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John Smith, M.D., P.A. ________________________________________________________________________________________ ATTORNEY SIGNATURE : _______________________________ TIME BEGAN___________________ TIME
ENDED________________ ............................................................................ DEPOSITION:POLICY......A MINIMUM FEE @$500
IS REQUIRED PRIOR TO THE DEPOSITION FOR ONE HOUR. SHOULD THE DEPO EXTEND BEYOND
60 MINUTES, THE BALANCE SHALL BE PAID @ $125 FOR EACH 15 MINUTE
SEGMENT THEREAFTER. A MINIMUM FEE @ $600 IS REQUIRED PRIOR TO A
VIDEO DEPOSITION FOR ONE HOUR. SHOULD THE VIDEO DEPOSITION EXTEND BEYOND 60
MINUTES, THE BALANCE SHALL BE PAID $150 FOR EACH 15
MINUTE SEGMENT THEREAFTER. I UNDERSTAND I AM RESPONSIBLE FOR ANY BALANCE
DUE FOR ADDITIONAL TIME ON THIS DEPOSITION. _____________________________________________________________________________________ SIGNATURE OF ATTORNEY REQUESTING DEPOSITION TIME BEGAN___________________ TIME
ENDED________________ ............................................................................................................................... SIGN-IN PLAINTIFF ATTORNEY:
_____________________________ .................................................FOR
OFFICE USE ONLY........................................................... CONF/ PAID_____________ BAL_____________ DEPO/PAID _____________ BAL_____________
POSTED_______________
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Name:___________________________________________
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DEFENSE ATTORNEY: ______________________________
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Name: ___________________________________________
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COURT REPORTER: __________________________________
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Name: ____________________________________________
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