_________________________
To the State Comptroller:
I have determined that the responsible person(s) is indigent, or that the petitioner is in law enforcement or a public official acting within the line and scope of his/her duties, or that the respondent, petitioner, or both although being possessed of certain limited funds, should not be responsible for the costs incurred in this proceeding, and upon consideration of the information presented to me in this regard, I have therefore ORDERED that the cost allowable under §22-52-14 Code of Alabama, 1975, be paid by the State of Alabama. I hereby make demand on the General Fund of the State of Alabama for the following fees which I have found to be reasonable:
ADVOCATE FOR THE PETITIONER
Attorney Name _________________________ Appointment Date ______________________
(*Attorney fees must be itemized. Attorneys must use Form FRMS-MC1)
Total $_________________
GUARDIAN AD LITEM
Attorney Name _________________________ Appointment Date ______________________
(*Attorney fees must be itemized. Attorneys must use Form FRMS-MC1)
Total $_________________
SPECIAL PROBATE JUDGE (Recommitment) $_________________
MENTAL EVALUATION/EXPERT TESTIMONY $_________________
(Itemized invoice attached for the evaluation or expert witness)
TRANSPORTATION FEES (Itemized invoice attached) $_________________
If other than Sheriff transported respondent attach
explanation
PROBATE COURT COSTS (Itemized invoice attached) $_________________
TOTAL CLAIM $_________________
Respondent covered under: ( ) Medicare ( ) Medicaid ( ) Private Insurance ( ) None
I,_______________________, Judge of Probate of ___________________ County, AL do hereby certify that expenses and fees claimed are true and correct, are reasonable and necessary, and remain unpaid.
Done this the _________ day of _____________, 20___.
____________________________________________
Original Signature of Probate Judge
Revised 02/24/2014
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