This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Appellate Courts. NAA-N 2803. Page 1 of 4 (0/18) Instruction s THIS APPEAL INVOLVES A MATTER SUBJECT TO EXPEDITED DISPOSITION UNDER Check the box to the right if your case involves custody, visitation, or removal of a child. RULE 311(a). APPEAL TO THE APPELLATE Just below "Appeal to the Appellate Court of Illinois," enter the number of the appellate district that will hear the appeal and the county of the trial court. COURT OF ILLINOIS District from the Circuit Court of County If the case name in the trial court began with 223In re224 (for example, 223In re Marriage of Jones224), enter that name. Below that, enter the names of the parties in the trial court, and check the correct boxes to show which party is filing the appeal (223appellant224) and which party is responding to the appeal (223appellee224). In r e Trial Court Case No.: Plaintiff/Petitioner (First, middle, last name s ) Appellant Appellee Honorable v. J udge, Presiding Defendant/Respondent (First, middle, last name s ) Appellant Appellee To the far right, en ter the trial court case number and trial judge's name. N OTICE OF APPEAL In 1, check the type of appeal. For more information on choosing a type of appeal, see How to File a Notice of Appeal. 1. Type of Appeal: Appeal Interlocutory Appeal Joining Prior Appeal Separate Appeal Cross Appeal In 2, list the name of each person filing the appeal and check the proper box for each person. 2. Name of Each Person Appealing : Name: First Middle Last Plaintiff - Appellant Petitioner - Appellant OR Defendant - Appellant Respondent - Appellant Name: First Middle Last Plaintiff - Appellant Petitioner - Appellant OR Defendant - Appellant Respondent - Appellant American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Appellate Clerk: NAA-N 2803. Page 2 of 4 (0/18) In 3, identify every order or judgment you want to appeal by listing the date the trial court entered it. 3. List the date of every order or judgment you want to appeal : Date Date Date 4. State your relief: In 4, state what you want the appellate court to do. You may check as many boxes as apply. reverse the trial court's judgment ( c hange the judgment in favor of the other party into a judgment in your favor) and send the case back to the trial court for any hearings that are still required ; vacate the trial court's judgment ( e rase the judgment in favor of the other party ) and send the case back to the trial court for a new hearing and a new judgment; change the trial court's judgment to say: order the trial court to : o ther: and grant any other relief that the court finds appropriate. If you are completing this form on a computer, sign your name by typing it. If you are completing it by hand, sign by hand and print your name. Fill in your address and telephone number. /s/ Your Signature Street Address Your Name City, State, ZIP Telephone Additional Appella n t Signature All appellants must sign this form. Have each additional appellant sign the form here and enter their name, address, and telephone number. Signature Street Address Name City, State, ZIP Telephone GETTING COURT DOCUMENTS BY EMAIL: If you agree to receive court documents by email, check the box below and enter your email address. You should use an email account that you do not share with anyone else and that you check every day. If you do not check your email every day, you may miss important information or notice of court dates. Other parties may still send you court documents by mail. I agree to receive court documents at this email address during my entire case. Email American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Appellate Clerk: NAA-N 2803. Page 3 of 4 (0/18) PROOF OF SERVICE In 1a, enter the name, mailing address, and email address of the party or lawyer to whom you sent the document. 1. I sent this document: a. To: Name: In 1b, check the box to show how you sent the document, and fill in any other information required on the blank lines. First Middle Last Address: Street , Apt # City State ZIP Email address: CAUTION: If the other party does not have a lawyer, you may send the document by email only if the other party has listed their email address on a court document. b. By: Personal hand delivery Regular, First - Class Mail, put into the U.S. Mail with postage paid at: Address of Post Office or Mailbox Third - party commercial carrier, with delivery paid for at: Name (for example, FedEx or UPS) and office address The court's electronic filing manager (EFM) or an approved electronic filing service provider (EFSP) Email (not through an EFM or EFSP) Mail from a prison or jail at: Name of prison or jail In 1c, fill in the date and time that you sent the document. c. On: Date At: a.m. p.m. Time In 2, if you sent the document to more than 1 party or lawyer, fill in a, b, and c. Otherwise leave 2 blank. 2. I sent this document: a. To: Name: First Middle Last Address: Street , Apt # City State ZIP Email address: b. By: Personal hand delivery Regular, First - Class Mail, put into the U.S. Mail with postage paid at: Address of Post Office or Mailbox Third - party commercial carrier, with delivery paid for at: Name (for example, FedEx or UPS) and office address The court's electronic filing manager (EFM) or an approved electronic filing service provider (EFSP) Email (not through an EFM or EFSP) American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Appellate Clerk: NAA-N 2803. Page 4 of 4 (0/18) Mail from a prison or jail at: Name of prison or jail c. On: Date At: a.m. p.m. Time In 3, if you sent the document to more than 2 parties or lawyers, fill in a, b, and c. Otherwise leave 3 blank. 3. I sent this document: a. To: Name: First Middle Last Address: Street , Apt # City State ZIP Email address: b. By: Personal hand delivery Regular, First - Class Mail, put into the U.S. Mail with postage paid at: Address of Post Office or Mailbox Third - party commercial carrier, with delivery paid for at: Name (for example, FedEx or UPS) and office address The court's electronic filing manager (EFM) or an approved electronic filing service provider (EFSP) Email (not through an EFM or EFSP) If you are serving more than 3 parties or lawyers, fill out and file 1 or more Additional Proof of Service forms with this Notice of Appeal . Mail from a prison or jail at: Name of prison or jail c. On: Date At: a.m. p.m. Time Under the Code of Civil Procedure, 735 ILCS 5/1-109 , making a statement on this form that you know to be false is perjury, a Class 3 Felony. I certify that everything in the Proof o f Service is true and correct. I understand that making a false statement on this form is perjury and has penalties provided by law under 735 ILCS 5/1 - 109 . /s/ If you are completing this form on a computer, sign your name by typing it. If you are completing it by hand, sign by hand and print your name. Your Signature Print Your Name American LegalNet, Inc. www.FormsWorkFlow.com