SUPERIOR COURT Docket No. , ss
STATE OF MAINE DISTRICT COURT Location Docket No.
v.
NOTICE OF APPEAL Civil Criminal
I appeal from the judgment, order or ruling entered in this proceeding on . If this is a civil appeal, the Statement of the Issues (reasons for appeal) are (as follows) (attached) pursuant to M.R. App. P. 5 (b)(2)(A).
This case arises from the Maine Tort Claims Act requiring the clerk to send a copy of this Notice of Appeal to the Office of the Attorney General. If this is a criminal appeal, check one of the following: The defendant is presently confined at The defendant is not in custody. The defendant's address is CHECK APPLICABLE BOX: The Transcript Order form is attached. No transcript will be ordered. No electronic or other recording of the proceedings can be prepared for this civil case. Therefore, a statement in lieu of transcript will be prepared pursuant to M.R.App.P. 5 (d). Date: Appellant Appellant's attorney Appellant's address Attorney's address THIS NOTICE OF APPEAL MUST BE FILED IN THE COURT WHERE THE HEARING OR TRIAL WAS HELD. NOTICE: If this is an appeal from a civil case or a criminal case involving an adult defendant, this notice must be filed within 21 days of the entry of the judgment in the docket. If this is an appeal from a case involving the extradition of a fugitive to another state, this notice must be filed within 7 days of the entry of the judgment in the docket. Warning: Small Claims, Forcible Entry & Detainer and Juvenile matters have differing time limits for filing a Notice of Appeal. If this is an appeal from a Small Claims, Forcible Entry and Detainer or Juvenile matter, another form must be used which is available from the clerk.
CV/R-162, Rev. 09/03