5. RESPONDENT’S ATTORNEY
a. Name
Court Apptd
b. Bar Number
c. Attorney Mailing Address
d. Telephone
e. Fax
City
State
Zip Code
f. Firm/Agency
6. CONSTITUTIONAL ISSUES
Yes
No
Is the constitutionality of a state statute or regulation at issue in this proceeding?
If yes, cite statute or regulation:
7. SENTENCE PETITIONS ONLY
a.
Excessiveness of the sentence is the ONLY issue.
A transcript of the sentencing proceeding is requested because Petitioner is indigent.
b.
(If petitioner has not been adjudicated indigent by the trial court, a completed, financial statement affidavit form must be
attached.)
8. ATTACHMENTS
The following items are submitted with this form ( a, b, or c must be check unless this is a notice of intent to file sentence petition):
a.
The original petition for review and SIX copies or
petition for hearing from the superior court and SIX copies; OR
b.
The original petition for hearing from the court of appeals and NINE copies; OR
c.
The original application and SIX copies.
d.
A copy of the judgment or order from which relief is sought attached to the original petition and EACH copy.
e.
A $200 filing fee or
a motion to appeal at public expense (financial statement affidavit form must be included).
a motion to waive filing fee (if basis for motion is inability to pay, financial statement affidavit
form must be included).
no filing fee is required because appellant is
represented by court-appointed counsel.
the state or an agency thereof.
an employee appealing denial of benefits
under AS 23.20 (Employment Security Act)
f.
A motion for expedited action
submitted
not submitted.
g.
A motion for stay of trial court proceedings
submitted
not submitted
Date
Signature of Petitioner or Petitioner’s Attorney
CERTIFICATE OF SERVICE
I certify that on
a copy of this docketing statement and
all attachments (except filing fee) were
mailed
delivered
to All Parties in the trial court (listed)
Signature:
SCT-B- 2 (rev. 8/15)