UNITED STATES COURT OF APPEALS INTERNAL USE ONLY FOR THE NINTH CIRCUIT CIVIL APPEALS DOCKETING STATEMENT PLEASE TYPE OR PRINT. ATTACH ADDITIONAL PAGES IF NECESSARY DISTRICT: JUDGE: DATE COMPLAINT FILED: TITLE IN FULL: DISTRICT COURT DOCKET NUMBER: DATE NOTICE OF APPEAL FILED: IS THIS A CROSS-APPEAL? YES NO HAS THIS MATTER BEEN BEFORE THIS COURT PREVIOUSLY? _____YES _____NO IF YES, STATE WHEN: CASE NAME: CITATION: DOCKET NUMBER: CHECK AS MANY AS APPLY JURISDICTION 1. FEDERAL ( ) FEDERAL QUESTION 2. APPELLATE 1. STAGE OF PROCEEDINGS 2. TYPE OF JUDGMENT/ ORDER APPEALED ( ) INTERLOCUTORY DECISION APPEALABLE AS OF RIGHT ( ) PRE-TRIAL ( ) DEFAULT JUDGMENT ( ) DURING TRIAL ( ) FINAL DECISION OF DISTRICT COURT ( ) DIVERSITY ( ) OTHER (SPECIFY): DISTRICT COURT DISPOSITION 3. RELIEF ( ) JUDGMENT/COURT DECISION ( ) AFTER TRIAL ( ) INTERLOCUTORY ORDER CERTIFIED BY DISTRICT JUDGE (SPECIFY) ( ) DAMAGES: AMOUNT SOUGHT $____________ ( ) DISMISSAL/JURISDICTION AMOUNT ( ) GRANTED: ( ) DENIED:$________________ ( ) JUDGMENT/JURY VERDICT ( ) INJUNCTIONS ( ) PRELIMINARY OR ( ) PERMANENT ( ) DISMISSAL/MERITS ( ) GRANTED OR ( ) DENIED ( ) OTHER (SPECIFY) ( ) SUMMARY JUDGMENT ( ) JUDGMENT NOV ( ) DECLARATORY JUDGMENT ( ) DIRECTED VERDICT ( ) OTHER (SPECIFY) BRIEF DESCRIPTION OF NATURE OF ACTION AND RESULT BELOW: ________________________________________________________________________________________________________________________________________________________________ ISSUES PROPOSED TO BE RAISED ON APPEAL: 2001 © American LegalNet, Inc. BASED ON YOUR PRESENT KNOWLEDGE: Does this appeal involve a question of first impression? _____Yes _____No Will the determination of this appeal turn on the interpretation or application of a particular case or statute? _____ Yes _____No If yes, provide Case name/statue: ________________________ _______________________________________ Citation: ________________________________ Docket number, if unreported:_______________ _______________________________________ Is there any case now pending or about to be filed in this court or any other court or administrative agency which: a) Arises from substantially the same case or controversy as this appeal? _____ Yes _____No b) Involves an issue that is substantially the same, similar or related to an issue in this appeal? _____ Yes _____No DOES THIS APPEAL INVOLVE ANY OF THE FOLLOWING: _____ Possibility of settlement; _____ Likelihood of a motion to expedite the appeal; _____ Multiple parties on either side for whom joint briefing is possible; _____ Likelihood of motions to intervenue on appeal; _____ Likelihood of motions to file amicus briefs; _____ Likelihood of motions to stay appeal pending resolution of a related case. Identify case name, docket number and court or agency: ________________________________________ ________________________________________ ________________________________________ _____ Other procedural complexities: ________________________________________ ________________________________________ Case name: _____________________________ _______________________________________ Citation: ________________________________ Court or Agency:__________________________ Docket number, if unreported: _______________ _______________________________________ Will this appeal involve a conflict of law within the Ninth Circuit? _____ Yes _____No ________________________________________ COUNSEL FOR APPELLANT(S): NAME: _________________________________ ________________________________________ FIRM: __________________________________ ADDRESS: ______________________________ ________________________________________ Among circuits? _____ Yes _____No If yes, explain briefly: _____________________________________________ _____________________________________________ _____________________________________________ ________________________________________ TELEPHONE: ( ) I CERTIFY THAT A COPY OF THIS CIVIL APPEALS DOCKETING STATEMENT WAS SUBMITTED TO THE CLERK OF DISTRICT COURT OR THE U.S. COURT OF APPEALS, AND THAT IT WAS SERVED ON EACH PARTY/COUNSEL SHOWN ON THE ATTACHED SERVICE LIST. ______________________________ SIGNATURE _____________ DATE REMEMBER TO ATTACH COPIES OF ORDER/JUDGMENT APPEALED FROM AND SERVICE LIST WITH TELEPHONE NUMBERS 2001 © American LegalNet, Inc.