CJA 24 AUTHORIZATION AND VOUCHER FOR PAYMENT OF TRANSCRIPT (Rev. 5/99)
1. CIR./DIST./ DIV. CODE	2. PERSON REPRESENTED	VOUCHER NUMBER
3. MAG. DKT./DEF. NUMBER	4. DIST. DKT./DEF. NUMBER	5. APPEALS DKT./DEF. NUMBER	6. OTHER DKT. NUMBER
7. IN CASE/MATTER OF (Case Name)	8. PAYMENT CATEGORY	9. TYPE PERSON REPRESENTED	10. REPRESENTATION TYPE
□	Felony	□	Petty Offense	□	Adult Defendant	□	Appellant	(See Instructions)
□	Misdemeanor	□	Other	□	Juvenile Defendant	□	Appellee
□	Appeal	□	Other
11. OFFENSE(S) CHARGED (Cite U.S. Code, Title & Section) If more than one offense, list (up to five) major offenses charged, according to severity of offense.

REQUEST AND AUTHORIZATION FOR TRANSCRIPT
12.	PROCEEDING IN WHICH TRANSCRIPT IS TO BE USED (Describe briefly)
13.	PROCEEDING TO BE TRANSCRIBED (Describe specifically). NOTE: The trial transcripts are not to include prosecution opening statement, defense opening statement, prosecution argument, defense argument, prosecution rebuttal, voir dire or jury instructions, unless specifically authorized by the Court (see Item 14).
14.	SPECIAL AUTHORIZATIONS	JUDGE'S INITIALS
A.	Apportioned Cost	% of transcript with (Give case name and defendant)
B.	□	Expedited	□	Daily	□	Hourly Transcript	□	Realtime Unedited Transcript
C.	□	Prosecution Opening Statement	□	Prosecution Argument	□	Prosecution Rebuttal
□	Defense Opening Statement	□	Defense Argument	□	Voir Dire	□	Jury Instructions
D.	In this multi-defendant case, commercial duplication of transcripts will impede the delivery of accelerated transcript services to persons proceeding under the Criminal Justice Act.
15.	ATTORNEY'S STATEMENT	16. COURT ORDER
As the attorney for the person represented who is managed above, I hereby affirm that the transcript requested is necessary for adequate representation. I, therefore, request authorization to obtain the transcript services at the expense of the United States pursuant to the Criminal Justice Act.	Financial eligibility of the person represented having been established to the Court's satisfaction the authorization requested in Item 15 is hereby granted.
Signature of Attorney	Date	Signature of Presiding Judicial Officer or By Order of the Court
Printed Name	Date of Order	Nunc Pro Tunc Date
Telephone Number:
□	Panel Attorney	□	Retained Attorney	□	Pro-Se	□	Legal Organization
CLAIM FOR SERVICES
17.	COURT REPORTER/TRANSCRIBER STATUS	18.	PAYEE'S NAME (First Name, M.I., Last Name, including any suffix), AND
MAILING ADDRESS
□	Official	□	Contract	□	Transcriber	□	Other
19.	SOCIAL SECURITY NUMBER OR EMPLOYER ID NUMBER OF PAYEE
Telephone Number:
20.	TRANSCRIPT	INCLUDE

PAGE NUMBERS	NO. OF PAGES	RATE PER PAGE	SUB-TOTAL	LESS AMOUNT

APPORTIONED	TOTAL
Original
Copy
Expense (Itemize)
TOTAL AMOUNT CLAIMED:
21.	CLAIMANT'S CERTIFICATION OF SERVICE PROVIDED
I hereby certify that the above claim is for services rendered and is correct, and that I have not sought or received payment (compensation or anything of value) from any other source for these services.
Signature of Claimant/Payee	Date
ATTORNEY CERTIFICATION
22.	CERTIFICATION OF ATTORNEY OR CLERK I hereby certify that the services were rendered and that the transcript was received.
Signature of Attorney or Clerk	Date
APPROVED FOR PAYMENT — COURT USE ONLY
23.	APPROVED FOR PAYMENT	24. AMOUNT APPROVED
Signature of Judicial Officer or Clerk of Court	Date