Handbook for Official Court Reporters - Kansas Judicial Branch
Handbook for Official Court Reporters - Kansas Judicial Branch
Handbook for Official Court Reporters - Kansas Judicial Branch
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COURT REPORTER CLAIM FORM<br />
FEIN/SSN 0 Elec Deposit Mail original dalm <strong>for</strong>m WITH invoic.e and order to:<br />
DBNBusiness<br />
Name<br />
Mailing Address<br />
Board of Indigents' Defense Services<br />
71 4 SW Jackson St, Ste 200<br />
Topeka, KS 66603-3722<br />
Phone: (785) 296-663 1 Fax: (785) 291-3082<br />
Payee No.<br />
City State Zip<br />
E-Mail<br />
Phone<br />
Fax<br />
BIDS use only<br />
Service Code<br />
LocCode<br />
Current Case In<strong>for</strong>mation<br />
O Check this box if there have been any changes to the In<strong>for</strong>mation<br />
0 Civil 1507 I Habeas Corpus<br />
above since you r last claim was submitted.<br />
District <strong>Court</strong> Appellate<br />
0 Criminal /Traffic Felony<br />
Case No. Case No. 0 PV I Probation Viola ton<br />
BIDS Use Only 0 Direct Appeal<br />
Name of Indigent Person<br />
AKA<br />
Name of Attorney Requesting Services<br />
County<br />
A. COURT REPORTERS: COPY OF THE ORDER FOR TRANSCRIPT MUST BE STAPLED BEHIND ALL OTHER DOCUMENTS.<br />
Originals pages @ $3.50 I page =<br />
so.oo<br />
(Effective 1112/12)<br />
Originals pages @ $3.25 I page = so.oo (Through 12/31111 )<br />
ONLY MULTIPLE DEFENDANT CASES:<br />
Duplicates pages@ $0.50 I page = $0.00<br />
Please list no. (1-1 4 as specified on revised order) of requested hearings that have been completed <strong>for</strong> this claim:<br />
GRAND TOTAL AMOUNT OF CLAIM<br />
Grand Total<br />
SO.OO<br />
I hereby certify the above charges to be just, correct,<br />
unpaid, and due by law.<br />
Reviewed and Approved.<br />
BIDS Use Only<br />
Original Signature of CSR Date Origin I Signature of District <strong>Court</strong> Judge<br />
Date<br />
Audited/ Approved<br />
RETAIN 1 COPY FOR YOUR RECORDS - NO COPY WIU BE RETURNED.<br />
AIMsed 12/28111<br />
<strong>Handbook</strong> <strong>for</strong> <strong>Official</strong> <strong>Court</strong> <strong>Reporters</strong><br />
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