NOTICE OF APPEAL
Vermont Rules of Appellate Procedure (V.R.A.P.) 3 and 4
IN THE SUPREME COURT OF THE STATE OF VERMONT
For Superior Court Appeals:
UNIT:
DIVISION:
For Board or Agency Appeals:
BOARD OR AGENCY NAME:
For All Appeals:
CASE NAME:
DOCKET NUMBER:
Notice is given that _________________________________________, ______________________, appeals to
(name of party appealing) (Plaintiff/Defendant)
the Supreme Court from ____________________________________________________________________
(describe order being appealed)
entered on the _______ day of _______________________________, 20_____.
Signature: _______________________________________________ Date: _______________________
Name:
Mailing address:
Phone:
Email address:
Attorney for:
NOTE: This form must be filed with the superior court clerk or administrative agency and a copy sent to the
Supreme Court docket clerk, counsel of record for each represented party, and any self-represented party.
V.R.A.P. 3(b). The form may be used for any appeal to the Supreme Court, whether from the superior court
or an administrative agency.
