TENTH DISTRICT COURT OF APPEALS DOCKETING STATEMENT vs. Case No. THIS APPEAL SHOULD BE ASSIGNED TO: ___ ___ The regular calendar. The accelerated calendar for the reasons checked: ___ 1. No transcript required. ___ 2. Transcript consists of 50 or fewer pages, or it is of such length that its preparation and time will not be a source of delay. ___ 3. An agreed statement will be submitted within 20 days. ___ 4. Administrative hearing record was filed with the trial court. ___ 5. All parties to this appeal agree to an assignment to the accelerated calendar. ****************************************************************************************************************************************** Although the appeal meets one or more of the reasons for being assigned to the accelerated calendar, it should not be assigned to the accelerated calendar because: ___ 1. Brief in excess of 30 pages is necessary to set forth adequately the facts and argue the issues in the case. (See, Loc.R. 8) ___ 2. Appeal concerns unique issue of law which will be of substantial precedential value in determination of similar cases. ___ 3. ****************************************************************************************************************************************** (QUESTIONS 1 THROUGH 4 APPLY TO ALL APPEALS) 1. Is this a "premature" appeal filed after the decision (or sentence) but before any entry of judgment? See App.R. 4(A) and (B). [ ] Yes [ ] No Is a copy of an order of the transcript from the court reporter filed herewith? [ ] Yes [ ] No An App.R. 9(C) statement will be filed. [ ] An App.R. 9(D) statement will be filed. Will the court reporter complete and file the transcript within 40 days? (20 days if on accelerated calendar?) [ ] Yes [ ] No [ ] Not Applicable If not, to what date is an extension requested? being filed? [ ] Yes [ ] No 4. Is a properly supported motion for extension 2. 3. Will the appellant's brief be filed within 20 days after transmittal of record on appeal? (15 days if on accelerated calendar?) [ ] Yes [ ] No If not, to what date is an extension requested? being filed? [ ] Yes [ ] No Is a properly supported motion for extension ****************************************************************************************************************************************** (CONTINUED ON PAGE 2) American LegalNet, Inc. www.FormsWorkFlow.com Case No. Page 2 Docketing Statement (QUESTIONS 5 THROUGH 15 APPLY TO CIVIL AND ADMINISTRATIVE APPEALS ONLY) 5. Did the judgment or order dispose of all claims by and against all parties? [ ] Yes [ ] No If not, does the judgment or order include an express determination that there is "no just reason for delay?" See Civ.R. 54(B). [ ] Yes [ ] No 6. Has an appeal in this trial court case been previously filed with this court? [ ] Yes [ ] No prior appellate court case number? Nature of Case: [ ] Administrative Appeal [ ] Contract [ ] Declaratory Judgment If yes, what is the 7. [ ] Domestic Relations [ ] Juvenile [ ] Medical Malpractice [ ] Personal Injury [ ] Probate [ ] Other, please specify 8. Is this appeal from an order of the trial court which grants or denies the adoption of a minor child or grants or denies termination of parental rights? [ ] Yes [ ] No Has counsel for appellant changed on appeal? [ ] Yes [ ] No Do you know of another case(s) pending before this court or recently decided by this court which raises the same issue or issue(s)? [ ] Yes [ ] No If yes, please cite the case number(s) Have the parties to this appeal previously been parties to an appeal filed in this court? [ ] Yes [ ] No If yes, please cite the case number(s) Does the appeal turn on an interpretation or application of a particular case(s) or statute(s)? [ ] Yes [ ] No If yes, please cite the case(s) or statute(s) How would you characterize the extent of your settlement discussions prior to judgment? [ ] None [ ] Minimal [ ] Moderate [ ] Extensive Have settlement discussions taken place since the judgment or order appealed from was entered? [ ] Yes [ ] No Would a prehearing "settlement" conference be of any assistance to the resolution of this matter?* [ ] Yes [ ] No Please explain (optional) Briefly summarize the assignments of error presently anticipated to be raised on appeal, unless a statement of the assignments of error has been filed with the clerk of the trial court pursuant to App.R. 9(B). (Attach a separate sheet if necessary.) 9. 10. 11. 12. 13. 14. 15. 16. Appellant or Attorney for Appellant Supreme Court Registration Number * Notice THE PRIMARY PURPOSE OF A PREHEARING CONFERENC IS TO ENCOURAGE THE PARTIES TO EXPLORE ANY POSSIBILITIES THERE MAY BE FOR SETTLEMENT OF THE CASE BEFORE INCURRING ADDITIONAL EXPENSES, OR, IF THAT IS NOT POSSIBLE, TO LIMIT THE ISSUES. PURSUANT TO LOC.R. 5(F), THIS COURT MAY ASSESS REASONABLE EXPENSES, INCLUDING ATTORNEY FEES, ASSESS ALL OR A PORTION OF THE APPELLATE COSTS, OR DISMISS THE APPEAL FOR FAILURE TO COMPLY WITH ALL PROVISIONS THEREOF. American LegalNet, Inc. www.FormsWorkFlow.com Revised 8/16