Form Coa-B - Docketing Statement B
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IN THE COURT OF APPEALS
(for court system use)
OF THE STATE OF ALASKA
DOCKETING STATEMENT B
FOR USE WITH PETITIONS FOR HEARING, PETITIONS FOR
REVIEW, AND ORIGINAL APPLICATIONS
INSTRUCTIONS FOR MULTIPLE PARTIES OR ATTORNEYS: If there
are multiple parties or attorneys, repeat the appropriate box. This may be done on
a separate page. Please clearly indicate which attorney represents which party.
No.
1. TYPE OF PETITION
Date of Distribution
Superior Court
Superior Court
of Decision or Order
Case Number
Judge
Type of Petition
Subsequent Proceedings
to be Reviewed
Petition for Rehearing:
a.
Petition for Hearing
not filed
from Superior Court
filed. Date filed:
Date of distribution of order denying petition:
Motion for Reconsideration:
b.
Petition for Review
not filed
filed. Date filed:
denied by order distributed:
deemed denied under Civil Rule 77(k)(4).
c.
Original Application
from trial court case No.
. Judge
.
Other. Explain:
.
2. PETITIONER
a. Name
b. Status in the Trial Court
Plaintiff
Defendant
c. Petitioner Mailing Address (not attorney’s address)
Other Specify:
.
City
State
Zip Code
d. Telephone
3. PETITIONER’S ATTORNEY
a. Name
b. Bar Number
Court Apptd
c. Attorney Mailing Address
d. Telephone
e. Fax
City
State
Zip Code
f. Firm/Agency
4. RESPONDENT
a. Name
b. Status in the Trial Court
Plaintiff
Defendant
c. Respondent Mailing Address
Other Specify:
.
City
State
Zip Code
d. Telephone
COA-B (rev. 8/15)
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