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): Phone Number: FAX Number: COURT USE ONLY Case Number: E-mail: Atty. Reg. #: Division SUPPLEMENTAL DESIGNATION OF TRANSCRIPTS Courtroom In addition to the transcripts designated by appellant, the clerk of the trial court shall include in the record on appeal: The original transcripts of the following proceedings: 1. _____________________________________________________ (List the name and the date of the proceeding.) 2. _____________________________________________________ (List the name and the date of the proceeding.) The name and address of the court reporter(s) is: __________________________________________________________________ Name Name ________________________________________________________________ Address Address ________________________________________________________________ City State Zip Code City State Zip Code Form 3 JDF 547 R7-2016 SUPPLEMENTAL DESIGNATION OF RECORD © 2012, 2016 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com ___________________________________________________ Signature, appellee or attorney for appellee Date 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 3 JDF 547 R7-2016 SUPPLEMENTAL DESIGNATION OF RECORD © 2012, 2016 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com