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ASSIGNED COUNSEL EXPENDITURE REQUEST Formal to:Charles S. Martin, ACC Martin and Associates, P.C. P.O. Box 607 Barre, Vermont 05641 Fax: (802) 4795414 Phone: (802) 4790568FROM: NAME___FIRM: ___ADDRESS___PHONE______DATE

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Assigned counsel legal temporary is a program that provides legal representation to individuals who cannot afford an attorney.

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Individuals who meet certain income eligibility requirements and cannot afford to hire their own attorney are required to file assigned counsel legal temporary.

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