STATEMENT FOR PREARGUMENT CONFERENCE JD-SC-28A New 12-09 Settlement Material - Confidential CONNECTICUT JUDICIAL BRANCH APPELLATE CLERK 231 CAPITOL AVENUE HARTFORD CT 06106 Instructions 1. Fill out this form by using a typewriter or computer and mail or deliver a copy to all other parties or their attorneys if they are represented by an attorney. (See Practice Book Section 62-7 for more information). 2. List on the back of this form the names and addresses and, if known, e-mail address of all parties and attorneys that a copy of this form has been mailed or delivered to as required in instruction number 1 above. 3. If you are the party who is appealing (appellant), you must attach to this form a copy of the trial court's written decision or a transcript of the trial court's decision if that decision was not in writing. (See Practice Book Section 64-1 for more information). 4. Give the original and one copy of this form to the Appellate Clerk at 231 Capitol Avenue, Hartford, CT 06106. 5. Keep a copy of this form and bring it to the preargument conference. Name of case(s) For Court use only (Docket Numbers) Case type Briefly describe the final judgment/ruling appealed Party or parties appealing Telephone number Attorney or self-represented party filing statement for preargument conference/juris number Address (Number, street, town, state and zip) Filing status (Check all that apply) Attorney Self-represented party Appellant Cross appellant 1. State the issues you intend to present on the appeal or cross-appeal or, alternatively, attach a copy of your Preliminary Statement of the Issues to this form (Practice Book Sections 61-8, 63-4). Continue on separate page if necessary. Yes (Explain below) 2. If this appeal was filed in the Appellate Court, should it be transferred to the Supreme Court? 3. Would you be willing to waive oral argument in this case? Yes No No 4. Have you attached a copy of the memorandum of decision or a transcript of oral decision? Yes No Notice To Counsel And Self-represented Parties If you do not file this form, or do not come to a preargument conference, sanctions may be imposed (Practice Book Sections 85-2, 85-3). It is the duty of counsel and self-represented parties to communicate with each other to assure attendance at the conference. I certify that a copy of the above was mailed to all counsel and self-represented parties of record, Practice Book Section 62-7. Signature of individual counsel/self-represented party Date signed American LegalNet, Inc. www.FormsWorkFlow.com