Instructions for Submitting and Completing Attorney Statements. Instructions for Vendor Direct Deposit and Substitute W-9 Form Once you have completed all forms please return forms as outlined below to the Board Administrator of the Texas Board of Pardons and Paroles at the address listed at the bottom of this page. The TDCJ Registration Form for Representation of Offender should be sent directly to the Texas Department of Criminal Justice – Parole Division. RETAIN: Instructions for Submitting and Completing Attorney Statements Attorney Statement (Form HS-107A) (Copy for future use) Fee Affidavit Form (Copy for future use) Reimbursement Schedule RETURN: Outside Counsel Agreement Special Information Questionnaire Form Vendor Direct Deposit and Substitute W-9 Form (If applicable) X (Signature and Date) 0000 Xxxxx Xxxxx Xxxx. • Austin, TX 78757 • (000) 000-0000 • Fax: (000) 000-0000 or 5484 CONTRACT AND AGREEMENT FOR APPOINTED COUNSEL SERVICES BETWEEN THE BOARD OF PARDONS AND PAROLES AND ATTORNEY AND COUNSELOR AT LAW STATE OF TEXAS § § COUNTY OF XXXXXX §
Appears in 3 contracts
Samples: Contract and Agreement, Contract and Agreement, Contract and Agreement
Instructions for Submitting and Completing Attorney Statements. Instructions for Vendor Direct Deposit and Substitute W-9 Form (If applicable) Advance Payment Notification Authorization Once you have completed all forms please return forms as outlined below to the Board Administrator of the Texas Board of Pardons and Paroles at the address listed at the bottom of this page. The TDCJ Registration Form for Representation of Offender Inmates should be sent directly to the Texas Department of Criminal Justice – Parole Division. Retain for your future reference and use. RETAIN: Instructions for Submitting and Completing Attorney Statements Attorney Statement (Form HS-107A) RETURN: INSTRUCTIONS FOR SUBMITTING STATEMENTS ATTORNEY STATEMENT FORM (Copy for future use) Fee Affidavit Form FEE AFFIDAVIT FORM (Copy for future use) Reimbursement Schedule RETURN: Outside Counsel Agreement Special Information Questionnaire Form Vendor Direct Deposit and Substitute OUTSIDE COUNSEL AGREEMENT SPECIAL INFORMATION QUESTIONNAIRE FORM VENDOR DIRECT DEPOSIT AND SUBSTITUTE W-9 Form FORM (If applicable) ADVANCE PAYMENT NOTIFICATION AUTHORIZATION FORM (If applicable) X (Signature and Date) 0000 Xxxxx Xxxxx Xxxx. • P.O. Box 13401 • Austin, TX 78757 78711 • (000) 000-0000 • Fax: (000) 000-0000 or 5484 CONTRACT AND AGREEMENT FOR APPOINTED COUNSEL SERVICES BETWEEN THE BOARD OF PARDONS AND PAROLES AND ATTORNEY AND COUNSELOR AT LAW STATE OF TEXAS § § COUNTY OF XXXXXX §5484
Appears in 1 contract
Samples: Contract and Agreement
Instructions for Submitting and Completing Attorney Statements. Instructions for Vendor Direct Deposit and Substitute W-9 Form Authorization (If applicable) Texas Application for Payee Identification Number Advance Payment Notification Authorization Once you have completed all forms please return forms as outlined below to the Board Administrator of the Texas Board of Pardons and Paroles at the address listed at the bottom of this pagebelow. The TDCJ Registration Form for Representation of Offender Inmates should be sent directly to the Texas Department of Criminal Justice – Parole Division. RETAIN: Retain the Fee Affidavit form, the Instructions for Submitting and Completing Attorney Statements Statements, the Attorney Statement (Form HS-107AHS-107) and Reimbursement Schedule for your future reference and use. RETAIN: INSTRUCTIONS FOR SUBMITTING STATEMENTS ATTORNEY STATEMENT FORM (Copy for future use) Fee Affidavit Form FEE AFFIDAVIT FORM (Copy for future use) Reimbursement Schedule RETURN: Outside Counsel Agreement Special Information Questionnaire Form Vendor Direct Deposit and Substitute W-9 Form OUTSIDE COUNSEL AGREEMENT SPECIAL INFORMATION QUESTIONNAIRE FORM APPLICATION FOR PAYEE I.D. NUMBER FORM VENDOR DIRECT DEPOSIT FORM (If applicable) ADVANCE PAYMENT NOTIFICATION AUTHORIZATION FORM (If applicable) X (Signature and Date) 0000 Xxxxx Xxxxx Xxxx. • P.O. Box 13401 • Austin, TX 78757 78711 • (000) 000-0000 • Fax: (000) 000-0000 or 5484 CONTRACT AND AGREEMENT FOR APPOINTED COUNSEL SERVICES BETWEEN THE BOARD OF PARDONS AND PAROLES AND ATTORNEY AND COUNSELOR AT LAW STATE OF TEXAS § § COUNTY OF XXXXXX §
Appears in 1 contract
Samples: Contract and Agreement
Instructions for Submitting and Completing Attorney Statements. Instructions for Vendor Direct Deposit and Substitute W-9 Form Authorization (If applicable) Application for Texas Identification Number Advance Payment Notification Authorization Once you have completed all forms please return forms as outlined below to the Board Administrator of the Texas Board of Pardons and Paroles at the address listed at the bottom of this page. The TDCJ Registration Form for Representation of Offender Inmates should be sent directly to the Texas Department of Criminal Justice – Parole Division. Retain for your future reference and use. RETAIN: Instructions for Submitting and Completing Attorney Statements Attorney Statement (Form HS-107A) INSTRUCTIONS FOR SUBMITTING STATEMENTS ATTORNEY STATEMENT FORM (Copy for future use) Fee Affidavit Form FEE AFFIDAVIT FORM (Copy for future use) Reimbursement Schedule RETURN: Outside Counsel Agreement Special Information Questionnaire Form Vendor Direct Deposit and Substitute W-9 Form OUTSIDE COUNSEL AGREEMENT SPECIAL INFORMATION QUESTIONNAIRE FORM APPLICATION FOR TEXAS I.D. NUMBER FORM VENDOR DIRECT DEPOSIT FORM (If applicable) ADVANCE PAYMENT NOTIFICATION AUTHORIZATION FORM (If applicable) X (Signature and Date) 0000 Xxxxx Xxxxx Xxxx. • P.O. Box 13401 • Austin, TX 78757 78711 • (000) 000-0000 • Fax: (000) 000-0000 or 5484 CONTRACT AND AGREEMENT FOR APPOINTED COUNSEL SERVICES BETWEEN THE BOARD OF PARDONS AND PAROLES AND ATTORNEY AND COUNSELOR AT LAW STATE OF TEXAS § § COUNTY OF XXXXXX §5484
Appears in 1 contract
Samples: Contract and Agreement