Nevada — ADMIN3

Source: https://www.nevada.courts.ca.gov/system/files/forms-and-filings/admin3-appointed-counsel-and-expert-invoice-coversheet_0.pdf

SUPERIOR COURT OF CALIFORNIA COUNTY OF NEVADA 

Appointed Counsel and Expert Invoice Cover Sheet

Complete one invoice cover sheet per Appointing Judicial Officer to request payment for appointed conflict counsel fees or appointed expert fees. Attach Appointed Counsel and Expert Invoice for each client as needed.

Attorney Name: ___________________________________________ Client Name: ______________________________________________ Tier: ___________ Case Number(s): ______________________________________ Charge(s): ______________________________________

Please Note: Pursuant to the court’s payment policy, this form is due quarterly on April 1 st , July 1 st , October 1 st , and January 1 st or the preceding business day for all services rendered in the quarter. The court has the option of reducing payment by 5% per month if invoiced late.

Check all that apply: Invoice for Conflict Counsel (Attach one invoice per client) Homicide Case Invoice for Appointed Expert (Attach one invoice and court order per client)

Invoice Number Case Number Tier Charge* Hours Not-To-Exceed** Remaining NTE*** Amount

Appointing Judicial Officer: Total Amount Billed:

• Indicate the charge used for tier determination. If the charge level is reduced, use a new line on the invoice and adjust b illing as of the date of reduction. ** List Not to Exceed amount ordered. *** List Remaining Not to Exceed amount including the current invoice.

The undersigned, under penalty of perjury, states: that the above claim and the items therein set out are true and correct: t hat no part thereof has been paid, that the amount therein is justly due, and that the same is presented pursuant to the court’s payment policy. Date: ________________ By: ___________________________________SIGN Date: ________________ By: ___________________________________SIGN Signature of Claimant Signature of Approving Attorney

Court Use Only: Once approved by the court, this invoice coversheet shall serve as a court order to issue payment for services rendered and accepted.

Ordered by: ___________________________ Title: ___________________________________ Date: ________________

APPOINTED COUNSEL AND EXPERT INVOICE COVER SHEET LOCAL ADMIN3 (REVISED 07/01/2025) - OPTIONAL FORM