UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA
Plaintiff
vs.
Civil Action No.
Defendant
NOTICE OF APPEAL
Notice is hereby given this day of , 20 , that
hereby appeals to the United States Court of Appeals for the District of Columbia Circuit from the judgement of this Court entered on the favor of against said . day of , 20 , in
Attorney or Pro Se Litigant
(Pursuant to Rule 4(a) of the Federal Rules of Appellate Procedure a notice of appeal in a civil action must be filed within 30 days after the date of entry of judgment or 60 days if the United States or officer or agency is a party)
CLERK
Please mail copies of the above Notice of Appeal to the following at the addresses indicated:
[USCADC Form __ (Rev. Jan 2009)]