Appellants must complete this docketing statement in compliance with NRAP 14(a). The
purpose of the docketing statement is to assist the Supreme Court in screening jurisdiction,
identifying issues on appeal, assessing presumptive assignment to the Court of Appeals under
NRAP 17, scheduling cases for oral argument and settlement conferences, classifying cases for
expedited treatment and assignment to the Court of Appeals, and compiling statistical
information.
WARNING
This statement must be completed fully, accurately and on time. NRAP 14(c). The Supreme
Court may impose sanctions on counsel or appellant if it appears that the information provided
is incomplete or inaccurate. Id. Failure to fill out the statement completely or to file it in a
timely manner constitutes grounds for the imposition of sanctions, including a fine and/or
dismissal of the appeal.
A complete list of the documents that must be attached appears as Question 27 on this docketing
statement. Failure to attach all required documents will result in the delay of your appeal and
may result in the imposition of sanctions.
This court has noted that when attorneys do not take seriously their obligations under NRAP 14
to complete the docketing statement properly and conscientiously, they waste the valuable
judicial resources of this court, making the imposition of sanctions appropriate. See KDI Sylvan
Pools v. Workman, 107 Nev. 340, 344, 810 P.2d 1217, 1220 (1991). Please use tab dividers to
separate any attached documents.
INDICATE FULL CAPTION:
DOCKETING STATEMENT
CIVIL APPEALS
GENERAL INFORMATION
No.
Revised December 2015
IN THE SUPREME COURT OF THE STATE OF NEVADA
1. Judicial District
Department
County
Judge
District Ct. Case No.
2. Attorney filing this docketing statement:
Attorney
Telephone
Firm
Address
Client(s)
If this is a joint statement by multiple appellants, add the names and addresses of other counsel and
the names of their clients on an additional sheet accompanied by a certification that they concur in the
filing of this statement.
3. Attorney(s) representing respondents(s):
Client(s)
Address
Firm
Telephone
Attorney
Client(s)
Address
Firm
Telephone
Attorney
(List additional counsel on separate sheet if necessary)
4. Nature of disposition below (check all that apply):
Judgment after bench trial
Other disposition (specify):
Modification
Original
Divorce Decree:
Review of agency determination
Grant/Denial of declaratory relief
Grant/Denial of injunction
Grant/Denial of NRCP 60(b) relief
Default judgment
Summary judgment
Judgment after jury verdict
Other (specify):
Failure to prosecute
Failure to state a claim
Lack of jurisdiction
Dismissal:
5. Does this appeal raise issues concerning any of the following?
Child Custody
Venue
Termination of parental rights
6. Pending and prior proceedings in this court. List the case name and docket number
of all appeals or original proceedings presently or previously pending before this court which
are related to this appeal:
7. Pending and prior proceedings in other courts. List the case name, number and
court of all pending and prior proceedings in other courts which are related to this appeal
(e.g., bankruptcy, consolidated or bifurcated proceedings) and their dates of disposition:
8. Nature of the action. Briefly describe the nature of the action and the result below:
9. Issues on appeal. State concisely the principal issue(s) in this appeal (attach separate
sheets as necessary):
10. Pending proceedings in this court raising the same or similar issues. If you are
aware of any proceedings presently pending before this court which raises the same or
similar issues raised in this appeal, list the case name and docket numbers and identify the
same or similar issue raised:
11. Constitutional issues. If this appeal challenges the constitutionality of a statute, and
the state, any state agency, or any officer or employee thereof is not a party to this appeal,
have you notified the clerk of this court and the attorney general in accordance with NRAP 44
and NRS 30.130?
N/A
No
Yes
If not, explain:
12. Other issues. Does this appeal involve any of the following issues?
Reversal of well-settled Nevada precedent (identify the case(s))
An issue arising under the United States and/or Nevada Constitutions
A substantial issue of first impression
An issue of public policy
An issue where en banc consideration is necessary to maintain uniformity of this
court's decisions
A ballot question
If so, explain:
15. Judicial Disqualification. Do you intend to file a motion to disqualify or have a
justice recuse him/herself from participation in this appeal? If so, which Justice?
Was it a bench or jury trial?
14. Trial. If this action proceeded to trial, how many days did the trial last?
13. Assignment to the Court of Appeals or retention in the Supreme Court. Briefly
set forth whether the matter is presumptively retained by the Supreme Court or assigned to
the Court of Appeals under NRAP 17, and cite the subparagraph(s) of the Rule under which
the matter falls. If appellant believes that the Supreme Court should retain the case despite
its presumptive assignment to the Court of Appeals, identify the specific issue(s) or circum-
stance(s) that warrant retaining the case, and include an explanation of their importance or
significance:
TIMELINESS OF NOTICE OF APPEAL
16. Date of entry of written judgment or order appealed from
If no written judgment or order was filed in the district court, explain the basis for
seeking appellate review:
17. Date written notice of entry of judgment or order was served
Was service by:
Delivery
Mail/electronic/fax
18. If the time for filing the notice of appeal was tolled by a post-judgment motion
(NRCP 50(b), 52(b), or 59)
(a) Specify the type of motion, the date and method of service of the motion, and
the date of filing.
NRCP 50(b)
NRCP 52(b)
NRCP 59
Date of filing
Date of filing
Date of filing
NOTE: Motions made pursuant to NRCP 60 or motions for rehearing or reconsideration may toll the
time for filing a notice of appeal. See AA Primo Builders v. Washington, 126 Nev. ____, 245
P.3d 1190 (2010).
(b) Date of entry of written order resolving tolling motion
(c) Date written notice of entry of order resolving tolling motion was served
Was service by:
Delivery
Mail
19. Date notice of appeal filed
If more than one party has appealed from the judgment or order, list the date each
notice of appeal was filed and identify by name the party filing the notice of appeal:
20. Specify statute or rule governing the time limit for filing the notice of appeal,
e.g., NRAP 4(a) or other
SUBSTANTIVE APPEALABILITY
21. Specify the statute or other authority granting this court jurisdiction to review
the judgment or order appealed from:
(a)
NRAP 3A(b)(1)
NRAP 3A(b)(2)
NRAP 3A(b)(3)
Other (specify)
NRS 38.205
NRS 233B.150
NRS 703.376
(b) Explain how each authority provides a basis for appeal from the judgment or order:
22. List all parties involved in the action or consolidated actions in the district court:
(a) Parties:
(b) If all parties in the district court are not parties to this appeal, explain in detail why
those parties are not involved in this appeal, e.g., formally dismissed, not served, or
other:
23. Give a brief description (3 to 5 words) of each party's separate claims,
counterclaims, cross-claims, or third-party claims and the date of formal
disposition of each claim.
24. Did the judgment or order appealed from adjudicate ALL the claims alleged
below and the rights and liabilities of ALL the parties to the action or consolidated
actions below?
Yes
No
25. If you answered "No" to question 24, complete the following:
(a) Specify the claims remaining pending below:
(b) Specify the parties remaining below:
(c) Did the district court certify the judgment or order appealed from as a final judgment
pursuant to NRCP 54(b)?
Yes
No
(d) Did the district court make an express determination, pursuant to NRCP 54(b), that
there is no just reason for delay and an express direction for the entry of judgment?
No
Yes
26. If you answered "No" to any part of question 25, explain the basis for seeking
appellate review (e.g., order is independently appealable under NRAP 3A(b)):
27. Attach file-stamped copies of the following documents:
l The latest-filed complaint, counterclaims, cross-claims, and third-party claims
l
Any tolling motion(s) and order(s) resolving tolling motion(s)
l
Orders of NRCP 41(a) dismissals formally resolving each claim, counterclaims, cross-
claims and/or third-party claims asserted in the action or consolidated action below,
even if not at issue on appeal
l Any other order challenged on appeal
l
Notices of entry for each attached order
VERIFICATION
I declare under penalty of perjury that I have read this docketing statement, that
the information provided in this docketing statement is true and complete to the
best of my knowledge, information and belief, and that I have attached all required
documents to this docketing statement.
Name of appellant
State and county where signed
Name of counsel of record
Signature of counsel of record
Date
CERTIFICATE OF SERVICE
I certify that on the
day of
,
, I served a copy of this
completed docketing statement upon all counsel of record:
By mailing it by first class mail with sufficient postage prepaid to the following
address(es): (NOTE: If all names and addresses cannot fit below, please list names
below and attach a separate sheet with the addresses.)
By personally serving it upon him/her; or
,
day of
Dated this
Signature