MEMORANDUM REQUEST FOR EXPERT SERVICES

IN EXCESS OF STATUTORY MAXIMUM

TO:	Honorable Judge ________________________________________________________________________

FROM: ____________________________________________________________ DATE: ____________________

CASE NAME:___________________________________________________CASE NUMBER: __________________

It is requested that advance authorization be granted to obtain services in an amount in excess of the maximum allowed under the provisions of subsection (e)(3) of the Criminal Justice Act, 18 U.S.C. § 3006Aas follows:

PROPOSED EXPERT:

NAME: ______________________________________________________________________________________

ADDRESS: ___________________________________________________________________________________

CITY: _______________________________________________________ STATE: ________ ZIP: ____________

PHONE: __________________________________ E-MAIL: ___________________________________________

TYPE OF EXPERT:

□	Investigator

□	Interpreter / Translator

□	Psychologist

□	Psychiatrist

□	Polygraph Examiner

□	Documents Examiner

□	Fingerprint Analyst

□	Accountant

□	Chemist / Toxicologist

□	Ballistics Expert

□	Weapons / Firearms / Explosive Expert

□	Pathologist / Medical Examiner

□	Other Medical Expert

□	Voice / Audio Analyst

□	Hair / Fiber Expert

□	Computer (Hardware/Software/Systems)

□	Paralegal Services

□	Legal Analyst / Consultant

□	Jury Consultant

□	Mitigation Specialist

□	Duplication Services

□	Other (specify)

_______________________________
PROCEEDING FOR WHICH EXPERT REQUESTED:

□	Pretrial

□	Trial

□	Sentencing

□	Other

DESCRIPTION OF REQUESTED SERVICE: __________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

TOTAL ESTIMATE OF FEES AND EXPENSES:

□	Hourly Rate of $________ x ________ Estimated Hours = $_________

□	Fixed Fee Estimated $______________

□	Daily Rate of $________ x ________ Estimated Hours = $_________

EXPENSES:

□	Mileage (estimate) ___________ miles x $._____ = $___________

□	Other _______________________________________________________________________

1.	Completed form must be attached to the Motion for Expert Services and proposed Order.

2.	After receiving approval, send Statement of Work for Expert Services and signed Order to expert, requesting expert sign, date and return to you. File Statement of Work under Seal with court.

Attorney name and Bar Number

Attorney for Defendant

Address

City, State, Zip

Telephone

Facsimile

E-Mail

_____________________________________________________________________________

IN THE UNITED STATES DISTRICT COURT

DISTRICT OF UTAH, CENTRAL DIVISION

UNITED STATES OF AMERICA,

Plaintiff,

v.

(Defendant),

Defendant.

SEALED EX PARTE APPLICATION FOR AUTHORITY TO RETAIN

(TYPE OF EXPERT)

AT GOVERNMENT EXPENSE IN EXCESS OF STATUTORY MAXIMUM

Case No. (Case Number)

Judge

The Defendant, (Name of Defendant), by and through his attorney of record, (Attorney Name), hereby moves the court pursuant to 18 U.S.C. §3006A(e)(3) for authority to retain (type of expert) at Government expense.

[Nature of the Case and Charges]

[Narrative Description of Requested Expert Services]

Counsel further requests payment in excess of the statutory maximum based on the contained in the attached Memorandum Request for Expert Services.

[Narrative Description of Reason for Request to Exceed Statutory Maximum]

For the reasons set forth herein, the Defendant respectfully moves the Court for an Order allowing (type of expert) services in excess of the statutory maximum of $2,400.00 but shall not exceed $____________, exclusive of travel costs and expenses, all subject to reasonableness and final review by the Court.

DATED this _____ day of _______________, 20__.

__________________________________________

Attorney Name