CERTIFICATE OF INTERESTED ENTITIES OR PERSONS
Cal. Rules of Court, rules 8.208, 8.488
www.courts.ca.gov
Form Approved for Optional Use
Judicial Council of California
APP-008 [Rev. January 1, 2017]
Page 1 of 1
Notice: Please read rules 8.208 and 8.488 before completing this form. You may use this form for the initial
certificate in an appeal when you file your brief or a prebriefing motion, application, or opposition to such a
motion or application in the Court of Appeal, and when you file a petition for an extraordinary writ. You may
also use this form as a supplemental certificate when you learn of changed or additional information that must
be disclosed.
(2)
(5)
(1)
(4)
(3)
Full name of interested
entity or person
Nature of interest
(Explain):
The undersigned certifies that the above-listed persons or entities (corporations, partnerships, firms, or any other
association, but not including government entities or their agencies) have either (1) an ownership interest of 10 percent or
more in the party if it is an entity; or (2) a financial or other interest in the outcome of the proceeding that the justices
should consider in determining whether to disqualify themselves, as defined in rule 8.208(e)(2).
2.
b.
This form is being submitted on behalf of the following party (name ):
There are no interested entities or persons that must be listed in this certificate under rule 8.208.
Interested entities or persons required to be listed under rule 8.208 are as follows:
Continued on attachment 2.
APPELLANT/
PETITIONER:
RESPONDENT/
REAL PARTY IN INTEREST:
SUPERIOR COURT CASE NUMBER:
CERTIFICATE OF INTERESTED ENTITIES OR PERSONS
(Check one):
INITIAL CERTIFICATE SUPPLEMENTAL CERTIFICATE
APP-008
TO BE FILED IN THE COURT OF APPEAL
COURT OF APPEAL CASE NUMBER:
ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE: ZIP CODE:CITY:
STREET ADDRESS:
FIRM NAME:
NAME:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
STATE BAR NUMBER:
APPELLATE DISTRICT, DIVISION COURT OF APPEAL
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF APPELLANT OR ATTORNEY)
1.
a.
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