Form CC400 "Maacs Statement of Service and Order for Payment of Court Appointed Counsel" - Michigan

What Is Form CC400?

This is a legal form that was released by the Michigan Circuit Court - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Michigan Circuit Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form CC400 by clicking the link below or browse more documents and templates provided by the Michigan Circuit Court.

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Download Form CC400 "Maacs Statement of Service and Order for Payment of Court Appointed Counsel" - Michigan

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Original - Court (white)
1st copy - MAACS (yellow)
Approved, SCAO
2nd copy - Attorney (pink)
STATE OF MICHIGAN
CASE NO.
MAACS STATEMENT OF SERVICE AND
JUDICIAL CIRCUIT
ORDER FOR PAYMENT OF COURT
COUNTY
APPOINTED COUNSEL (Page
)
1
Court address
Court telephone no.
INSTRUCTIONS
This form is designed to serve as both the voucher for fees in appellate assigned cases and the case summary attorneys are
required to submit to the Michigan Appellate Assigned Counsel System under section 4(6)(c)(ii) of the regulations governing
that system. The form should be completed as follows:
1. The attorney, upon completing all work within the scope of the order of appointment (whether that order was for representation
in the Court of Appeals or the Supreme Court), should fill out all applicable lines of section I. Apart from basic background
information, section I primarily seeks information about the case not readily available from such other sources as appellate
court docket entries.
2. The attorney should fill out the fee and expense information in section II completely, then sign and date the declaration. The
attorney should leave sections III and IV blank.
3. The attorney should then provide the entire form, with all copies intact, to the trial judge who signed the order of appointment.
Counsel may wish to photocopy the form before filing it in case the original is lost.
4. The assigning judge should review the case summary, indicate in section III the fees and expenses actually being approved,
and sign and date the form.
5. The court should keep the white copy, return the pink copy to the attorney, and forward the yellow copy to:
Michigan Appellate Assigned Counsel System
200 N. Washington Square
Suite 250
Lansing, MI 48913
1. Attorney name
2. Bar no.
3. Telephone no.
I. CASE INFORMATION
4. Address
5. Case name
6. Lower court no.
7. Court of Appeals no.
8. Supreme Court no.
9. Date appointed
10. County
11. Judge
13. Transcript length (all
12. Case
Plea
Bench
transcripts)
pp.
Type:
Jury
Prob. viol.
OFFENSE(S) Include MCL cite
SENTENCES
14.
15. Client
Date
Location
Client no.
16. Trial court motion/type:
Date
Result
Visit:
17. Date of stipulation to dismiss
18. Date of motion to withdraw as counsel 19. Resentencing/Evidentiary
Date
Result
hearing:
20. Court of Appeals oral argument:
If held, date and location
21. Disposition:
Date
Result
Not held
Held
CC 400 (6/19)
MAACS STATEMENT OF SERVICE AND ORDER FOR PAYMENT OF COURT APPOINTED COUNSEL,
1
Page
Original - Court (white)
1st copy - MAACS (yellow)
Approved, SCAO
2nd copy - Attorney (pink)
STATE OF MICHIGAN
CASE NO.
MAACS STATEMENT OF SERVICE AND
JUDICIAL CIRCUIT
ORDER FOR PAYMENT OF COURT
COUNTY
APPOINTED COUNSEL (Page
)
1
Court address
Court telephone no.
INSTRUCTIONS
This form is designed to serve as both the voucher for fees in appellate assigned cases and the case summary attorneys are
required to submit to the Michigan Appellate Assigned Counsel System under section 4(6)(c)(ii) of the regulations governing
that system. The form should be completed as follows:
1. The attorney, upon completing all work within the scope of the order of appointment (whether that order was for representation
in the Court of Appeals or the Supreme Court), should fill out all applicable lines of section I. Apart from basic background
information, section I primarily seeks information about the case not readily available from such other sources as appellate
court docket entries.
2. The attorney should fill out the fee and expense information in section II completely, then sign and date the declaration. The
attorney should leave sections III and IV blank.
3. The attorney should then provide the entire form, with all copies intact, to the trial judge who signed the order of appointment.
Counsel may wish to photocopy the form before filing it in case the original is lost.
4. The assigning judge should review the case summary, indicate in section III the fees and expenses actually being approved,
and sign and date the form.
5. The court should keep the white copy, return the pink copy to the attorney, and forward the yellow copy to:
Michigan Appellate Assigned Counsel System
200 N. Washington Square
Suite 250
Lansing, MI 48913
1. Attorney name
2. Bar no.
3. Telephone no.
I. CASE INFORMATION
4. Address
5. Case name
6. Lower court no.
7. Court of Appeals no.
8. Supreme Court no.
9. Date appointed
10. County
11. Judge
13. Transcript length (all
12. Case
Plea
Bench
transcripts)
pp.
Type:
Jury
Prob. viol.
OFFENSE(S) Include MCL cite
SENTENCES
14.
15. Client
Date
Location
Client no.
16. Trial court motion/type:
Date
Result
Visit:
17. Date of stipulation to dismiss
18. Date of motion to withdraw as counsel 19. Resentencing/Evidentiary
Date
Result
hearing:
20. Court of Appeals oral argument:
If held, date and location
21. Disposition:
Date
Result
Not held
Held
CC 400 (6/19)
MAACS STATEMENT OF SERVICE AND ORDER FOR PAYMENT OF COURT APPOINTED COUNSEL,
1
Page
Original - Court (white)
1st copy - MAACS (yellow)
Approved, SCAO
2nd copy - Attorney (pink)
STATE OF MICHIGAN
CASE NO.
MAACS STATEMENT OF SERVICE AND
JUDICIAL CIRCUIT
ORDER FOR PAYMENT OF COURT
COUNTY
APPOINTED COUNSEL (Page
)
2
Court address
Court telephone no.
II. FEE INFORMATION
SERVICES RENDERED
Itemize on additional sheet if needed
ACTUAL EXPENSES
HOURS
21. Client visit
$
miles x
¢/mile
1. Record review
22. Oral argument
$
miles x
¢/mile
(transcript, court file, PSR/SIR)..........
23. Photocopying
$
pages x
¢/page
2. Client visit (including travel)...............
24. Postage............................................ $
3. Other client contact............................
25. Phone calls...................................... $
Trial court motions (prepare, appear):
26. Other
................................... $
(itemize)
4.
new trial..........................
$
27. TOTAL EXPENSES:
5.
withdraw plea..................
REQUEST FOR PAYMENT
6.
resentencing...................
7. Evidentiary hearing
28. Fee requested................................. $
(prepare, appear)..............................
29. Expenses requested........................ $
8. Resentencing (prepare, appear)........
9. COA leave application.......................
30. TOTAL AMOUNT REQUESTED
$
10. COA motion to remand......................
BASIS OF REQUEST
11. COA brief on appeal (research, write)
12. COA oral argument
31.
Fee schedule
(prepare, appear, travel).....................
32.
Hourly
13. COA motion for rehearing...................
33. Rate/hour.................................. $
14. Reply to prosecutor’s S Ct appl.........
34. Maximum allowed
$
(if applicable)
15. S Ct leave application.........................
35.
Motion for extraordinary fees
(attach copy)
16. S Ct brief on leave granted.................
17. S Ct oral argument.............................
I declare that I was appointed by the court to serve as
18. Administrative*
appellate counsel for the named defendant, and that
above is a true statement of uncompensated services
19. Other
rendered and expenses incurred by me in the conduct of
that appeal to the best of my information, knowledge, and
belief.
20. TOTAL HOURS:
Date
*e.g. correspondence, filing claim, procuring records and transcripts,
housekeeping motions, transmitting records to client or substitute counsel.
Attorney signature
III. ORDER FOR PAYMENT
I certify that the above attorney was appointed to represent the named defendant, and the service was rendered.
IT IS ORDERED the City/County of
pay the above attorney $
in fees and
$
in expenses, for a total of $
in compensation for all time and expense in connection with this case.
Date
Judge
Bar no.
IV. COURT USE ONLY
CC 401 (12/88)
MAACS STATEMENT OF SERVICE AND ORDER FOR PAYMENT OF COURT APPOINTED COUNSEL,
2
Page
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