Connecticut > Appeals > Supreme-Appellate Court
Appeal Civil JD-SC-28 - Connecticut
| Appeal Civil Form. This is a Connecticut form and can be used in Supreme-Appellate Court Appeals . |
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APPEAL - CIVIL JD-SC-28 Rev. 12-09 P.B. §§ 3-8, 62-8, 63-3, 63-4, 63-10 C.G.S. §§ 31-301b, 51-197f, 52-470 (Page 1 of 2) See Instructions on Back/page 2 To Appellate Court To Supreme Court Name of case (State full name of case as it appears in the judgment file) Classification Other (Specify) Appeal Cross appeal Tried to Joint appeal Amended appeal Trial court location Stipulation for reservation Corrected/amended appeal form Court Jury List all trial court docket numbers, including all location prefixes Trial court judges being appealed All other trial court judge(s) who were involved with the case Judgment for (Where there are multiple parties, specify any individual party or parties for whom judgment may have been entered.) Trial Court History Plaintiff Defendant Other: Date of issuance of notice on any order on any motion which would render judgment ineffective Date for filing appeal extended to Judgment date of decision being appealed Case type Juvenile -- Termination of Parental Rights Civil/Family: Major/Minor code Juvenile -- Order of Temporary Custody Habeas Corpus Juvenile -- Other Other Workers compensation For habeas corpus or zoning appeals indicate the date certification was granted: Appeal filed by (Where there are multiple parties, specify the name of the individual party or parties filing this appeal.) Plaintiff(s) Defendant(s) Other From (the action which constitutes the appealable judgment or decision): Appeal If to the Supreme Court, the statutory basis for the appeal (Connecticut General Statutes section 51-199) By (Signature of attorney or self-represented party) Telephone number Fax number E-mail address Juris number (If applicable) Type name and address of person signing above (This is your appearance; see Practice Book section 62-8) "X" one if applicable Appearance Counsel or self-represented party who files this appeal will be deemed to have appeared in addition to counsel of record who appeared in the trial court under Practice Book section 62-8. Under Practice Book section § 3-8, counsel Juris number (If applicable) or self-represented party who files this appeal Name of counsel or self-represented party is appearing in place of: I certify that a copy of this appeal was mailed or delivered to all counsel and self-represented parties of record as required by Practice Book section 62-7 on:* (Practice Book section 63-3) Certification Signed (Individual counsel/self-represented party) * Attach a list with the name, telephone number and fax number of each counsel and self-represented party and the address where the copy was mailed or delivered. To Be Completed By Trial Court Clerk Entry Fee Paid No Fees Required Judge Signed (Clerk of trial court) Fees, Costs, and Security waived by Judge (enter judge's name below) Date waived Date Court Use Only Date and time filed The clerk of the original trial court, if different from this court, was notified on _______________ that this appeal was filed. In habeas matters, a copy of this endorsed appeal was provided to the Office of the Chief State's Attorney, Appellate Bureau, on _______________. Documents to be given to the Appellate Clerk with the endorsed Appeal form The following documents must be filed with the Appellate Clerk when filing the endorsed appeal form; Practice Book sections 63-3 and 63-4. 1. Preliminary Statement of the Issues 7. Constitutionality Notice (if applicable) 2. Preliminary Designation of Pleadings 8. Sealing Order form, if any 3. Court Reporter's Acknowledgment/Certification re transcript 9. List of counsel of record in trial court (DS1 received from clerk) 4. Docketing Statement 10. Proof of receipt of the copy of the endorsed appeal form by the 5. Statement for Preargument Conference (form JD-SC-28A) original trial court clerk or the clerk of the court or courts where the 6. Draft Judgment File case was transferred, if the case was in more than one trial court I certify that a copy of the endorsed appeal and all documents to be given to the Appellate Clerk with the endorsed Appeal form were mailed or delivered to all counsel and self-represented parties of record* as required by Practice Book section 63-3 on: Signed (Individual counsel or self-represented party) Certification * Attach a list with the name, telephone number and fax number of each counsel and self-represented party and the address at which the copy was mailed or delivered. American LegalNet, Inc. www.FormsWorkFlow.com (Page 2 of 2) Instructions to Appellant: 1. Fill out this form by using a typewriter or a computer. 2. If you want to ask the court to excuse you from having to pay the fees, costs and expenses required to appeal, you must file an application with the clerk of the court in which the case was tried or decided. The application is form JD-FM-75. Practice Book section 63-6. 3. Sign the "Appeal" section and the first "Certification" section on page 1 of this form where marked by an " ". 4. Give the original of this form to the trial court clerk where the case was originally filed, where the case was transferred (if it was transferred), or any Judicial District court, unless this is a juvenile appeal or an appeal from an interlocutory order in which case you must give it to the clerk of the original trial court or the court where the case was transferred. If you applied to be excused from paying the fees, costs or expenses required for this appeal and the court excused you, you must also file a copy of the court's order excusing you from paying the fees, costs or expenses with your appeal if you file your appeal in a different court than the one where your case was tried or decided. 5. The clerk will endorse the form by signing it, stamping it with the date and time that it is given to them, and indicating on the form whether the entry fee was paid, not required to be paid, or it was decided by a judge that it does not have to be paid. The clerk will return the original endorsed appeal form to you. 6. On the same day that the trial court clerk endorses the appeal, you must deliver a copy of the endorsed appeal to the trial court clerk where the case was originally filed and to the clerk of any trial court where the case was transferred. It must be delivered by hand or fax, and you must get proof of each delivery. 7. Within 10 days of filing the appeal, you must: · give a copy of the endorsed appeal form and the papers required by Practice Book Section 63-3 and 63-4 to the Appellate Clerk, and · sign the 2nd Cer
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