Here is the text we could read:
Case Number
_ _ _ _ _ _ _ _ _ _ _ _ _
Jurisdiction Year Case# Suffix
County
Code
__ __
PROFESSIONAL SERVICES FEE
DECLARATION
Unified Judicial System
orm PFD-1 Rev. 12/2011
F
tate of Alabama
S
Mark Appropriate Court:
Professional’s Name (Please type or print)
________________________________________
________________________________________
Vendor Code
_
_
Circuit Court of ________________ County
(cid:133) District Court of________________ County
(cid:133) Alabama Court of Criminal Appeals
(cid:133) Alabama Court of Civil Appeals
(cid:133) Supreme Court of Alabama
TYLE OF CASE: __________________________________________ v. ____________________________________________________
CHARGE: _________________________________________________________________________________________________________
Companion case numbers: ____________________________________________________________________________________________
__________________________________________________________________________________________________________________
ype of professional services: (cid:133) Expert (cid:133) Investigator (cid:133) Other (specify) ___________________________.
ervices Rendered: Total Hours ________ x $ _______ per hour = _________________
Reimbursable Out-of-pocket Expenses: = _________________
Total Claim: _________________
he undersigned professional declares that the above claim is true and correct and represents the services actually rendered by him/her and
the amount is due and payable. I further declare that the above claim is not a duplication of charges and expenses in any case (companion or
otherwise).
_________________________________________________________________ __________________________________________________________
Signature Date
Mailing Address
(please type or print) (including city, state, and zip code)
________________________________________________________________
________________________________________________________________
________________________________________________________________
-mail Address:_____________________________________ Telephone Number_________________ Fax Number __________________
, the undersigned attorney, hereby certify that the professional presenting this claim provided services in this matter and that said matter has
been concluded. I am further of the opinion that this claim is reasonable based on the services provided.
_________________________________________________________________ ____________________________________
Attorney’s Signature Date
_________________________________________________________________
Attorney’s Name (Please type or print)
HIS FORM MUST CONTAIN ORIGINAL SIGNATURES OF THE PROFESSIONAL AND THE ATTORNEY. THIS FORM WITH ATTACHED
COURT ORDER PRE-APPROVING THE PROFESSIONAL SERVICES, ORIGINAL INVOICE, AND RECIEPTS MUST BE SUBMITTED TO
THE OFFICE OF INDIGENT DEFENSE SERVICES.
(cid:133)
S
T
S
T
_
_
_
E
I
T
MAIL TO: Office of Indigent Defense Services, P.O. BOX 302602, Montgomery, Alabama 36130-2602.
Microsoft Word - PFD-1
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Alabama state courts.
To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from eforms.alacourt.gov (2023-03)
- Page(s): 1
- Fields(s): 34
- Average fields per page: 34
- Reading Level: Grade 12
- LIST Grouping(s):
GO-00-00-00-00.
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Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
county_code was County Code (0.53 conf)circuit_court was Circuit Court of (0.44 conf)district_court was District Court of (0.39 conf)professional_name_please_type__1 was Professional’s Name Please type or print 1 (0.37 conf)professional_name_please_type__2 was Professional’s Name Please type or print 2 (0.37 conf)styl_e_f_case was STYLE OF CASE (0.45 conf)v was v (0.33 conf)charge was CHARGE (0.37 conf)companion_case_numbers__1 was Companion case numbers 1 (0.37 conf)companion_case_numbers__2 was Companion case numbers 2 (0.37 conf)professional_expert_investigator was Type of professional services: … Expert … Investigator … Other specify (0.38 conf)rendered_total_hours was Services Rendered: Total Hours (0.31 conf)x was x (0.34 conf)per_hour was per hour (0.23 conf)undefined__1 was undefined (0.38 conf)undefined__2 was undefined_2 (0.39 conf)signature_date__1 was Date (1.00 conf)undefined__3 was undefined_3 (0.39 conf)unknown__1 was 1 (0.38 conf)unknown__2 was 2 (0.38 conf)e_mail_address was E-mail Address (0.41 conf)telephone_number was Telephone Number (0.42 conf)fax_number was Fax Number (0.33 conf)signature_date__2 was Date_2 (1.00 conf)attorney_name_please_type was Attorney’s Name Please type or print (0.42 conf)text was Text1 (0.35 conf)check_box__1 was Check Box2.0 (0.37 conf)check_box__2 was Check Box2.1 (0.37 conf)check_box__3 was Check Box2.2 (0.37 conf)check_box__4 was Check Box2.3 (0.37 conf)check_box__5 was Check Box2.4 (0.37 conf)check_box__6 was Check Box2.5 (0.37 conf)check_box__7 was Check Box2.6 (0.37 conf)check_box__8 was Check Box2.7 (0.37 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
Suggested Screen 1:
Suggested Screen 2:
professional_name_please_type__1professional_name_please_type__2unknown__1unknown__2e_mail_addressattorney_name_please_type
Suggested Screen 3:
Suggested Screen 4:
Suggested Screen 5:
circuit_courtstyl_e_f_casecompanion_case_numbers__1companion_case_numbers__2rendered_total_hoursper_hourundefined__1undefined__2signature_date__1undefined__3signature_date__2
Suggested Screen 6:
professional_expert_investigator
Suggested Screen 7:
Suggested Screen 8:
telephone_numberfax_number
Suggested Screen 9:
Suggested Screen 10:
check_box__1check_box__2check_box__3check_box__4check_box__5check_box__6check_box__7check_box__8
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