Request for Reimbursement October 2019 Major Form Changes Form is - - PowerPoint PPT Presentation
Request for Reimbursement October 2019 Major Form Changes Form is - - PowerPoint PPT Presentation
Request for Reimbursement October 2019 Major Form Changes Form is now one document with multiple tabs Form must be submitted in Excel format to information@pdcom.in.gov Previous Form IV (non-reimbursable calculator) has been
Major Form Changes
- Form is now one document with multiple tabs
- Form must be submitted in Excel format to
information@pdcom.in.gov
- Previous “Form IV” (non-reimbursable calculator) has been
eliminated; all calculations are done by embedded formulas
- New non-reimbursable expense lines have been added
- “Full-time” and “part-time” designations eliminated; all positions are
a percentage of a full-time equivalent (FTE)
- Expanded case types on case assignment worksheet
Email completed form to: information@pdcom.in.gov
COUNTY: Year Quarter
2
PREPARER'S NAME: PREPARER'S EMAIL ADDRESS: PREPARER'S CONTACT NUMBER:
Request for Reimbursement
Quarter designation drives non- reimbursable calculations for attorney caseload
Check all boxes that apply to your county:
Self Insurance for health insurance Office Chief Public Defender Chief Deputy
This area is to show the number of support staff for adequate/inadequate staffing determinations
Enter the total number of full time equivalents (FTE) for each category below. See instructions for more information. Paralegals Investigators Social Workers Administrative Assistants Office Administrators Interns Other Non-Litigation Support Staff
- I. FINANCIAL INFORMATION
Total Expenditures (for indigent defense during the period covere $0.00 Non-Reimbursable Expenditures
- $
Actual Non-Reimbursable Expenses (see Instructions)
Reimbursable Expenditures $0.00 40% Reimbursement Amount
$0.00
Nothing is entered into the white boxes. The teal box may be used for actual non- reimbursable expenses.
- A. PERSONAL SERVICES (Employees and Contractors)
- 1. Paralegals (incl benefits)
$0.00
Percentage of time spent on non-reimbursable case support
- 2. Investigators (incl benefits)
Percentage of time spent on non-reimbursable case support
- 3. Social Workers (incl benefits)
$0.00
Percentage of time spent on non-reimbursable case support
0%
- 4. Administrative Assistants, Office Administrators, Interns, &
Non-Litigation Support Staff (incl benefits)
$0.00
Percentage of time spent on non-reimbursable case support
0%
- 5. Attorneys with no caseload (incl benefits)
Percentage of time spent on non-reimbursable case support
0%
- 6. Total Attorney Salaries
$0.00
- 7. Total Attorney Benefits
$0.00
TOTAL PERSONAL SERVICES
$0.00
- A. PERSONAL SERVICES (Employees and Contractors)
- 1. Paralegals (incl benefits)
$15,000.00
Percentage of time spent on non-reimbursable case support
25%
- 2. Investigators (incl benefits)
$20,000.00
Percentage of time spent on non-reimbursable case support
0%
- 3. Social Workers (incl benefits)
$22,500.00
Percentage of time spent on non-reimbursable case support
10%
- 4. Administrative Assistants, Office Administrators, Interns, &
Non-Litigation Support Staff (incl benefits)
$0.00
Percentage of time spent on non-reimbursable case support
0%
- 5. Attorneys with no caseload (incl benefits)
$0.00
Percentage of time spent on non-reimbursable case support
0%
- 6. Total Attorney Salaries
$0.00
- 7. Total Attorney Benefits
$0.00
- I. FINANCIAL INFORMATION
Total Expenditures (for indigent defense during the period covere $57,500.00 Non-Reimbursable Expenditures
6,000.00 $
Reimbursable Expenditures $51,500.00 40% Reimbursement Amount
$20,600.00
Enter the total number of full time equivalents (FTE) for each category below. See instructions for more information. Paralegals 1 Investigators 1 Social Workers 1
Paralegals Non- Reimbursable Time Worksheet Investigators Non- Reimbursable Time Worksheet Social Workers Non- Reimbursable Time Worksheet Name Compensation Fringe % of time spent on Non- Reimburs ables Name Compensation Fringe % of time spent on Non- Reimburs ables Name Compensation Fringe % of time spent on Non- Reimburs ables Katy Hudson 7,500.00 $ 1,000.00 $ 10% Amanda Rogers 11,000.00 $ 2,000.00 $ 1% Ramon Estevez 7,000.00 $ 5,000.00 $ 20% Peter Hernandez 4,500.00 $ 2,000.00 $ 2% Caryn Johnson 4,500.00 $ 1,000.00 $ 5% Margaret Hyra 8,000.00 $ 2,500.00 $ 4% Terry Bollette 1,000.00 $ 500.00 $ 2% Totals 12,000.00 $ 3,000.00 $ 7% Totals 16,500.00 $ 3,500.00 $ 2% Totals 15,000.00 $ 7,500.00 $ 13%
- A. PERSONAL SERVICES (Employees and Contractors)
- 1. Paralegals (incl benefits)
$15,000.00
Percentage of time spent on non-reimbursable case support
7%
- 2. Investigators (incl benefits)
$20,000.00
Percentage of time spent on non-reimbursable case support
2%
- 3. Social Workers (incl benefits)
$22,500.00
Percentage of time spent on non-reimbursable case support
13%
- 4. Administrative Assistants, Office Administrators, Interns, &
Non-Litigation Support Staff (incl benefits)
$0.00
Percentage of time spent on non-reimbursable case support
0%
- 5. Attorneys with no caseload (incl benefits)
$0.00
Percentage of time spent on non-reimbursable case support
0%
- I. FINANCIAL INFORMATION
Total Expenditures (for indigent defense during the period covere $57,500.00 Non-Reimbursable Expenditures
4,375.00 $
Reimbursable Expenditures $53,125.00 40% Reimbursement Amount
$21,250.00
- 6. Total Attorney Salaries
$0.00
- 7. Total Attorney Benefits
$0.00
- B. SUPPLIES & EQUIPMENT
- 1. Office Supplies
$0.00
- 2. Equipment Repair and Maintenance
- 3. Equipment Rentals
- 4. Other Supplies
TOTAL SUPPLIES
$0.00
1.Professional Services:
$5,500.00
- a. Total Expert Consultant/Witness Expenses
$5,000.00
Amount spent on non-reimbursable cases
$1,500.00
- b. Total Interpreter Expenses
$500.00
Amount spent on non-reimbursable cases
$90.00
2.Total Defense Requested Depositions
$6,000.00
Amount spent on non-reimbursable cases
$0.00
- 3. Total Defense Requested Transcripts
$4,000.00
Amount spent on non-reimbursable cases
$700.00
- 4. Travel Expenses
$0.00
- 5. Printing, Copying, Postage
$0.00
- 6. Utility Services (including telephone service)
$0.00
- 7. Building Rental/Lease
$0.00
- 8. Facility Repair and Maintenance
- 9. Building Related Expense Proration (see instructions)
- 10. Continuing Legal Education (CLE)
$0.00
- 11. Other non-listed Services and Charges (describe)
$0.00 $0.00
- I. FINANCIAL INFORMATION
Total Expenditures (for indigent defense during the period covere $15,500.00 Non-Reimbursable Expenditures
2,290.00 $
Reimbursable Expenditures $13,210.00 40% Reimbursement Amount
$5,284.00
Tab 1 Review
- ☐Preparer’s contact information listed
- ☐Proper quarter selected from the dropdown menu
- ☐All non-reimbursable expenses are accounted for:
- Depositions
- Transcripts
- Experts
- Interpreters
- percentage of time spent on non-reimbursable case types for
support staff, attorneys with no caseload, etc.
To enter the next set of information, select the “Form II” tab at the bottom of the screen
Attorney Information
Attorney Last Name Attorney First Name Title (Chief, Deputy, etc) Status Salary/Contract/Hourly FTE Max Compensation Benefits pd Qualified for Murder? Qualifie d for Levels 1- 4 Qualifie d for Level 5? Qualified for Juvenile Waiver or Murder Level? Qualifie d for Juvenile 1-4? Qualifie d for Juvenile Other? Qualified for CHINS? Qualified for TPR? Qualifie d for Appeals L4 and up? Qualified for Appeals Level 5 and below? Smith John DEPUTY Adequate Contract 1.00
- $
- $
no no yes no yes yes no yes yes yes
Example 1: Standard format
Last name (column A), First Name (column B)
Example 2: Contract with a firm
County contracts with a firm. Enter the attorney name and the firm’s name (where the payments are made) in parentheses next to the last name
Example 3: Paid under more than one status
Attorney is paid in multiple ways such as a .75 contract and additional hourly work up to .25 FTE. Enter “c” or “h” after their last name
Example 4: Worked under another name
If they attorney worked under another name during the previous four quarters, enter the previous name in parentheses
Attorney Last Name Attorney First Name Smith (Firth, Wynn, & Meyer) John Attorney Last Name Attorney First Name Smith John Attorney Last Name Attorney First Name Smith ( C ) John Smith ( H ) John Attorney Last Name Attorney First Name Smith John (Jeff)
Please make sure the names are spelled correctly!
Title (Chief, Deputy, etc) Status Salary/Contract/Hourly DEPUTY Adequate Contract
Titles generally include Chief, Chief Deputy, Deputy The only options are salary, contract or hourly
- We are no longer using “full-time” or “part-time”. All positions are
now a percentage of a full-time equivalent (FTE). Anything other than .5 and 1.00 FTE designations must be approved by the commission.
- Enter the direct-paid compensation during the quarter, again using
multiple lines if necessary for attorneys paid under more than one status.
- Enter the benefits paid on the attorney’s behalf during the quarter. If
your county is self-insured, please use the self-insurance worksheet (or similar methodology to stay below the cap). Benefits may include health insurance, PERF, dental insurance, FICA, etc. FTE Max Compensation Benefits pd 1.00
- $
- $
The maximum allowed rate per employee for 2019 is: Single 6,753.24 $ Family 19,183.32 $
Quarterly Amount Eligible for Reimbursement Example 1 Family Quarter 1 500.00 $ 500.00 $ Quarter 2 36,132.00 $ 18,683.32 $ Quarter 3 1,900.00 $
- $
Quarter 4 600.00 $
- $
Total 39,132.00 $ 19,183.32 $ Example 2 Single Quarter 1 36.00 $ 36.00 $ Quarter 2 481.00 $ 481.00 $ Quarter 3 19.00 $ 19.00 $ Quarter 4 901.00 $ 901.00 $ Total 1,437.00 $ 1,437.00 $
Select “yes” or “no” for each attorney
- qualification. We can provide a report of what we
have on file for your county at any time! Submit this request to information@pdcom.in.gov to receive a listing.
Qualified for Murder? Qualifie d for Levels 1- 4 Qualifie d for Level 5? Qualified for Juvenile Waiver or Murder Level? Qualifie d for Juvenile 1-4? Qualifie d for Juvenile Other? Qualified for CHINS? Qualified for TPR? Qualifie d for Appeals L4 and up? Qualified for Appeals Level 5 and below? no no yes no no no yes yes yes yes
Tab 2 Review
- ☐Review all qualifications for accuracy.
- If an updated Standards E and F form is necessary, please send it to
information@pdcom.in.gov.
- ☐Attorney names are listed correctly
- ☐Review all FTE caps for accuracy
Support staff designations are selected for each record
CAP. MUR . Adequate
Smith, John (Jeff)
# # CAP # CAP # CAP # CAP # CAP 1Q 0.000 0.000 0.000 0.000 0.000 2Q 0.000 0.000 0.000 0.000 0.000 3Q 0.000 0.000 0.000 0.000 0.000 4Q 0.000 0.000 0.000 0.000 0.000 TOTAL 0.000 0.000 0.000 0.000 0.000 120.0 200.0 Murder Level 6 Levels 1-2 120.0 Level 5 120.0 Levels 3-4 120.0 CAP. MUR . Inadequate
Smith, John (Jeff)
# # CAP CAP CAP CAP # CAP 1Q 0.000 0.000 0.000 0.000 0.000 2Q 0.000 0.000 0.000 0.000 0.000 3Q 0.000 0.000 0.000 0.000 0.000 4Q 0.000 0.000 0.000 0.000 0.000 TOTAL 0.000 0.000 0.000 0.000 0.000 100.0 150.0 Murder Level 6 Levels 3-4 100.0 Levels 1-2 Level 5 100.0 100.0
Example 1: 1.0 FTE with adequate support staff Example 2: 1.0 FTE with inadequate support staff Example 3: .75 FTE with adequate support staff
CAP. MUR . Adequate
Smith, John (Jeff)
# # CAP CAP CAP CAP # CAP 1Q 0.000 0.000 0.000 0.000 0.000 2Q 0.000 0.000 0.000 0.000 0.000 3Q 0.000 0.000 0.000 0.000 0.000 4Q 0.000 0.000 0.000 0.000 0.000 TOTAL 0.000 0.000 0.000 0.000 0.000 Murder Level 6 90.0 150.0 Levels 3-4 90.0 Levels 1-2 Level 5 90.0 90.0
Quarter selection on the “Form I” tab will highlight the corresponding row on the “Form III” tab
Smith, John (Jeff)
# # CAP # CAP # CAP # CAP 1Q 0.000 0.000 0.000 0.000 2Q 0.000 0.000 0.000 0.000 3Q 0.000 0.000 0.000 0.000 4Q 0.000 0.000 0.000 0.000 TOTAL 0.000 0.000 0.000 0.000
- CAP MUR: Capital Murder
- Murder: Adult Murder
- Levels 1-2 – This column should include both levels of adult felonies
- Levels 3-4 – This column should include both levels of adult felonies
- Levels 5 – Adult Level 5 felonies
- Level 6 – Adult Level 6 felonies
- CM Only – Adult Criminal misdemeanors
- JD (Levels 1-2) – Juvenile cases assigned that would have been a Level 1 or 2 felony if
tried as an adult
- JD (Levels 3-4) – Juvenile cases assigned that would have been a Level 3 or 4 felony if
tried as an adult
- JD (if Level 5) – Juvenile cases that would have been a Level 5 if tried as an adult
- JD (if Level 6) – Juvenile cases that would have been a Level 6 if tried as an adult
- JD (if CM as an adult) – Juvenile cases that would have been a misdemeanor if tried as
an adult
- JS, JM, JUV. PROB. VIOL – Juvenile status and juvenile miscellaneous cases, as well as
juvenile probation violations
- TPR – Termination of Parental Rights. See Commission Standard J to determine how to count TPR cases.
If you have questions, please contact Commission staff.
- CHINS – Child in Need of Services. See Commission Standard J to determine how to count CHINS cases.
If you have questions, please contact Commission staff.
- ADULT PROB. VIOL., MH – Adult felony probation violation cases and mental health cases. Note: Any
probation violation charge, under a Cause Number that was previously defended by a court-appointed public defender (even if it was a different attorney), shall not be counted as a new case. Any probation violation, under a Cause Number that was previously defended by private counsel, and a public defender is appointed by the court to defend the probation violation charge, shall be counted as a new case.
- ALL NON-REIMBURSABLE OTHERS INCL CM Probation Violations– any other type of cases assigned to a
public defender that is not a criminal case, for example, an adoption or Guardian Ad Litem
- appointment. CM probation violations should also be included in this category. See probation violation
case count instructions above.
- CM TRIAL APPEALS – for appeals from the trial level from misdemeanor cases (Note: these appeals are
non-reimbursable)
- CM GUILTY PLEAS APPEALS – for appeals from a guilty plea from misdemeanor cases (Note: these
appeals are non-reimbursable)
- TRIAL APPEALS – for appeals from the trial level, including juvenile cases and TPR/CHINS appeals
- GUILTY PLEAS APPEALS – for appeals from a guilty plea, including violations of probation appeals
For the initial setup, enter the prior three quarters’ caseload as reported the previous quarter. Enter cases as the lowest level of the previous form designations. Example: the previous submission listed 8 adult Murder – L5 felonies in 1Q, 14 in 3Q and 12 in 4Q. Those would all be entered as Adult Level 5
- felonies. For the current quarter, enter the case counts in the correct
case type column.
CAP. MUR . Adequate
Smith, John (Jeff)
# # CAP # CAP # CAP # CAP 1Q 0.000 0.000 0.000 8 0.067 2Q 0.000 2 0.017 7 0.058 1 0.008 3Q 0.000 0.000 0.000 14 0.117 4Q 0.000 0.000 0.000 12 0.100 TOTAL 0.000 2 0.017 7 0.058 35 0.292 120.0 Murder Levels 1-2 120.0 Level 5 120.0 Levels 3-4 120.0
Checking Attorney Workload/Compliance The “Totals” column shows the total number of cases in the quarter and the percentage of capacity used (CAP). This CAP change from the previous form that showed the total FTE utilized. No matter the attorney’s FTE, each quarter should be at or below 25% and the overall total should not exceed 100%.
# CAP 8 6.667% 10 8.333% 14 11.667% 12 10.000% 44 36.667% TOTALS
# CAP 23 16.667% 37 26.333% 42 30.333% 12 10.000% 114 83.333% TOTALS
1Q: Quarterly compliant 4Q: Quarterly compliant 2Q: Quarterly substantial compliance 3Q: Quarterly out of compliance Overall compliant
1Q: Quarterly compliant 4Q: Quarterly substantial compliance 2Q: Quarterly substantial compliance 3Q: Quarterly out of compliance Overall substantial compliance
# CAP 17 24.667% 19 26.333% 24 31.667% 20 26.000% 80 108.667% TOTALS
1Q: Quarterly compliant 4Q: Quarterly out of compliance 2Q: Quarterly substantial compliance 3Q: Quarterly out of compliance Overall out of compliance
# CAP 17 24.667% 19 26.333% 24 31.667% 21 28.000% 81 110.667% TOTALS
Tab 3 Review
- ☐Appropriate attorney status (adequate, inadequate, etc.) selected
from the dropdown
- ☐Review quarterly and annual CAP (vs FTE) for compliance issues.
Address any compliance issues when submitting request
- ☐All four quarters listed
Non-Reimbursable Calculations
This form calculates non-reimbursable amounts by totaling the compensation and benefits paid during the quarter and deducting the weighted caseload portion
- f non-reimbursable cases assigned.
Non-Reimbursable Case Types
- Adult Criminal Misdemeanors
- Adult Criminal Misdemeanor Trial Appeals
- Adult Criminal Misdemeanor Guilty Plea Appeals
- Any case the attorney is not qualified to handle based on the
Commission verified Standards E and F form submitted
- All “non-reimbursable other” (adoption, child support, etc.)
including adult criminal misdemeanor probation violations
Attorney Last Name Attorney First Name Compensation Benefits pd Qualified for Murder? Qualifie d for Levels 1- 4 Qualifie d for Level 5? Qualified for Juvenile Waiver or Murder Level? Qualifie d for Juvenile 1-4? Qualifie d for Juvenile Other? Qualified for CHINS? Qualified for TPR? Qualifie d for Appeals L4 and up? Qualified for Appeals Level 5 and below? Smith John (Jeff) 5,000.00 $ 1,000.00 $ yes yes yes yes yes yes yes yes yes yes
John Smith is qualified for all case types
- Mr. Smith is assigned 1 Adult Level 3, 1 Adult Level 5, 5 Adult
Misdemeanors, and 1 Termination of Parental Rights. This form calculates the non-reimbursable portion of the weighted caseload and determines $2,093.02 is non- reimbursable
CAP. MUR . Adequate Smith, John (Jeff) # # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP 1Q 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000% 2Q 0.000 0.000 1 0.008 1 0.008 0.000 5 0.013 0.000 0.000 0.000 0.000 0.000 0.000 1 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 8 3.583% 3Q 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000% 4Q 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000% TOTAL 0.000 0.000 1 0.008 1 0.008 0.000 5 0.013 0.000 0.000 0.000 0.000 0.000 0.000 1 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 8 3.583% TOTALS 120.0 200.0 400.0 250.0 300.0 400.0 500.0 150.0 400.0 JS, JM, JUV.PROB. VIOL. CHINS ADULT PROB. VIOL., MH ALL NON- REIMBURSABLE OTHERS INCL CM PTR Murder Level 6 CM ONLY JD (if Levels 1- 2 JD (if Level 6) JD (if CM as ADULT) TPR 150.0 JD (if Level 5) 250.0 25.0 50.0 CM TRIAL APPEALS CM GUILTY PLEA APPEALS 50.0 400.0 25.0 GUILTY PLEA APPEALS Levels 1-2 120.0 Level 5 120.0 Levels 3-4 120.0 TRIAL APPEALS JD (if Levels 3- 4 250.0With the same caseload, but Mr. Smith is not qualified for the Adult Level 3 case, the form will include that weighted case as non-reimbursable as well. The new non-reimbursable portion is $3,488.37
Attorney Last Name Attorney First Name Compensation Benefits pd Qualified for Murder? Qualifie d for Levels 1- 4 Qualifie d for Level 5? Qualified for Juvenile Waiver or Murder Level? Qualifie d for Juvenile 1-4? Qualifie d for Juvenile Other? Qualified for CHINS? Qualified for TPR? Qualifie d for Appeals L4 and up? Qualified for Appeals Level 5 and below? Smith John (Jeff) 5,000.00 $ 1,000.00 $ no no yes yes yes yes yes yes yes yes
CAP. MUR . Adequate Smith, John (Jeff) # # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP # CAP 1Q 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000% 2Q 0.000 0.000 1 0.008 1 0.008 0.000 5 0.013 0.000 0.000 0.000 0.000 0.000 0.000 1 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 8 3.583% 3Q 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000% 4Q 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000% TOTAL 0.000 0.000 1 0.008 1 0.008 0.000 5 0.013 0.000 0.000 0.000 0.000 0.000 0.000 1 0.007 0.000 0.000 0.000 0.000 0.000 0.000 0.000 8 3.583% TOTALS 120.0 200.0 400.0 250.0 300.0 400.0 500.0 150.0 400.0 JS, JM, JUV.PROB. VIOL. CHINS ADULT PROB. VIOL., MH ALL NON- REIMBURSABLE OTHERS INCL CM PTR Murder Level 6 CM ONLY JD (if Levels 1- 2 JD (if Level 6) JD (if CM as ADULT) TPR 150.0 JD (if Level 5) 250.0 25.0 50.0 CM TRIAL APPEALS CM GUILTY PLEA APPEALS 50.0 400.0 25.0 GUILTY PLEA APPEALS Levels 1-2 120.0 Level 5 120.0 Levels 3-4 120.0 TRIAL APPEALS JD (if Levels 3- 4 250.0- Smith assigned 1 Adult L3, 1 Adult L5, 5 Adult CM, 1 TPR
- Jones assigned 1 Adult L1, 1 Adult L3, 18 Adult CM
- Bachman assigned 16 Adult CM, 25 TPR
- Lucas assigned 7 Adult L5, 7 Adult CM
Attorney Last Name Attorney First Name Compensation Benefits pd Qualified for Murder? Qualifie d for Levels 1- 4 Qualifie d for Level 5? Qualified for Juvenile Waiver or Murder Level? Qualifie d for Juvenile 1-4? Qualifie d for Juvenile Other? Qualified for CHINS? Qualified for TPR? Qualifie d for Appeals L4 and up? Qualified for Appeals Level 5 and below? Smith John (Jeff) 5,000.00 $ 1,000.00 $ yes yes yes yes yes yes yes yes yes yes Jones Judy 8,500.00 $ 1,500.00 $ yes yes yes no yes yes yes yes yes yes Bachman Richard 10,000.00 $ 2,000.00 $ yes yes yes no yes yes yes yes yes yes Lucas Victoria 12,850.00 $ 1,800.00 $ yes yes yes no yes yes yes yes yes yes
Form IV “Per Total”
TOTAL CASES Non- Reimbursable cases
83 46 0.383333333 $42,650.00 $26,300.83 $16,349.17
Adjustment Factor TOTAL EXPENSES Reimbursable Expenses Non-reimbursable Expenses
Form IV “Per Attorney”
Attorney
Total Cases Non- Reimbursable Cases Adjstmt Factor Wage or Contract Amount paid Reimbursable Expenses Non-Reimbursable Expenses
Smith
8 5
45% $5,000.00 $2,727.27 $2,272.73 Jones
20 18
82% $8,500.00 $1,545.45 $6,954.55 Bachman
41 16
24% $10,000.00 $7,575.76 $2,424.24 Lucase
14 7
33% $12,850.00 $8,566.67 $4,283.33
New Form
New Form "Per Attorney" Form IV "Per Total" Form IV +/- Smith $ 2,093.02 $ 2,272.73 $ (179.71) Jones $7,500.00 $ 6,954.55 $ 545.45 Bachman $2,322.58 $ 2,424.24 $ (101.66) Lucas $3,662.50 $ 4,283.33 $ (620.83)
Total $ 15,578.10 $ 15,934.85 $ 16,349.17
Non-Reimbursable Calculation Methods
Next Meeting Date:
Enter the next meeting date, time and location for your county’s public defender board. If this information is not known at the time of submission, please email it to information@pdcom.in.gov when it is scheduled.
Judicial Appointment Email Address Telephone Last Appointment Date County Executive Appointment Email Address Telephone Last Appointment Date Public Defender Commission Appointment Email Address Telephone Last Appointment Date
Chair Chair Chair
Public Contact Name Email Address Telephone Fax Chief Public Defender Name Email Address Telephone Fax
Additional board members and contact information:
Tab 4 Review
- ☐PD Board Members are listed if applicable
- ☐Public Contact listed
- ☐Chief Contact listed if applicable
- ☐Next PD Board Meeting Date
In addition to the support staff non-reimbursable worksheets previously reviewed, the “Additional Information” tab provides boxes to submit explanations or information regarding the request.
If your county has a compliance issue, you must address it here. If you had a significant change is percent
- f non-reimbursable time for support
staff, explain here. Any other information you’d like us to know about the request can be entered here.
Attorney Compliance Issue(s) and Plan Explanation of change to percentage of non-reimbursable for support staff Other Information
- County name will auto-fill
from the first tab
- Enter PD Board Chair name
and County Auditor name
- Digital signatures are enabled
if your county has Microsoft digital signature capabilities. If not, this tab may be printed and signed, then a scanned copy should be submitted
Certification by Public Defender Board
I, , chair of the _____________ Date
Certification by County Auditor
I, , Auditor of Date
Quarter Summary
Total Expenditures (for indigent defense during the period covered)
15,500.00 $
Non-Reimbursable Expenditures
2,290.00 $
Reimbursable Expenditures
13,210.00 $
40% Reimbursement Amount
5,284.00 $ County Public Defender Board, hereby certify that the aforementioned financial information, attorney information, and information contained on the “Case Assignment Worksheet” is true, accurate, and complete to the best of my knowledge; and furthermore, that the county is currently operating in substantial compliance with the “Standards for Indigent Defense Services in Non-Capital Cases” of the Indiana Public Defender Commission. County, hereby certify that I have reviewed the information contained in this “Request for Reimbursement,” and that the amount listed below specifying the total expenditures for indigent defense during the period is true and accurate to the best of my knowledge. Shelby Shelby
X
Board Chair
X
County Auditor
Submission Review
Standards E and F forms ☐ New and/or updated forms submitted to information@pdcom.in.gov Additional Information ☐ Any compliance issues are addressed ☐ Any changes to non-reimbursable percentages of support staff explained Verifications ☐Appropriate signatures obtained ☐Scan and email this page to information@pdcom.in.gov if digital signatures are not available Submission Checklist ☐ Submitted within 45 days of the end of the quarter ☐ Excel file emailed to information@pdcom.in.gov
Desk Audi k Audits
As previously mentioned in our newsletters, the Public Defender Commission is updating the reimbursement process by seeking to enhance accuracy of overall reporting and to clarify expense categorization. To achieve this, we are performing desk audits of each county this year.
You’ll receive a notice from us notifying you of the audit and the period and be asked to provide some initial information:
- Transaction detail reports
- Payroll Information (if applicable)
Vendors may need to adjust invoicing practices to split costs by cause number or provide other information to better assist you in determining non-reimbursable expert, deposition, and transcript costs.