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CPCS Assigned Counsel Forms

Please note that all forms are in PDF format and require the Adobe Acrobat Reader.

 

Payment Voucher Form

Request for Payment Form:  Has been divided into three categories; Cirminal, Non-Criminal and Appeals

Waiver of 10 Hour Daily Billing Limit Form

Client Contact Certification Form

New Attorney Vendor Information

W-9 Form

Professional Liability Insurance Form

E-Bill Pin Agreement Form

Youthful Offender Certification - Application Form

The SAMPLE forms below can be used to follow along with the instructions in chapters five and six of the assigned counsel manual.

Request for Payment Form
Dispositional Report Form
Notice of Assignment of Counsel Form
Payment Voucher Form - Instructions