Court of Appeals, State of Colorado 2 East 14th Ave., Denver, CO 80203 Name of Lower Court(s): _________________________________ Trial Court Judges(s): ___________________________________ Case Number(s): _______________________________________ THE PEOPLE OF THE STATE OF COLORADO In the Interest of : _____________________ [initials pursuant to § 19-1-109(1)] Minor Child(ren), And Concerning: ______________________ [initials pursuant to § 19-1-109(1)] Appellant/Respondent: ___________________________________ Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: E-mail: FAX Number: Atty. Reg. #: Division Courtroom NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF TRANSCRIPTS Notice is hereby given that ____________________________ as counsel for ____________________________ hereby appeals cross-appeals the order of adjudication disposition termination entered by the trial court and all adverse rulings made therein. The trial court's order was reduced to writing, dated, and signed on _______________________________ (date). DESIGNATION OF RECORD 1. The clerk of the trial court will prepare the record on appeal, which shall include the trial court file as set forth in C.A.R. 3.4(d)(1) and the following transcripts: 2. The original transcript of the following proceedings: The adjudicatory hearing held on _______________________ (date(s)) Form 1 JDF 545 R7-2016 NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF RECORD © 2012, 2016 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com  The dispositional hearing held on _______________________ (date(s)) The review hearing held on _______________________ (date(s)) The permanency hearing held on _______________________ (date(s)) The termination hearing held on _______________________ (date(s)) 3. The name and address of the court reporter(s) is: _______________________________________________________________ Name Name ________________________________________________________________ Address Address ________________________________________________________________ City State Zip Code City [or] 4. I need not order transcripts because: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _____________________. ____________________________________________________ Signature, appellant or attorney for appellant Date State Zip Code Form 1 JDF 545 R7-2016 NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF RECORD © 2012, 2016 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I certify that on ________________________ (date) the original of this NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF TRANSCRIPTS was filed with the trial court and Court of Appeals; and a true and accurate copy of this NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF TRANSCRIPTS was served on the other party(ies) and any court reporters listed above by 1. E-file system 2. placing it in the United States mail, postage pre-paid and addressed to the following: _____________________________________ _____________________________________ _____________________________________ _____________________________________ Signature Form 1 JDF 545 R7-2016 NOTICE OF APPEAL (CROSS-APPEAL) AND DESIGNATION OF RECORD © 2012, 2016 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com