600-00032 Notice of Appeal of Decision on Access to Court Records (12/2016) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
DIVISION
Unit
Docket No.
IN RE: Request for Records by: (Name of Person Who Requested Records)
NOTICE OF APPEAL OF DECISION ON ACCESS TO COURT RECORDS
1. Pursuant to the Rules for Public Access to Court Records Rule 6(h), I hereby appeal the decision of the
Superior Court Clerk/Operations Manager regarding access to the above described records to the Presiding
Judge of this court.
2. I am the person who requested the records.
A person about whom information has been requested.
I am neither of the above, but I am aggrieved by the decision because:
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Dated at ____________________, Vermont, _________________ County on ___________________.
(date)
Signature ____________________________________________
Name Printed ____________________________________________
Address ____________________________________________
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