Civil Appeal Docketing Statement Template (Page 4 of 4) in pdf

Civil Appeal Docketing Statement Template Page 4

COUNSEL FOR APPELLANT(S):

TRIAL COUNSEL FOR APPELLANT(S)

(If different than Appeal Counsel)

NAME: _____________________________

NAME: ____________________________________

ADDRESS: __________________________

ADDRESS: _________________________________

____________________________________

__________________________________________

TELEPHONE: (

)__________________

TELEPHONE: (

)_________________________

808

I CERTIFY THAT A COPY OF THIS CIVIL APPEAL DOCKETING STATEMENT WAS SUBMITTED

TO THE CLERK OF THE LOWER COURT/AGENCY AND THAT IT WAS SERVED ON EACH

PARTY/COUNSEL SHOWN ON THE ATTACHED SERVICE LIST.

________________________________

_________________________________________

Signature

Date

REMEMBER TO ATTACH COPIES OF (1) THE ORDER/JUDGMENT APPEALED FROM, (2) ANY

WRITTEN OPINION OR FINDINGS OF FACT AND CONCLUSIONS OF LAW SUPPORTING THE

ORDER/JUDGMENT, AND (3) PROOF OF SERVICE ON ALL OTHER PARTIES TO THE PROCEED-

INGS BELOW (WITH TELEPHONE NUMBERS)

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Civil Appeal Docketing Statement Template Page 4