Form 26 FORM 26. Docketing Statement 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. Name of the party you represent Party is (select one) □ Appellant/Petitioner □ Appellee/Respondent □ Cross-Appellant □ Intervenor Tribunal appealed from and Case No. Date of Judgment/Order Type of Case Relief sought on appeal Relief awarded below (if damages, specify) Briefly describe the judgment/order appealed from 151 American LegalNet, Inc. www.FormsWorkflow.com Form 26 FORM 26. Docketing Statement (continued) 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)) Name and docket number of any related cases pending before this court plus the name of the writing judge if an opinion was issued Brief statement of the issues to be raised on appeal Have there been discussions with other parties relating to settlement of this case? □ Yes □ No □ Yes □ No If “yes,” when 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? 152 American LegalNet, Inc. www.FormsWorkflow.com Form 26 FORM 26. Docketing Statement (continued) Do you believe that this case may be amenable to mediation? □ Yes □ No If you answered no, explain why not Provide any other information relevant to the inclusion of this case in the court’s mediation program. I certify that I filed an original and one copy of 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 Effective May 1, 2008 153 American LegalNet, Inc. www.FormsWorkflow.com