Authorization For Funds For Appointment Of Investigator Social Worker Or Expert

EXHIBIT 4 IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE CITY AND COUNTY OF SAN FRANCISCO IN RE THE MATTER OF Case No.: , a minor. AUTHORIZATION FOR FUNDS FOR APPOINTMENT OF INVESTIGATOR, SOCIAL WORKER or EXPERT WITH SUPPORTING DECLARATION OF COUNSEL GOOD CAUSE APPEARING in the attached declaration of counsel, it is hereby ordered that public funds be provided on application by attorney for the purpose of retaining an (check only one)* Investigator Social Worker Expert Witness Name:_________________________________________ Name:_________________________________________ Name:_________________________________________ Field of expertise:________________________________ to assist with the preparation in the above-captioned matter, said funds not to exceed: $ Attorney was appointed by the Court Attorney was retained Please indicate the TOTAL amount of funds previously authorized for this case, for (check only one) investigative, social worker or expert witness, if applicable $___________ A 2% Administrative Processing Fee will be deducted. (Attorney signature if total fees are under $150) Date: JUDGE OF THE SUPERIOR COURT Date: I , the attorney in the above-entitled matter, have reviewed the attached bill and certify that all work performed in this case as described therein was performed at my direction and authorized by the court. Attorney Name: Address: Phone Number: Date: Signature: * Please use this form to authorize investigative, social work or expert witness work and submit a separate form for each as necessary. BASF-DRP 07/03/14 Order Appointing Investigator, Social Worker of Expert ­ Dependency 52 American LegalNet, Inc. www.FormsWorkFlow.com