Free Form C-A ( for Agency Cases) - Federal

UNITED STATES COURT OF APPEALS FOR THE SECOND CIRCUIT AGENCY APPEAL PRE-ARGUMENT STATEMENT (FORM C-A)

9

APPLICATION FOR ENFORCEMENT
2. PLEASE TYPE OR PRINT. AGENCY NAME:

9

PETITION FOR REVIEW

1. SEE NOTICE ON REVERSE. CAPTION:

3. STAPLE ALL ADDITIONAL PAGES AGENCY NO.:

DATE THE ORDER UPON WHICH REVIEW OR ENFORCEMENT IS SOUGHT WAS ENTERED BELOW:

ALIEN NO : (Immigration Only)

DATE THE PETITION OR APPLICATION WAS FILED:

Is this a cross-petition for review / cross-application for enforcement? 9 YES 9 NO E-mail:

Contact Information for Petitione r(s) Attorney:

Counsel's Name:

Address:

Telephone No.:

Fax No.:

Contact Information for Resp onde nt(s) Attorney: JURISDICTION OF THE COURT OF APPEALS (provide U.S.C. title and section):

Counsel's Name:

Address:

Telephone No.:

Fax No.:

E-mail:

APPROX. NUMBER OF PAGES IN THE RECORD:

APPROX. NUMBER OF EXHIBITS IN THE RECORD:

Has this matter been before this Circuit previously? If Yes, provide the following: Case Name: 2d Cir. Docket No.:

9 Yes

9 No

Reporter Citation: (i.e., F.3d or Fed. App.)

ADDENDUM "A": COUNSEL MUST ATTACH TO THIS FORM: (1) A BRIEF, BUT NOT PERFUNCTORY, DESCRIPTION OF THE NATURE OF THE ACTION; (2) THE RESULT BELOW; AND (3) A COPY OF ALL RELEVANT OPINIONS/ORDERS FORMING THE BASIS FOR THIS PETITION FOR REVIEW OR APPLICATION FOR ENFORCEMENT. ADDENDUM "B": COUNSEL MUST ATTACH TO THIS FORM: (1) THE RELIEF REQUESTED; (2) A LIST OF THE PROPOSED ISSUES; AND (3) THE APPLICABLE APPELLATE STANDARD OF REVIEW FOR EACH PROPOSED ISSUE. PART A: STANDING AND VENUE STANDING PETITIONER / APPLICANT IS: VENUE COUNSEL MUST PROVIDE IN THE SPACE BELOW THE FACTS OR CIRCUMSTANCES UPON WHICH VENUE IS BASED:

9 9

AGENCY

9 OTHER PARTY

NON-PARTY (SPECIFY STANDING):

IMPORTANT. COMPLETE AND SIGN REVERSE SIDE OF THIS FORM. FORM C-A (Rev. April 2006)
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PART B: NATURE OF ORDER UPON WHICH REVIEW OR ENFORCEMENT IS SOUGHT (Check as many as apply) TYPE OF CASE: ADMINISTRATIVE REGULATION/ RULEMAKING BENEFITS REVIEW UNFAIR LABOR HEALTH & SAFETY COMMERCE ENERGY IMMIGRATION-includes denial of an asylum claim IMMIGRATION-does NOT include denial of an asylum claim TARIFFS OTHER: (SPECIFY)

1. Is any matter relative to this petition or application still pending below?

9 Yes, specify:

9 No

2. To your knowledge, is there any case presently pending or about to be brought before this Court or another court or administrative agency which: (A) Arises from substantially the same case or controversy as this petition or application ? 9 Yes 9 No (B) Involves an issue that is substantially similar or related to an issue in this petition or application ? 9 Yes 9 No

If yes, state whether 9 "A," or 9 "B," or 9 both are applicable, and provide in the spaces below the following information on the other action(s):
Case Name: Docket No. Citation: Court or Agency:

Name of Petitioner or Applicant:

Date:

Signature of Counsel of Record :

NOTICE TO COUNSEL
Once you hav e filed your Petition for Review or App lication for Enforcement, you have on ly ten (10) calendar da ys in which to comp lete the follow ing impo rtant step s: 1. 2. Co mple te this Agency A ppe al Pre -Argument Statem ent (Fo rm C-A); serve it upo n your adve rsary, and file an o riginal and one cop y with the Clerk of the Seco nd C ircuit. Pay the $4 50 d ocketing fee to the C lerk of the Seco nd C ircuit, unless you are autho rized to pro secute the appeal without p ayment. PLEASE NOTE: IF YOU DO NOT C OM PLY W ITH THESE R EQUIREM ENTS W ITHIN TEN (10) CALEN DAR D AYS, YO UR PETIT ION F OR RE VIE W OR AP PL ICA TIO N F OR EN FO RC EM EN T W ILL BE DIS M ISSE D. SEE TH E CIV IL APPEALS MANAGEMENT PLAN OF THE UNITED STATES COURT OF APPEALS FOR THE SECOND CIRCUIT.

FORM C-A (Rev. April 2006)

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