At the conclusion of a case, any court-appointed pro bono attorney may request
reimbursement of costs necessarily incurred, not to exceed the maximum amount established
by Standing Order, provided that the attorney has not received or will not receive funds
sufficient to cover the costs incurred, whether by way of a monetary judgment for the client
under a contingent fee arrangement, an award of attorney’s fees made by the court, or other
payment. A “Request for Pro Bono reimbursement,” including an accounting of the expenses
claimed, shall be submitted directly to the Chief Judge. The document shall not be filed with
the Clerk. The form must be typewritten and include the caption of the case, case number,
presiding judge and be entitled “Request for Pro Bono Reimbursement;” the document must
be signed and verified by the pro bono attorney requesting reimbursement.