Form 6. Civil Appeals Docketing Statement USCA DOCKET # (IF KNOWN) UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT CIVIL APPEALS DOCKETING STATEMENT PLEASE ATTACH ADDITIONAL PAGES IF NECESSARY. TITLE IN FULL: DISTRICT: JUDGE: DISTRICT COURT NUMBER: DATE NOTICE OF APPEAL FILED: G YES IS THIS A CROSS-APPEAL? IF THIS MATTER HAS BEEN BEFORE THIS COURT PREVIOUSLY, PLEASE PROVIDE THE DOCKET NUMBER AND CITATION (IF ANY): BRIEF DESCRIPTION OF ACTION AND RESULT BELOW: PRINCIPAL ISSUES PROPOSED TO BE RAISED ON APPEAL: PLEASE IDENTIFY ANY OTHER LEGAL PROCEEDING THAT MAY HAVE A BEARING ON THIS CASE (INCLUDE PENDING DISTRICT COURT POST-JUDGMENT MOTIONS): DOES THIS APPEAL INVOLVE ANY OF THE FOLLOWING: G Possibility of settlement G Likelihood that intervening precedent will control outcome of appeal G Likelihood of a motion to expedite or to stay the appeal, or other procedural matters (specify) G Any other information relevant to the inclusion of this case in the Mediation Program G Possibility parties would stipulate to binding award by Appellate Commissioner in lieu of submission to judges. Effective 7/1/2000 A-11a (10/00) CIVIL APPEALS DOCKETING STATEMENT Page 1 of 2 2002 © American LegalNet, Inc. LOWER COURT INFORMATION JURISDICTION FEDERAL G FEDERAL DISTRICT COURT DISPOSITION APPELLATE TYPE OF JUDGMENT / ORDER APPEALED G G G G G G G G G G FINAL DECISION OF QUESTION DISTRICT COURT G DIVERSITY G INTERLOCUTORY G OTHER (SPECIFY) Page 2 of 2 DECISION APPEALABLE AS OF RIGHT G INTERLOCUTORY DEFAULT JUDGMENT DISMISSAL / JURISDICTION DISMISSAL / MERITS SUMMARY JUDGMENT JUDGMENT / COURT DECISION JUDGMENT / JURY VERDICT DECLARATORY JUDGMENT JUDGMENT AS A MATTER OF LAW OTHER (SPECIFY): RELIEF G DAMAGES: SOUGHT $ AWARDED $ G INJUNCTIONS: G PRELIMINARY G PERMANENT G GRANTED G DENIED G ATTORNEY FEES: ORDER CERTIFIED BY DISTRICT JUDGE (SPECIFY): SOUGHT $ AWARDED $ G PENDING G COSTS: $ G OTHER (SPECIFY): CERTIFICATION OF COUNSEL I CERTIFY THAT: 1. COPIES OF ORDER / JUDGMENT APPEALED FROM ARE ATTACHED. 2. A CURRENT SERVICE LIST OR REPRESENTATION STATEMENT WITH TELEPHONE AND FAX NUMBERS IS ATTACHED ( SEE 9TH CIR. RULE 3-2 3. A COPY OF THIS CIVIL APPEALS DOCKETING STATEMENT WAS SERVED IN COMPLIANCE WITH FRAP 25. 4. I UNDERSTAND THAT FAILURE TO COMPLY WITH THESE FILING REQUIREMENTS MAY RESULT IN SANCTIONS, INCLUDING DISMISSAL OF THIS APPEAL. Signature Date COUNSEL WHO COMPLETED THIS FORM NAME: FIRM: ADDRESS: E-MAIL: TELEPHONE: FAX: * THIS DOCUMENT SHOULD BE FILED IN THE DISTRICT COURT WITH THE NOTICE OF APPEAL* * IF FILED LATE, IT SHOULD BE FILED DIRECTLY WITH THE U.S. COURT OF APPEALS* Effective 7/1/2000 A-11a (10/00) CIVIL APPEALS DOCKETING STATEMENT Page 1 of 2 2002 © American LegalNet, Inc.