Case Number 

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Jurisdiction     Year     Case#          Suffix  

   

 

County 
Code 
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ATTORNEY’S FEE DECLARATION
(Adult) 
[For Appointments made on or after 6/14/2011] 

Unified Judicial System 
orm AFD-2      Rev. 12/2011 

  F

tate of Alabama 

    S

Indicate if Original Charge is:     

Limits 

Attorney Name (Please type or print)  

________________________________________ 

________________________________________ 
        

Social Security Number or FEIN 

            

 

 

 

               

 

  (cid:133)

 

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apital Case (or charge carrying 

 (NO Limit) CC  

sentence of life without parole)  
Class A Felony 
Class B Felony     
Class C Felony 
Other 
Appeal 
Petition for Writ of Certiorari         
Post-Conviction/Habeas Corpus        

 ($4,000) FA  
 ($3,000) FB 
 ($2,000) FC 
 ($1,500) OT 
 ($2,500) AP 
 ($2,500) WC 
 ($1,500) PC      

  C

 

 
 
Mark Appropriate Court: 

 

 

 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. __________________________________________________ 
 
 
NAME OF PARTY REPRESENTED: ____________________________________________________________________________________ 

                                  

 

 

 

 

 

 

 

CHARGE: _________________________________________________________________________________________________________ 

Companion case numbers and charges or convictions: ______________________________________________________________________ 

__________________________________________________________________________________________________________________ 
 

The  undersigned  attorney  declares  that  on  (date)  _____________________________,  the  Honorable  ___________________________________ 
_________________________,  Judge,  appointed  the  undersigned  to  represent  the  above-named  defendant  or  appellant,  and  on  (date) 
___________________ the case was heard by the Honorable _____________________________________________________________, Judge. The 
case was disposed of by _________________________________________________________________________________________________. 
 

             (Plea of guilty, conviction, acquittal, affirmance, reversal, cert. denied)  

   

 

n court Appearance (Trial Level or Post-Conviction Proceeding)  
Out-of-Court Preparation (Trial Level or Post-Conviction Proceeding)  
Preparation (Appellate Level)    
Reimbursable Non-overhead Expenses up to $300 (Receipts attached)                                                                                
Reimbursable Non-overhead Expenses exceeding $300 (Pre-approved by the Court and Receipts attached)                  

     Total Hours __________ x   $ 70.00  per hour  = ___________________ 
     Total Hours __________ x   $ 70.00  per hour  = ___________________ 
                      Total Hours __________ x   $ 70.00  per hour  = ___________________ 
 ___________________ 
           ___________________ 

    

 

 

 

 

    TOTAL CLAIM OF ATTORNEY                       ______________________ 

OTICE TO ATTORNEY: Complete this form. Attach a copy of a complete itemization of in-court appearances; out-of-court preparation; preparation for 
appeals; and all reimbursable non-overhead expences. Attach original invoice or receipt for all expenses and corresponding court orders.  Make a copy 
of  same  for  the  court’s  record  and  a  copy  or  your  records.    This  form  and  attachments  must  be  received  by  the  Office  of  Indigent  Defense 
Services no later than 90 days from final disposition of the case. 
 
The undersigned attorney further declares that the above claim is true and correct and represents the services actually rendered by him/her as an attorney 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 of Attorney                                                                                                             Date 

Attorney Code _____________________________________________________            
                                                                                                                                                
Mailing Address of Attorney 
(please type or print) (including city, state, and zip code)  

_________________________________________________________________ 

________________________________________________________________ 

________________________________________________________________ 

-mail Address:_____________________________________  Telephone Number ____________________ Fax Number ______________________ 

,  the  undersigned  judge,  hereby  certify  that  the  attorney  presenting  this  claim  provided  representation  in  this  matter  and  that  said  matter  has  been 
concluded.  I am further of the opinion that this claim is reasonable based on the defense provided.    

_________________________________________________________________               ____________________________________ 
 Judge’s Signature                                                                                                                     Date 

OTICE TO ATTORNEY AND JUDGE: Sections 15-12-21 through 15-12-23, Ala. Code 1975, provide for the payment of attorney fees and extraordinary 

expenses incurred by counsel appointed to represent indigent defendants at the trial level, on appeal, and in post-conviction proceedings.  

RIAL COURTS – WHEN THE FEE DECLARATION ONLY SEEKS REIMBURSMENT FOR NON-OVERHEAD EXPENSES EXCEEDING $300, THE 

JUDGE’S SIGNATURE IS NOT REQUIRED.  SEND FEE DECLARATION DIRECTLY TO OFFICE OF INDIGENT DEFENSE SERVICES.   

PPELLATE  COURTS  –  WHEN  THE  FEE  DECLARATION  SEEKS  REIMBURSMENT  FOR  APPELLATE  COURT  SERVICES,  THE  APPELLATE 
JUDGE’S  OR  JUSTICE’S  SIGNATURE  IS  NOT  REQUIRED.    SEND  FEE  DECLARATION  DIRECTLY  TO  OFFICE  OF  INDIGENT  DEFENSE 
SERVICES.   

HIS  FORM  MUST  CONTAIN  ORIGINAL  SIGNATURES  OF  THE  ATTORNEY  AND  THE  JUDGE  (WHEN  REQUIRED).  THIS  FORM  WITH  ATTACHED 
ITEMIZATION  MUST  BE  SUBMITTED  TO  THE  TRIAL  COURT  JUDGE  FOR  CERTIFICATION,  AND  THEN  SUBMITTED  TO  THE  OFFICE  OF  INDIGENT 
DEFENSE SERVICES.  
 

  MAIL TO: Office of Indigent Defense Services, P.O. BOX 302598, Montgomery, Alabama 36130-2598.  

  (cid:133)

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