Free FORM1.pdf - Ohio

FORM 1 OHIO TWELFTH DISTRICT COURT OF APPEALS

CRIMINAL DOCKET STATEMENT
Revised 01/01/2004 APPEAL NUMBER TRIAL COURT NO. TRIAL COURT JUDGE

Parties:

Counsel:*

(Name & Supreme Court Registration No.)

(Address)

Plaintiff-Appellant/Appellee (Circle designation)

(Telephone No.)

Filing appeal but not representing party on appeal vs. vs.

(Name & Supreme Court Registration No.)

(Address)

Defendant-Appellant/Appellee (Circle designation)

(Telephone No.)

Filing appeal but not representing party on appeal

1.

This appeal should be assigned to: A. The Regular Calendar with Full Briefing Transcript is more than 100 pages Brief in excess of 15 pages is necessary to argue the issues adequately, or more than 15 days will be required to file the brief Appeal concerns unique issues of law which will be of substantial precedential value in determination of similar cases Other:
* Please list at least one counsel for each party to the appeal. If a party will be represented by more than one counsel, designate which counsel is to be primarily responsible for prosecuting the appeal and receiving notices and pleadings from the court and all other parties. See Loc.R. 9(A).

B. The Accelerated Calendar No transcript required Transcript consists of less than 100 pages, or is of such length that preparation time will not be a source of delay Agreed statement will be submitted in lieu of record within 20 days Record was made in an administrative hearing and was filed with the trial court All parties to the appeal agree to an assignment to the accelerated calendar and agree to comply with filing requirements of Loc.R. 6 Other: YES 2. 3. 4. 5. 6. 7. 8. 9. Was counsel appointed for trial? Has counsel been appointed for appeal by trial court? (See Loc.R. 9[C]) Will request for appointment of counsel be made to this court? Was Motion for Bond or Stay of Execution made in the trial court? If so, was the motion granted? Offense(s) convicted of: Length of sentence: Probable issues for review: YES 10. Does this appeal turn on the interpretation of a particular case, statute or rule? If yes, list the case, statute or rule: 11. Was a presentence, psychiatric or other investigative report submitted to the court in writing before sentence was imposed? 12. Type of record to be filed: Complete transcript of proceedings Partial transcript of proceedings Estimated length of transcript as ordered: Specify parts ordered: Estimated length of transcript as ordered: Statement of record pursuant to App.R. 9(C) or (D) No transcript of proceedings or App.R. 9(C) or (D) statement to be filed or transcript or App.R. 9. statement is presently part of the record. If this box is checked, the court will consider YES NO NO NO

this to be a Loc.R. 5 notice for purposes of completing the record on appeal.
13. Time needed to complete transcript: 14. Time needed to file brief after record is complete (not to exceed 15 days for accelerated calendar cases): 14. List all related or pending appeals:

Counsel's Signature