Challenge to Constitutionality of a State Statute
This form must be completed by a party filing a petition, motion or other pleading challenging the
constitutionality of a state statute. The completed form must be filed with the court in which the cause is
pending as required by Section 402.010 (a-1), Texas Government Code.
Cause Numbe
r
(For Clerk Use Only):
Court
(For Clerk Use Only):
Styled
:
(e.g., John Smith v. All American Insurance Co.; in re Mary Ann Jones; In the Matter of the Estate of George Jackson)
Contact information for part
y
* challen
g
in
g
the constitutionalit
y
of a state statute.
(*If party is not a person, provide
contact information for party, party's representative or attorney.)
Name: Telephone:
Address: Fax:
City/State/Zip: State Bar No. (if applicable):
Email:
Person completing this form is:
Attorney for Party Unrepresented Party Other
:
Identify the type of pleading you have filed challenging the constitutionality of a state statute.
Petition Answer Motion (Specify type)
:
Other
:
Is the Attorne
y
General of the State of Texas a part
y
to or counsel in this cause?
Yes No
List the state statute(s) bein
g
challen
g
ed in
y
our pleadin
g
and provide a summar
y
of the basis for
y
our
challenge. (
Additional pages may be attached if necessary.
)
9/5/13
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