Free APPEAL - CIVIL - Connecticut

APPEAL - CIVIL

JD-SC-28 Rev. 2-99 P.B. §§ 3-8, 62-8, 63-3, 63-4, 63-10 C.G.S. §§ 51-197f, 52-470

TO SUPREME COURT TO APPELLATE COURT

INSTRUCTIONS 1. Prepare on typewriter. 2. Sign "Appeal" and "Certification" sections, marked by X below. 3. Submit the original to the trial court clerk, who shall endorse it and return an endorsed photocopy to counsel. 4. The trial court clerk shall send a copy of the endorsed appeal form to the trial judge. 5. Counsel shall file the endorsed copy of the appeal form, along with the papers required by P.B. §§ 63-3 and 63-4 with the Appellate Clerk.

www.jud.ct.gov

NAME OF CASE (State full name of case as appears in judgment file) CLASSIFICATION
APPEAL CORRECTED/ AMENDED APPEAL FORM OTHER (Specify)

CROSS APPEAL

JOINT APPEAL

AMENDED APPEAL

CONSOL DATED APPEAL

STIPULATION FOR RESERVATION

TRIED TO

TRIAL COURT LOCATION

COURT
TRIAL COURT JUDGE

JURY
LIST ALL TRIAL COURT DOCKET NUMBERS

JUDGMENT FOR (Where there are multiple parties, specify any individual party(ies) for whom judgment may have been entered )

PLAINTIFF
TRIAL COURT HISTORY
JUDGMENT DATE CASE TYPE

DEFENDANT

OTHER:
DATE OF ISSUANCE OF NOTICE ON ANY ORDER ON ANY MOTION WHICH WOULD RENDER JUDGMENT INEFFECTIVE

DATE FOR FILING EXTENDED APPEAL

JUVENILE HABEAS CORPUS

CIVIL: Major/Minor code OTHER

FAMILY

WORKERS COMPENSATION

For habeas corpus or zoning appeals indicate the date certification was granted:
APPEAL FILED BY (Where there are multiple parties, specify the name of the individual party(ies) filing this appeal )

DATE CERTIFICATION GRANTED

PLAINTIFF

DEFENDANT

OTHER

FROM (the action which constitutes the final judgment):

APPEAL
IF TO SUPREME COURT, STATUTORY BASIS FOR THE APPEAL (C.G.S. § 51-199) BY (Signature of attorney or pro se party) TELEPHONE NO. FAX NO. JURIS NO. (If applicable)

X
TYPE NAME AND ADDRESS OF PERSON SIGNING ABOVE (This is your appearance; see P.B. § 62-8) "X" ONE IF APPLICABLE

APPEARANCE

Pursuant to P.B. § 62-8, counsel who files this appeal shall be deemed to have appeared in addition to counsel of record who appeared in the trial court. NAME OF COUNSEL AND JURIS NO. Pursuant to P.B. § 3-8 counsel who files this appeal is appearing in lieu of:
INDICATE WHICH OF THE FOLLOWING ARE ATTACHED BY PLACING AN "X" IN THE PROPER BOX(ES)

1. PRELIMINARY STATEMENT OF THE ISSUES ATTACHMENTS 2. PRELIMINARY DESIGNATION OF PLEADINGS 3. COURT REPORTER'S ACKNOWLEDGMENT/ CERTIFICATE RE TRANSCRIPT 4. DOCKETING STATEMENT CERTIFICATION
(P.B. § 63-3)
I HEREBY CERTIFY THAT A COPY HEREOF WAS SERVED ON ALL COUNSEL AND PRO SE PARTIES OF RECORD IN ACCORDANCE WITH THE PROVISIONS OF P B. § 62-7 ON:*

5. STATEMENT FOR PREARGUMENT CONFERENCE 6. DRAFT JUDGMENT FILE 7. CONSTITUTIONALITY NOTICE 8. DS1 (DOCKET SHEETS)
SIGNED (Individual counsel)

DATE

X

* Attach list with name, address, telephone and facsimile numbers of each counsel and pro se party served.

TO BE COMPLETED BY TRIAL COURT CLERK
COURT USE ONLY - FILE DATE

Entry Fee Paid No Fees Required Fees, Costs, and Security waived by Judge:
JUDGE DATE

SIGNED (Clerk of trial court)

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SETTLEMENT MATERIAL - CONFIDENTIAL
STATEMENT FOR PREARGUMENT CONFERENCE
JD-SC-28 (Page 2) Rev. 2-99 INSTRUCTIONS 1. Prepare on typewriter; serve copies on opposing counsel (P.B. § 62-7) 2. List on the reverse side of form the names and addresses of opposing counsel and pro se parties that have been served with a copy of this form. 3. If you are the appellant, you are required to attach a copy of the trial court's written memorandum of decision or a transcript of the trial court's oral decision pursuant to P.B § 64-1. 4. Submit in duplicate to the Appellate Clerk at the address shown. 5. Retain a copy for yourself to bring to the conference. NAME OF CASE(S) CASE TYPE BRIEFLY DESCRIBE THE FINAL JUDGMENT/RULING APPEALED PARTY OR PARTIES APPEALING ATTORNEY OR PRO SE PARTY FILING STATEMENT FOR PREARGUMENT CONFERENCE/JURIS NO. ADDRESS (No., street, town, state and zip) FILING STATUS (Check all that apply) TELEPHONE NO.

CONNECTICUT JUDICIAL BRANCH APPELLATE CLERK 231 CAPITOL AVENUE P.O. DRAWER Z, STATION A HARTFORD CT 06106

FOR COURT USE ONLY (Docket Numbers)

ATTORNEY

PRO SE

APPELLANT

CROSS-APPELLANT

1. State the issues you intend to present on the appeal or cross-appeal or, alternatively, attach a copy of your Preliminary Statement of the Issues to this form (P.B. §§ 61-8, 63-4). Continue on separate page if necessary.

2. If this appeal was filed in the Appellate Court, should it be transferred to the Supreme Court?

YES

NO

3. Would you be willing to waive oral argument in this case?

YES

NO (EXPLAIN BELOW)

4. Have you attached a copy of the memorandum of decision or a transcript of oral decision?

YES

NO (EXPLAIN BELOW)

NOTICE TO COUNSEL
The failure to file this form, or the failure to attend a preargument conference, may result in the imposition of sanctions (P.B. §§ 85-2, 85-3). It is the duty of counsel to communicate with each other to assure attendance at the conference. I hereby certify that a copy of the above was mailed to all counsel and pro se parties of record in accordance with the provisions of Practice Book section 62-7.
SIGNATURE OF INDIVIDUAL COUNSEL/PRO SE DATE SIGNED

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