Court Signed (Counsel of record) u Names, addresses and telephone numbers included on separate page. JOINT APPEAL CONSENT FORMJD-SC-35 Rev. 12-17 P.B. Section 61-7CONNECTICUT JUDICIAL BRANCH APPELLATE CLERK 231 Capitol Avenue Hartford, CT 06106 Name of case (First named plaintiff and defendant)Docket numberAdditional sheets may be attached for the signatures of additional counsel and/or self-represented parties. Notice of Filing Joint Appeal - Practice Book Section 61-7 Date signed If you have an exemption from e-filing under Practice Book Section 60-8, attach a list with the name, address, e-mail address, and telephone number of each counsel of record and the address where the copy was delivered. I certify that a copy of the document(s) that I am filing has been delivered on to each other counsel of record and I have included their names, addresses, e-mail addresses and telephone numbers; the document(s) Note: All additional appellants shall file a single joint appeal consent form within ten days of filing of the appeal. Date signed Signature of counsel or self-represented party Date signed Date signed Juris Number or self-represented party User ID Juris Number or self-represented party User ID Juris Number or self-represented party User ID Date signed Juris Number or self-represented party User ID Juris Number or self-represented party User ID Date signed Date signed Juris Number or self-represented party User ID ADA NOTICE The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA. Signature of counsel or self-represented party Signature of counsel or self-represented party Signature of counsel or self-represented party Signature of counsel or self-represented party Signature of counsel or self-represented party Party name Party name Party name Party name Party name Party name v. DateList all joint appellants (including original filer) Appellate Supreme American LegalNet, Inc. www.FormsWorkFlow.com