United States District Court Northern District of California Transcript Designation and Ordering Form U.S. Court of Appeals Case No. U.S. District Court Case No. Short Case Title Date Notice of Appeal Filed by Clerk of District Court SECTION A - To be com pleted by party ordering transcript. HEARING DATE COURT REPORTER HEARING TYPE (attach additional page for designations if necessary) I do not intend to designate any portion of the transcript and will notify all counsel of this intention. As retained counsel (or litigant proceeding in pro per), I request a copy of the transcript and guarantee paym ent to the reporter of the cost thereof upon dem and. I further agree to pay for work done prior to cancellation of this order. As appointed counsel I certify that an appropriate order authorizing preparation of the transcript at the expense of the United States has been, or within 5 days hereof, will be, obtained and delivered to the reporter. I agree to recom m end paym ent for work done prior to cancellation of this order. Name, Address and Telephone number of Attorney/Pro Per Litigant Date Transcript Ordered Signature Attorney/Pro Per Litigant This form is divided into five parts. It should be used to com ply with the Federal Rules of Appellate Procedure and the Local Rules of the U.S. Court of Appeals for the Ninth Circuit regarding the designation and ordering of court reporter's transcripts. Please note the specific instructions below. If there are further questions, contact the District Court Clerk's Office in which your case was filed: San Francisco (415) 522-2000; San Jose (408) 535-5364; or Oakland (510) 637-3530. SPECIFIC INSTRUCTIONS FOR ATTORNEYS (1) Pick up form from district court clerk’s office when filing the notice of appeal or download an interactive version of form from www.cand.uscourts.gov. (2) Com plete Section A, place additional designations on blank paper if needed. (3) Send Copy 1 to District Court. (4) Send Copy 4 to opposing counsel. Make additional photocopies if necessary. (5) Send Copies 2 and 3 to court reporter(s). Contact court reporter(s) to m ake further arrangem ents for paym ent. (6) Continue to m onitor progress of transcript preparation. COPY ONE American LegalNet, Inc. www.USCourtForms.com United States District Court Northern District of California Transcript Designation and Ordering Form U.S. Court of Appeals Case No. U.S. District Court Case No. Short Case Title Date Notice of Appeal Filed by Clerk of District Court SECTION A - To be com pleted by party ordering transcript. HEARING DATE COURT REPORTER HEARING TYPE (attach additional page for designations if necessary) I do not intend to designate any portion of the transcript and will notify all counsel of this intention. As retained counsel (or litigant proceeding in pro per), I request a copy of the transcript and guarantee paym ent to the reporter of the cost thereof upon dem and. I further agree to pay for work done prior to cancellation of this order. As appointed counsel I certify that an appropriate order authorizing preparation of the transcript at the expense of the United States has been, or within 5 days hereof, will be, obtained and delivered to the reporter. I agree to recom m end paym ent for work done prior to cancellation of this order. Name, Address and Telephone number of Attorney/Pro Per Litigant Date Transcript Ordered Signature Attorney/Pro Per Litigant SECTION B - To be com pleted by court reporter I, court reporter Arrangem ents for paym ent were m ade on have received this designation.c . NOTE TO COURT REPORTER (1) W hen designation is received, contact attorney regarding paym ent. (2) Com plete this copy and send to the court reporter supervisor. (3) Com plete and file copy #3 with the court reporter supervisor upon com pletion of the transcript. COPY TW O American LegalNet, Inc. www.USCourtForms.com United States District Court Northern District of California Transcript Designation and Ordering Form U.S. Court of Appeals Case No. U.S. District Court Case No. Short Case Title Date Notice of Appeal Filed by Clerk of District Court SECTION A - To be com pleted by party ordering transcript. HEARING DATE COURT REPORTER HEARING TYPE (attach additional page for designations if necessary) I do not intend to designate any portion of the transcript and will notify all counsel of this intention. As retained counsel (or litigant proceeding in pro per), I request a copy of the transcript and guarantee paym ent to the reporter of the cost thereof upon dem and. I further agree to pay for work done prior to cancellation of this order. As appointed counsel I certify that an appropriate order authorizing preparation of the transcript at the expense of the United States has been, or within 5 days hereof, will be, obtained and delivered to the reporter. I agree to recom m end paym ent for work done prior to cancellation of this order. Name, Address and Telephone number of Attorney/Pro Per Litigant Date Transcript Ordered Signature Attorney/Pro Per Litigant SECTION C - To be com pleted by court reporter. W hen the transcript is filed, com plete this copy and subm it it to the court reporter supervisor. Date Transcript Filed Court Reporter’s Signature print last name Section D U.S. DISTRICT COURT CLERK, I certify that the record is available in the office of the U.S. District Court. BY: (U.S. District Court Clerk) (Date) Deputy Clerk This copy is the CERTIFICATE OF RECORD. It should be transm itted to the court of appeals by the district clerk when the transcript is filed and the record is com plete in the district court. COPY THREE American LegalNet, Inc. www.USCourtForms.com United States District Court Northern District of California Transcript Designation and Ordering Form U.S. Court of Appeals Case No. U.S. District Court Case No. Short Case Title Date Notice of Appeal Filed by Clerk of District Court SECTION A - To be com pleted by party ordering transcript. HEARING DATE COURT REPORTER HEARING TYPE (attach additional page for designations if necessary) I do not intend to designate any portion of the transcript and will notify all counsel of this intention. As retained counsel (or litigant proceeding in pro per), I request a copy of the transcript and guarantee paym ent to the reporter of the cost thereof upon dem and. I further agree to pay for work done prior to cancellation of this order. As appointed counsel I certify that an appropriate order authorizing preparation of the transcript at the expense of the United States has been, or within 5 days hereof, will be, obtained and delivered to the reporter. I agree to recom m end paym ent for work done prior to cancellation of this order. Name, Address and Telephone number of Attorney/Pro Per Litigant Date Transcript Ordered Signature Attorney/Pro Per Litigant SERVICE COPY FOR OTHER PARTIES TO CASE A copy of this page m ust be served on all parties to the case. Photocopy if necessary. COPY FOUR American LegalNet, Inc. www.USCourtForms.com United States District Court Northern District of California Transcript Designation and Ordering Form U.S. Court of Appeals Case No. U.S. District Court Case No. Short Case Title Date Notice of Appeal Filed by Clerk of District Court SECTION A - To be com pleted by party ordering transcript. HEARING DATE COURT REPORTER HEARING TYPE (attach additional page for designations if necessary) I do not intend to designate any portion of the transcript and will notify all counsel of this intention. As retained counsel (or litigant proceeding in pro per), I request a copy of the transcript and guarantee paym ent to the reporter of the cost thereof upon dem and. I further agree to pay for work done prior to cancellation of this order. As appointed counsel I certify that an appropriate order authorizing preparation of the transcript at the expense of the United States has been, or within 5 days hereof, will be, obtained and delivered to the reporter. I agree to recom m end paym ent for work done prior to cancellation of this order. Name, Address and Telephone number of Attorney/Pro Per Litigant Date Transcript Ordered Signature Attorney/Pro Per Litigant FILE COPY FOR ORDERING PARTY COPY FIVE American LegalNet, Inc. www.USCourtForms.com