CIVIL APPEAL DOCKETING STATEMENT CASE CAPTION v. TRIAL NO. APPEAL NO. DATE OF JUDGMENT/ORDER APPEALED FROM DATE NOTICE OF APPEAL FILED DATE NOTICE OF CROSS APPEAL FILED DID THE JUDGMENT/ORDER DISPOSE OF ALL CLAIMS BY AND AGAINST ALL PARTIES? IF NOT DOES THE JUDGMENT INCLUDE A CERTIFICATION OF "NO JUST CAUSE FOR DELAY?" IF SO, IS THE JUDGMENT OTHERWISE FINAL? THIS APPEAL SHOULD BE ASSIGNED TO: The regular calendar The accelerated calendar for the reason checked: 1. No transcript required. 2. Transcript consists of fifty or fewer pages, or is of such length that its preparation time will not be a source of delay. 3. Agreed statement submitted in lieu of the record. American LegalNet, Inc. www.USCourtForms.com>>>> 2 4. Record was made in an administrative hearing and was filed with the trial court. 5. All parties to the appeal agree to an assignment to the accelerated calendar. ALTHOUGH THE APPEAL MEETS ONE OR MORE OF THE REASONS FOR ASSIGNMENT TO THE ACCELERATED CALENDAR, IT SHOULD NOT BE ASSIGNED TO THE ACCELERATED CALEN DAR BECAUSE: 1. Brief in excess of 15 pages (see Loc. R. 7) is necessary to set forth adequately the facts and argue the issues in the case. 2. Appeal concerns unique issue of law which will be of substantial precedential value in the determination of similar cases. 3. Other: IDENTIFY THE PARTIES APPELLANTS NAME : APPELLANT IS : Plaintiff ( ) or Defendant ( )or Other ( ) APPELLANT COUNSE L: Name Address City/State Telephone APPELLEE COUNSEL: Name Address City/State Telephone Represents (Use separate sheet if necessary) 1. Type of Litigation 2. Trial Court Disposition American LegalNet, Inc. www.USCourtForms.com>>>> 33. If this matter has been before this court previously, identify the previ ous case by case number. 4. Identify by case style and case number any case pending before this cour t or any other court or administrative agency which arises from substantia lly the same case or controversy as this appeal. (Signature) (Date) American LegalNet, Inc. www.USCourtForms.com