Cover sheet for statement of fees
(Fees only, not for expenses)
ICTY Defence teams

TEAM MEMBER	
NAME OF TEAM MEMBER		
PHONE NUMBER		
FACSIMILE NUMBER		
FUNCTION		
DATE OF ASSIGNMENT		
CASE NUMBER		
NAME OF ACCUSED		
CURRENT STAGE OF PROCEDURE	     INVESTIGATION       PRE-TRIAL       TRIAL       APPEAL	
COMMENCEMENT DATE OF PROCEDURE		

INVOICE	
MONTH COVERED BY INVOICE		
HOURLY RATE		
TOTAL NUMBER OF BILLED HOURS		
TOTAL NUMBER OF TRIAL HOURS		
TOTAL AMOUNT INVOICED		

BANK DETAILS	
BANK NAME		
BANK ADDRESS		
BANK ACCOUNT NUMBER		
NAME ACCOUNT HOLDER		
BANK ACCOUNT CURRENCY		
BANK CODE / SORT CODE		
SWIFT CODE / BIC		
IBAN		

		Signature			  Signature Lead Counsel			   Date