Court Cost Assessment Request Form
Please complete the following to request an assessment of court costs. All fields are required for a thorough review.
Full Name of Requestor
*
First Name
Last Name
Case Reference Number
*
Type of Assessment Request
*
Initial Cost Assessment
Supplemental Cost Assessment
Disputed Cost Review
Other
Please provide a brief summary of the cost assessment request
*
Itemized Court Costs
*
Rows
Cost Category
Amount (USD)
Justification/Notes
Item 1
Item 2
Item 3
Item 4
How urgent is this assessment?
*
Not urgent
1
2
3
4
Extremely urgent
5
1 is Not urgent, 5 is Extremely urgent
How reasonable do you find the requested costs?
1
2
3
4
5
Preferred Contact Email
*
example@example.com
Submit Assessment Request
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