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The Judicial Council
of Louisiana |
COMMITTEE
TO EVALUATE REQUESTS FOR
COURT COSTS AND FEES
APPLICATION FORM
(Please Read the General Guidelines for the Standing Committee
to Evaluate
Requests for Court Costs and Fees)
PART A. INFORMATION ON REQUESTING ORGANIZATION
1. __________________________________________________________________
Name of Requesting Organization and Intended Recipient
2. __________________________________________________________________
Address Street/P.O. Box #
City
State ZIP
Code
3. __________________________________________________________________
Area Code Telephone #
FAX Number
E-Mail Address
4. Name of Contact Person _______________________________________________
PART B. INFORMATION ON THE REQUEST
5. Description of the requested court cost or fee. Please
describe on a separate page and provide the information requested
below.
(a) Type of fee or court cost: ______________________________________________
(b) New fee/court cost or increase in existing fee/court cost
(Please check):
_____New _____Increase
(c) Statute or codal provision to be added or changed to implement
the requested court cost or fee:
____________________________________________________________________
(d) Amount, range, percentage or limit of new or increased
fee/court cost:
_____________________
(e) How much will the requested fee or court cost increase
the aggregate amount of fees or court costs paid by similar
types of court users? From ____________ To ____________
(f) Basis against which the fee or court cost is assessed:
(civil filings, convicted criminal defendants, type of conviction
charge, pages, cash amounts, etc.)
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
6. Purpose and intended use of the requested court cost or
fee.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
7. Why is this an appropriate purpose? Please check the relevant
box(es).
a. ___It directly supports a court or the court system.
b. ___Its cost is reasonably related to the administration
of justice
8. What is the name of the program to be used to accomplish
the purpose listed above?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
9. Who and how many will benefit from the proposed court cost
or fee?
What types of persons or agencies will benefit? ________________________________
Approximately how many people will benefit? ________________________________
10. Does the recipient or the requesting organization have
the financial resources to implement the program without the
requested court cost or fee? What will the recipient organization
do about the program if the court cost or fee is not enacted?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
I CERTIFY THAT A COPY OF THIS PROPOSAL FOR A NEW OR INCREASED COURT COST OR FEE HAS BEEN SENT TO THE LEGISLATURE THROUGH THE CLERK OF THE HOUSE OF REPRESENTATIVES AND THE SECRETARY OF THE SENATE AND THAT ALL OF THE ABOVE IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.
___________________________________ ___________________________
Signature of Chief Executive
Officer
Date
PLEASE FORWARD YOUR APPLICATION TOGETHER WITH THE REQUESTED FINANCIAL INFORMATION OUTLINED IN GUIDELINE 5 IN TIME TO ASSURE THEIR RECEIPT BY 5:00 P.M., OCTOBER 1ST OF EACH YEAR TO:
JUDICIAL COUNCIL
ATTENTION: SCOTT GRIFFITH
JUDICIAL ADMINISTRATOR’S OFFICE
400 ROYAL STREET
SUITE 1190
NEW ORLEANS, LA. 70130
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