Free Non-Crim SRT form - District of Columbia

Appeal No.: ___________ Superior Court Case No(s).: _______________________ Case Caption: ________________________________________________

STATEMENT REGARDING TRANSCRIPTS
No transcripts needed for this appeal Court Reporter or Tape Proceeding date(s) and/or portion Date of Order*
(Note if transcript completed)

(COMPLETE REVERSE SIDE)
* Date order placed with Court Reporting and Recording Division (CRRD). If appellant is proceeding on appeal in forma pauperis, provide the date a motion for transcript was filed with the Appeal Coordinator's Office. -2-

non-crim rev 11/20

Respectfully Submitted,
Signature: _________________________ _________________________ _________________________ _________________________ _________________________ _________________________ Telephone No: _________________________

Date ___________________
Name (print): Bar no.: Address:

CERTIFICATE OF SERVICE I hereby certify that a copy of this report regarding ordered transcripts was served by hand/mailed, first class postage prepaid, this ______ day of _____________, 20__, on the following:

Signature: ________________________________

non-crim rev 11/20