SHORT CASE NAME: ________________________________________________________________________________
SUPREME COURT OF APPEALS OF WEST VIRGINIA
APPELLATE TRANSCRIPT REQUEST FORM
INSTRUCTIONS:
(1) If a transcript is necessary for your appeal, you must
complete this form and make appropriate financial
arrangements with each court reporter from whom a transcript is requested.
(2) Specify each portion of the proceedings that must be transcribed for purposes of appeal. See Rule of Appellate
Procedure 9(a).
(3) A separate request form must be completed for each court reporter from whom a transcript is requested. If you are
unsure of the court reporter(s) involved, contact the circuit clerk's office for that information.
(4) Failure to make timely and satisfactory arrangements for transcript production, including necessary financial
arrangements, may result in denial of motions for extension of the appeal period, or may result in dismissal of the
appeal for failure to prosecute.
Name of Court Reporter, ERO, or Typist: ________________________________________________________________
Address of Court Reporter: ____________________________________________________________________________
Civil Action No.: _________________ County: ______________________ Date of Final Order: __________________
Date of
Proceeding
Type of
Proceeding
Length of Proceeding Name of Judge(s)
Portions Previously
Prepared
CERTIFICATIONS
I hereby certify that the transcripts requested herein are necessary for a fair consideration of the issues set forth
in the Notice of Appeal.
I hereby further certify that I have contacted the court reporter and satisfactory financial arrangements for
payment of the transcript have been made as follows:
Private funds. (Deposit of $ ________________________ enclosed with court reporter's copy.)
Criminal appeal with fee waiver (Attach order appointing counsel or order stating defendant is eligible.)
Abuse & neglect or delinquency appeal with fee waiver (Attach order appointing counsel.)
Advance payment waived by court reporter (Attach documentation.)
________________________________ __________________________________________________
Date mailed to court reporter Counsel of record or unrepresented party
Supreme court of Appeals of West Virginia – Appellate Transcript Request Form
Rev. 11/2010
