United States Court of Appeals
District of Columbia Circuit
All Cases Other than Administrative Agency Cases (To be completed by appellant) 1. CASE NO. 3. CASE NAM E (lead parties only) 4. TYPE OF CASE: 2. DATE DOCKETED
v. [ ] District Ct - [ ] US Civil [ ] Private Civil [ ] Criminal [ ] Bankruptcy [ ] Bankruptcy - if direct from Bankruptcy Court [ ] Original proceeding 5. IS THIS CASE REQUIRED BY STATUTE TO BE EXPEDITED? YES NO If YES, cite statute: 6. CASE INFORM ATION: a. District Court Docket No. Bankruptcy Court Docket No. Tax Court Docket No. Civil Action Bankruptcy Tax Criminal Adversary M iscellaneous Ancillary b. Review is sought of: [ ] Final Order [ ] Interlocutory Order appealable as of right [ ] Interlocutory Order certified for appeal c. Name of judge who entered order being appealed: Judge M agistrate Judge d. Date of order(s) appealed (use date docketed): e. Date notice of appeal filed: f. Has any other notice of appeal been filed in this case? YES NO If YES, give date filed: g. Are any motions currently pending in trial court? YES NO If YES, identify motion and date filed: h. Has a transcript of proceedings been ordered pursuant to FRAP 10(b)? YES NO If NO, why not? i. Has this case previously been before this Court under another appeal number? YES, Appeal # NO j. Are any cases involving the same underlying order or, to counsel's knowledge, involving substantially the same issue, currently pending before the District Court, this Court, another Circuit Court, or the Supreme Court? YES NO If YES, give name of the court, case name, and docket number for each case:
Does this case turn on the validity or correct interpretation or application of a particular statute? YES NO If YES, give popular name and citation of statute: 7. Have the parties attempted to resolve the issues in this case through arbitration, mediation, or any other alternative for dispute resolution? YES NO If so, provide the name of the program and the dates of participation.
Signature Name of Party (Print) Name of Counsel (Print) Address Phone
If counsel for any other party believes that the information submitted is inaccurate or incomplete, counsel may so advise the Clerk within 7 calendar days by letter, with copies to all other parties, specifically referring to the challenged statement. An original and one copy of such letter should be submitted. Attach a certificate of service to this form.
[USCADC Form 9 (Rev. Jul 2006)]