Application to Serve as Assigned Counsel

Payment of Appointed Counsel
Fees and Expenses

Attorneys must complete the Motion, Entry, and Certification for Appointed Counsel Fees form and email it to [email protected] for payment of fees and expenses. In addition, please email your completed IRS Form W-9 or direct any questions to [email protected].

Home > Judicial Services > Magistrates > Application to Serve as Assigned Counsel

Contact Information

NAME *

BUSINESS ADDRESS *

EMAIL ADDRESS *

BUSINESS PHONE *

CELL PHONE *

Registration

ADMITTED TO OHIO BAR *

REGISTRATION NUMBER *

ATTACHMENT: PROOF OF INSURANCE

Document must include expiration date of coverage, showing that insurance coverage is current.

ATTACHMENT: MOST RECENT CLE TRANSCRIPT FOR CRIMINAL PRACTICE AND PROCEDURE

OVI Certification (optional)
Only required in order to serve as assigned counsel for OVI cases. Otherwise, only non-OVI cases will be assigned.

BY CHECKING THE BOX BELOW, I CERTIFY THAT I HAVE THE QUALIFICATIONS TO HANDLE OVIs.

Requirements include: A minimum of six CLE credit hours focused on OVI practice and procedure within two years prior to appointment (Ohio Administrative Code 120-1-10).

OVI Cases

OVI CASE 1

OVI CASE 2

OVI CASE 3

ATTACHMENT: MOST RECENT CLE TRANSCRIPT FOR OVI PRACTICE

Confirmation

I HEREBY STATE THAT THE FACTS CONTAINED ABOVE ARE TRUE.

If you have any questions, please call 216-664-4701.

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