Information on Appeal Procedures for Limited Civil Caseswww.courts.ca.gov/formsWhat Is Proof of Service?www.courts.ca.gov/selfhelp-serving.htm. Clerk stamps date here when form is filed. You fill in the number and name of the trial court case in which you are appealing the judgment or order:You fill in the name and street address of the courtthat issued the judgment or order you are appealing:You fill in the appellate division case number (if you know it): (if different): (skip this if the respondent does not have a lawyer for this appeal): City State Street Zip Street City State Zip (if different): City State Street Zip Street City State Zip (skip this if the respondent has a lawyer for this appeal): www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com (For each exhibit, give the exhibit number (such as Plaintiff222s #1 or Defendant222s A) and a brief description of the exhibit and indicate whether or not the court admitted the exhibit into evidence. If the trial court has returned a designated exhibit to a party, the party who has that exhibit must deliver it to the trial court clerk as soon as possible.) (Identify each document you want included by its title and provide the date it was filed or, if that is not available, the date the document was signed). If you want any documents or exhibits in addition to those designated by the appellant to be included in the clerk222s transcript, you must identify those documents here. Check here if you need more space to list other documents and attach a separate page or pages listing those documents. At the top of each page, write 223APP-110, item 4a(1).224 Check here if you need more space to list other exhibits and attach a separate page or pages listing those exhibits. At the top of each page, write 223APP-110, item 4a(2).224 (fill in the date): (fill in the date): American LegalNet, Inc. www.FormsWorkFlow.com (You must identify each proceeding you want included by its date, the department in which it took place, a description of the proceedings (for example, the examination of jurors, motions before trial, the taking of testimony, or the giving of jury instructions), the name of the court reporter who recorded the proceedings, and whether a certified transcript of the designated proceeding was previously prepared.)(continued) (If you want any proceedings in addition to the proceedings designated by the appellant to be included in the reporter222s transcript, you must identify those proceedings here.) (check and complete only one of the following below227a, b, or c): Check here if you need more space to list other proceedings and attach a separate page or pages listing those proceedings. At the top of each page, write 223APP-110, item 5a(1).224 (Check and complete (1) or (2).) (check (a) or (b) and submit the checked document): Use(form FW-001). The court will review this form to decide if you are eligible for a fee waiver.) American LegalNet, Inc. www.FormsWorkFlow.com (continued) (check and complete (i) or (ii)): (If you want any proceedings in addition to the proceedings designated by the appellant to be included in the transcript, you must identify those proceedings here.) You must identify each proceeding you want included by its date, the department in which it took place, a description of the proceedings, and if you know it, the name of the electronic recording monitor who recorded the proceedings.) Respondent222s Notice Designating Record on Appeal (Check and complete (a) or(b).) American LegalNet, Inc. www.FormsWorkFlow.com (continued) (Use(form FW-001).The court will review this form to decide if you areeligible for a fee waiver.) (Check and complete (1) or (2).) (Check (i) or (ii) and submit the appropriate document): (Check (a) or (b) and submit the appropriate document): (Use(form FW-001).The court will review this form to decide if you areeligible for a fee waiver.) Type or print your nameSignature of respondent or attorney Check here if you need more space to describe any proceeding or to list other proceedings and attach a separate page describing or listing those proceedings. At the top of each page, write 223APP-110, item 5b(1).224 (Check and complete (a) or (b).) American LegalNet, Inc. www.FormsWorkFlow.com