Are you a healthcare provider looking to better understand the OPD E 205 Form? If so, this blog post is written just for you. In this article, we’ll break down everything there is to know about the OPD E 205 form – from what it entails and when it’s used, to how to properly complete and submit it. With our comprehensive guide at hand, you can be sure that submitting your information for reimbursement will go as smoothly as possible!
Question | Answer |
---|---|
Form Name | Opd E 205 Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | Ohio, attests, CERTIFICATION, opd e 205 |
CLERK’S/AUDITOR’S TRANSCRIPT FEE FOR AN INDIGENT DEFENDANT
Revised Code 2301.2425
In the ______________________________________Court of _______________________________________,Ohio.
Plaintiff:
|
Case No. __________________________________ |
v. |
Attorney(s) for the Defendant/Party Represented: |
____________________________________________ |
|
Defendant/Party Represented |
__________________________________________ |
In re:________________________________________ |
__________________________________________ |
CLERK OF COURTS CERTIFICATION
I, the Clerk of Courts, hereby certify that _______________________________, __________________________,is
(Court Reporter’s Name) |
(Court Reporter’s Tax ID) |
hereby an official stenographer of said court and is entitled to the following fees for making transcript(s) of:
_________________________________________________________________________________________________ |
||||
____________________________________________ |
____________________________________________ |
|||
|
Clerk’s Signature |
|
|
Date |
The transcript is ordered by the court for use by the Defendant or the Defendant’s attorney in the following type of |
||||
proceeding: |
|
|
|
|
_____ |
Felony, misdemeanor, or juvenile proceeding |
_____ |
Capital Offense trial proceeding |
|
_____ |
Appeals proceeding |
_____ |
Capital Offense appeals proceeding |
|
_____ |
Postconviction proceeding |
_____ |
Capital Offense postconviction proceeding |
|
_____ |
Other (explain) __________________________________________________________ |
|||
Date which above checked proceeding terminated: ____________________ OR |
� Still Pending (check if pending) |
|||
|
|
|
|
_______________ |
Original transcript of ____________ pages or folio at the rate of $____________ per page or folio,ζψξ= $ |
||||
Copy of transcript of ____________ pages or folio at the rate of $____________ per page or folio, = $_______________ |
||||
|
|
|
|
TOTAL $_______________ |
NOTE: A COPY OF THE COURT REPORTER’S BILLING MUST BE ATTACHED
JUDGMENT ENTRY
The court finds that the transcript was ordered for use in the case of an Indigent person, that all rules and standards of the Ohio Public Defender Commission and State Public Defender have been met and that an Affidavit of Indigency/ Financial Disclosure for the above referenced client has been sent to the Office of the Ohio Public Defender or is attached to this document.
IT IS THEREFORE ORDERED that the transcript fees be, and are hereby approved in the amount of $___________________. It is further ordered that the said amount be, and hereby is, certified by the Court to the
County Auditor for payment.
_______________________________________ |
______________________________________________________ |
|
Judge’s Name (type or print) |
Judge’s Signature |
Date |
AUDITOR’S CERTIFICATION
The County Auditor in executing this certificate attests that the transcript was a true and accurate expense of said
county’s court.
County Number _______________ |
Warrant Number _______________ |
Warrant Date ________________ |
|
_________________________________________________ |
|
OPDE205 Rev. (11/96) |
County Auditor’s Signature |