APPEAL - CRIMINAL INSTRUCTIONS TO TRIAL COURT CLERK INSTRUCTIONS TO PARTIES JD-SC-29 Rev. 5-06 P.B. §§ 3-8, 62-7, 62-8, 63-3, 63-4 C.G.S. §§ 51-197f, 52-470 1. 2. 3. 4. TO SUPREME COURT TO APPELLATE COURT Prepare on typewriter. Sign "Appeal" and "Certification" sections below. Submit to the trial court clerk. Pay fee if applicable. File a copy of the endorsed appeal form together with the papers required by P.B. § 63-4 with the Appellate Clerk. 1. Endorse on the original appeal form the date and time of filing and the receipt, or waiver, of fees. 2. Make three copies of the endorsed appeal form. Give one copy to the appellant, send one copy to the trial judge and send one copy to the office of the chief state's attorney, appellate bureau. NAME OF CASE CLASSIFICATION APPEAL CROSS APPEAL TRIED TO AMENDED APPEAL JOINT APPEAL COURT JURY STIPULATION FOR RESERVATION TRIAL COURT LOCATION OTHER (Specify) CORRECTED APPEAL FORM MAGISTRATE TRIAL COURT JUDGE(S) LIST ALL TRIAL COURT DOCKET NUMBERS JUDGMENT FOR TRIAL COURT HISTORY STATE OF CONNECTICUT JUDGMENT DATE DEFENDANT DATE FOR FILING APPEAL EXTENDED TO DATE OF ISSUANCE OF NOTICE ON ANY ORDER ON ANY MOTION WHICH WOULD RENDER JUDGMENT INEFFECTIVE CASE TYPE INFRACTION JUVENILE FELONY/MISDEMEANOR OTHER (Specify) APPEAL FILED BY STATE OF CONNECTICUT DEFENDANT OTHER FROM (the action which constitutes the final judgment): APPEAL IF THIS APPEAL IS TAKEN BY THE STATE OF CONNECTICUT, GIVE NAME OF JUDGE GRANTING PERMISSION TO APPEAL AND DATE OF ORDER IF TO SUPREME COURT, STATUTORY BASIS FOR THE APPEAL (C.G.S. § 51-199) BY (Signature of attorney or pro se party) TELEPHONE NO. FACSIMILE NO. JURIS NO. (If applicable) X TYPE NAME AND ADDRESS OF PERSON SIGNING ABOVE (This is your appearance; see P.B. § 62-8) APPEARANCE "X" ONE IF APPLICABLE Pursuant to P.B. § 62-8, counsel who files this appeal shall be deemed to have appeared in addition to counsel of record who appeared in the trial court. NAME AND JURIS NO. OF COUNSEL Pursuant to P.B. § 3-8 counsel who files this appeal is appearing in lieu of: INDICATE WHICH OF THE FOLLOWING ARE ATTACHED BY PLACING AN "X" IN THE PROPER BOX(ES) 1. fees Required No PRELIMINARY STATEMENT OF THE ISSUES ATTACHMENTS 2. DOCKETING STATEMENT (Failure to provide completed form, listing name, address, telephone no. and juris no. of all parties of record may result in the return of this appeal.) 3. COURT REPORTER'S ACKNOWLEDGMENT/CERTIFICATE RE: TRANSCRIPT 4. PRELIMINARY DESIGNATION OF PLEADINGS 5. NOTICE OF SEALING ORDER I hereby certify that a copy hereof was served on all counsel and pro se parties of record as specified below or in the attached list in accordance with the provisions of P.B. § 62-7 on: CERTIFICATION (P.B. § 63-3) DATE SIGNED (Individual counsel) LIST PERSONS SERVED, INCLUDING NAME, ADDRESS, TELEPHONE AND FACSIMILE NUMBERS. USE ADDITIONAL SHEETS, IF NECESSARY To be completed by trial court clerk FOR APPELLATE CLERK'S OFFICE USE ONLY Date entry fee paid or determination no fees required:________________ OR Date fees, costs and security waived:_________________ AND Date appeal filed:___________________ SIGNED (Trial Court Clerk):_________________________________________ www.jud.state.ct.us American LegalNet, Inc. www.FormsWorkflow.com