Rule 1.301, Form No. 16 BEFORE THE (NAME OF TRIBUNAL) OF THE STATE OF OKLAHOMA ) ) ) ) ) ) ) ) ) , Petitioner, Plaintiff, Protestant, etc. v. , Respondent, Defendant, etc. Cause No. DESIGNATION OF RECORD FOR APPEALS FROM TRIBUNALS OTHER THAN DISTRICT COURTS _____ Designation of Record _____ Counter-Designation of Record _____ Amended Designation of Record A. DESIGNATION OF RECORD AND TRANSCRIPTS [Plaintiff, Protestant, Petitioner, etc., or Defendant, Respondent, etc.] _______________________________ hereby designates the following for inclusion in the record on appeal in this case: American LegalNet, Inc. www.FormsWorkFlow.com B. DATE, SIGNATURE, AND SERVICE BY COUNSEL OR PARTY DATE: _______________, 20 _____. Signature (Signature of Attorney or Pro Se Party) Attorney for (Petitioner, etc., or Respondent, etc. OBA No. Firm Address: [Include email address if applicable] Telephone CERTIFICATE OF SERVICE I, _______________________, hereby certify that in addition to filing the original Designation of Record with the _____________________________ a copy of the foregoing Designation of Record was mailed this _____ day of _______________ 20_____, to the following: [Names and Addresses of all parties or their counsel of record] American LegalNet, Inc. www.FormsWorkFlow.com