Pro Bono Attorney Expense Reimbursement
 

United States District Court

 
for the
Eastern District of Michigan
REIMBURSEMENT OF PRO BONO ATTORNEY EXPENSES IN CIVIL CASES
ATTORNEY INFORMATION
 
Attorney Name: *
Street Address: *
City, State, ZIP: *
Email Address: *

CASE INFORMATION
 
Case Number: *
Case Name: *
Type: *

  Prisoner Civil Rights

  Employment Discrimination

  Other (specify)   
Judge Assigned: *
Date Judgement Entered:
    * or next
Date Withdrawn or Dismissed (if applicable):
    * or previous

REIMBURSEMENT REQUESTED

Please be sure to only enter numbers (no commas or dollar signs) in the amount field.

Depositions & Transcripts: $
Investigative/Expert Services: $
Travel: $
Fees for Service of Process: $
Interpreter Services: $
Photocopying, Telephone Calls: $
Total Reimbursement Requested: * $

To complete the reimbursement process, you must submit all supporting documentation (e.g., receipts) via email to probono@mied.uscourts.gov

Attorney's Name Typed *

Attorney's Signature
Date

* indicates a required field.