FORM 26. Docketing Statement Form 26 Rev. 10/16 UNITED STATES COURT OF APPEALS FOR THE FEDERAL CIRCUIT No. v. DOCKETING STATEMENT This Docketing Statement must be completed by all counsel and filed with the court within 14 days of the date of docketing. When the United States or its officer or agency is a party, this Docketing Statement must be completed by all counsel and filed with the court within 30 days of docketing. All questions must be answered or the statement will be rejected. Name of the party you represent Party is (select one) Appellant/Petitioner Appellee/Respondent Cross-Appellant Intervenor Tribunal appealed from and Case No. Type of Case Date of Judgment/Order Relief sought on appeal Relief awarded below (if damages, specify) Briefly describe the judgment/order appealed from Nature of judgment (select one) Final Judgment, 28 USC 1295 Rule 54(b) Interlocutory Order (specify type) Other (explain; see Fed. Cir. R. 28(a)(5)) American LegalNet, Inc. www.FormsWorkFlow.com FORM 26. Docketing Statement Form 26 Rev. 10/16 Name and docket number of any related cases pending before this court plus the name of the writing judge if an opinion was issued. If none, please state none. Brief statement of the issues to be raised on appeal Have there been discussions with other parties relating to settlement of this case? were the last such discussions? Before the case was filed below? During the pendency of the case below? Following the judgment/order appealed from? If "yes," were the settlement discussions mediated? If they were mediated, by whom? Yes No If "yes," when Yes No Do you believe that this case may be amenable to mediation? Yes No Please explain why you believe the case is or is not amenable to mediation. Provide any other information relevant to the inclusion of this case in the court's mediation program. American LegalNet, Inc. www.FormsWorkFlow.com FORM 26. Docketing Statement Form 26 Rev. 10/16 I certify that I filed this Docketing Statement with the Clerk of the United States Court of Appeals for the Federal Circuit and served a copy on counsel of record, this day of , by: (manner of service) Name of Counsel Signature of Counsel Law Firm Address City, State, ZIP Telephone Number FAX Number E-mail Address Reset Fields American LegalNet, Inc. www.FormsWorkFlow.com