Fillable Check the box to the right if your (Microsoft)

Fill Online, Printable, Fillable, Blank Check the box to the right if your (Microsoft) Form

Use Fill to complete blank online MICROSOFT pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Check the box to the right if your (Microsoft)

On average this form takes 30 minutes to complete

The Check the box to the right if your (Microsoft) form is 5 pages long and contains:

  • 0 signatures
  • 7 check-boxes
  • 117 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Microsoft forms online.

BROWSE MICROSOFT FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Appellate Courts.
Instructions
THIS APPEAL INVOLVES A MATTER SUBJECT TO EXPEDITED DISPOSITION UNDER
RULE 311(a).
Check the box to the
right if your case
involves parental
responsibility or
parenting time
(custody/visitation
rights) or relocation
of a child.
Appellate Case No.:
IN THE APPELLATE COURT OF
ILLINOIS
District
Enter the appellate
court case number.
Just below "In the
Appellate Court of
Illinois," enter the
number of the
appellate district
where the appeal was
filed.
If the case name in
the trial court began
with "In re" (for
example, "In re
Marriage of Jones"),
enter that phrase. If
the case name did not
begin with "In re,"
enter the names of the
parties as they
appeared in the trial
court documents.
Below each party
name check either
Appellant if the party
filed the appeal or
Appellee if the party
is responding to the
appeal.
In re
Plaintiffs/Petitioners in trial court (First, middle, last names):
Appellants
Appellees
v.
Appeal from the Circuit Court
of
County
Trial Court Case No:
Trial Judge:
Date of Notice of Appeal:
Date Judgment was entered:
At the far right, enter
the trial court county,
Defendants/Respondents in trial court (First, middle, last names):
trial court case
number, the trial
Appellants
Appellees
judge's name, date of
the notice of appeal,
Date Post-Judgment Motion
date of the judgment,
date of the ruling on
was ruled on:
any post-judgment
motion, and the
Supreme Court Rule
that allows the
Supreme
Court Rule:
appellate court to
hear the appeal.
In 1, check "Yes" if
this appeal is related to
another appeal and
write the docket (case)
number of any other
appeal. Check “No” if
this appeal is not
related to another
appeal.
DOCKETING STATEMENT (CIVIL)
1.
Is this a cross-appeal, separate appeal, joining in a prior appeal, or related to another appeal
that is currently pending or that has been decided by this court?
Yes
No
If yes, list the docket numbers of the other appeals:
DS-S 4603.2
Page 1 of 5
(07/21)
In 2, if any party, either
Appellant or Appellee,
is a corporation or
business association,
write the name of any
company related to that
corporation or business
association.
In 3, enter your full
name and other contact
information. If there
are other appellants
besides you, include all
their names and contact
information on the
Additional Appellant
Information form and
attach it to this
Docketing Statement
(Civil) and put a check
in the box. If you have
a lawyer, fill in their
information below
“Lawyer on Appeal for
appellant filing this
statement.” If there is
more than one lawyer
for the appellants,
check the box and fill
out the Additional
form. Insert it after this
page.
In 4, you must enter
the full name and
contact information
for all appellees you
are filing your appeal
against. If there is
more than one
appellee, include all
their names and
contact information on
the Additional
Appellee Information
form and put a check
in the box. You must
also enter the full
name and contact
information for each
lawyer. If you don't
know the name of an
appellee's lawyer, fill
in the name and
address of their trial
lawyer. If there is
more than one
appellee or more than
one lawyer for the
appellee, check the
box and fill out the
Additional Lawyer on
Appeal Information
form. Insert it after
this page.
Enter the Case Number given by the Appellate Clerk: ___________________________
2.
If any party is a corporation or association, identify any affiliate, subsidiary, or parent group:
3.
Full name and complete address of appellant filing this statement:
First
Middle
Street, Apt #
City
State
ZIP
Last
Telephone number
Email address
I have listed additional appellants on the Additional Appellant Information form.
Lawyer on Appeal for appellant filing this statement:
First
Middle
Street, Apt #
City
State
ZIP
Lawyer Registration Number
Last
Telephone number
Email address
Fax number
I have listed additional lawyers on the Additional Lawyer on Appeal Information
form.
4.
Full name and complete address of appellee:
First
Middle
Last
Street, Apt #
Telephone number
City
State
ZIP
Email address
I have listed additional appellees on the Additional Appellee Information form.
Lawyer for appellee:
First
Middle
Street, Apt #
City
State
ZIP
Lawyer Registration Number
Last
Telephone number
Email address
Fax number
I have listed additional lawyers on the Additional Lawyer on Appeal Information form.
DS-S 4603.2
Page 2 of 5
(07/21)
Enter the Case Number given by the Appellate Clerk: ___________________________
5.
Court reporter information:
First
Middle
Last
Street Address
City
State
Zip
In 5, enter the name
and address of the
court reporter who
recorded the hearing in
the trial court. If the
hearing was
electronically
recorded, contact the
trial court clerk’s
office to order the
transcript. If there was
no court reporter or
recording, then leave 5
blank.
In 6, check "Yes" if
your case involves
parental responsibility
or parenting time
(custody/visitation
rights) or relocation
of a child. There are
special rules that
apply to speed up
these appeals.
In 7, briefly write
down your reasons
for filing this appeal.
If you don’t list a
reason here, you will
still be able to bring it
up later.
In 8a, enter the date
you filed your Request
for Preparation of
Record on Appeal
with the trial court.
In 8b, enter the date
you delivered your
Request for Report of
Proceedings
(Transcripts) to the
court reporter you listed
above in 5. If there was
no court reporter or
recording, leave 8b
blank.
If you are completing
this form on a
computer, sign your
name by typing it. If
you are completing it
by hand, sign and
print your name. Fill
in your address,
telephone number,
and email address, if
you have one.
Telephone
Email address
I have listed additional court reporters on the Additional Court Reporter Information
form.
(If there was more than one court reporter, check the box above and fill out the Additional
Court Reporter Information form. Insert it before this page.)
6.
Is this appeal from a final order in a matter involving child custody, allocation of parental
responsibilities, or relocation of a minor child under Illinois Supreme Court Rule 311(a),
which requires Mandatory Accelerated Disposition?
Yes
No
If yes, this Docketing Statement (Civil), and all other notices, briefs, motions, and pleadings
filed by any party shall include the following statement in bold type on the top of the front
page:
THIS APPEAL INVOLVES A MATTER SUBJECT TO EXPEDITED DISPOSITION
UNDER RULE 311(a).
7.
State the general issues you want to raise in your appeal:
8.
I certify that
a.
on this date
I filed a request with the trial court clerk to
Date
prepare the appeal record on appeal.
b.
on this date
I made a written request to the court
Date
reporting personnel to prepare the transcripts, a copy of which is attached to this
Docketing Statement.
/s/
Your Signature
Street Address
Print Your Name
City, State, ZIP
Email
Telephone
Attorney # (if any)
GETTING COURT DOCUMENTS BY EMAIL: You should use an email account that you do not share with anyone else and that you check
every day. If you do not check your email every day, you may miss important information, notice of court dates, or documents from other parties.
DS-S 4603.2
Page 3 of 5
(07/21)
Enter the Case Number given by the Appellate Clerk: ___________________________
PROOF OF SERVICE (You must serve the other party and complete this section)
1.
I sent this document:
a.
To:
Name:
b.
By:
An approved electronic filing service provider (EFSP)
Email (not through an EFSP)
Only use one of the methods below if you do not have an email address, or the person you are
sending the document to does not have an email address.
Personal hand delivery to:
The party
The party’s family member who is 13 or older, at the party’s residence
The party’s lawyer
The party’s lawyer’s office
Mail or third-party carrier
c.
On:
Date
At:
a.m.
p.m.
Time
2.
I sent this document:
In 1a, enter the name,
mailing address, and
email address of the
party or lawyer to
whom you sent the
document.
In 1b, check the box to
show how you sent the
document, and fill in
any other information
required on the blank
lines.
In 1b, check the box to
show how you are
sending the document.
CAUTION: If you
and the person you are
sending the document
to have an email
address, you must use
one of the first two
options. Otherwise,
you may use one of the
other options.
First
Middle
Last
Address:
Street, Apt #
City
State
ZIP
Email address:
In 1c, fill in the date
and time that you sent
the document.
In 2, if you sent the
document to more than
1 party or lawyer, fill
in a, b, and c.
Otherwise leave 2
blank.
In 2b, check the box to
show how you are
sending the document.
CAUTION: If you
and the person you are
sending the document
to have an email
address, you must use
one of the first two
options. Otherwise,
you may use one of the
other options.
a.
To:
Name:
First
Address:
Street, Apt #
Email address:
Middle
City
State
Last
ZIP
b.
By:
An approved electronic filing service provider (EFSP)
Email (not through an EFSP)
Only use one of the methods below if you do not have an email address, or the person you are
sending the document to does not have an email address.
Personal hand delivery to:
The party
The party’s family member who is 13 or older, at the party’s residence
The party’s lawyer
The party’s lawyer’s office
Mail or third-party carrier
c.
On:
At:
Date
Time
a.m.
p.m.
DS-S 4603.2
Page 4 of 5
(07/21)
Enter the Case Number given by the Appellate Clerk: ___________________________
In 3, if you sent the
document to more than
1 party or lawyer, fill
in a, b, and c.
Otherwise leave 2
blank.
3.
I sent this document:
a.
To:
Name:
First
Middle
Last
Address:
Street, Apt #
Email address:
City
State
ZIP
In 3b, check the box to
show how you are
sending the document.
CAUTION: If you
and the person you are
sending the document
to have an email
address, you must use
one of the first two
options. Otherwise,
you may use one of the
other options.
Under the Code of
Civil Procedure, 735
ILCS 5/1-109,
making a statement
on this form that you
know to be false is
perjury, a Class 3
Felony.
If you are completing
this form on a
computer, sign your
name by typing it. If
you are completing it
by hand, sign by hand
and print your name.
b.
By:
An approved electronic filing service provider (EFSP)
Email (not through an EFSP)
Only use one of the methods below if you do not have an email address, or the person you are
sending the document to does not have an email address.
Personal hand delivery to:
The party
The party’s family member who is 13 or older, at the party’s residence
The party’s lawyer
The party’s lawyer’s office
Mail or third-party carrier
c.
On:
Date
At:
a.m.
p.m.
Time
I have completed an Additional Proof of Service form.
I certify that everything in the Proof of Service is true and correct. I understand that
a false statement on this form is perjury and has penalties provided by law
under 735 ILCS 5/1-109.
/s/
Your Signature
Print Your Name
Attorney # (if any)
DS-S 4603.2
Page 5 of 5
(07/21)
Print Form
Save Form
Reset Form
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Check the box to the right if your (Microsoft)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 1 July 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document