FORM 1 UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT v. CIVIL CASE NO. NOTICE OF APPEAL 1. Pursuant to F. R. A. P. 4(a)(1), hereby gives notice and (appealing party) appeals to the United States Court of Appeals for the Second Circuit from the following Judgment or Order (attach the Judgment or Order): 2. The Judgment /Order in this action was entered on . (date) Signature Print Name Address Date: Telephone Number Note: You may use this form to take an appeal provided that it is received by the Office of the Clerk of the U.S. District Cou rt w ithin 30 days of the date on which the judgment was entered (60 days if the United States or an officer or agency of the United State s is a p arty). American LegalNet, Inc. www.USCourtForms.com