UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
Case Number:
Case Name:
INFORMAL BRIEF
DIRECTIONS:
Answer the following questions about your appeal or petition for review to the best of your
ability. Use additional sheets of paper if necessary. The total number of pages cannot exceed 30. Parties are
encouraged to use one side of the paper for ease of reading. You need not limit your brief solely to this form,
but you should be certain that any brief you file contains answers to the questions below. The Court prefers
short and direct statements.
1. Jurisdiction:
What order(s) of the district court or agency are you appealing?
What is the date of the order(s)?
When did you file your notice of appeal or petition for review?
2. Statement of the case:
Explain the proceedings in the district court or before the agency
(i.e. what the district court or the agency did in deciding your case).
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3. Statement of facts
: Explain the facts and events that led to the complaint in the district
court or the action before the agency.
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4. Statement of related cases:
Have you filed an appeal or petition for review in this case
before? If so, give title of case and docket number.
Do you have any cases related to this case pending in the district court, in the court of
appeals or before the agency? If so give title of case and docket number.
5.
Did the district court or the agency incorrectly decide the facts of your case? If so,
what facts?
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6.
Did the district court or the agency apply the wrong law (either cases or statutes)?
If so, what law do you want applied?
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7.
Are there any other reasons why the district court's judgment or the agency’s decision was
wrong?
If so, briefly state these reasons.
8.
What action do you want the Court of Appeals to take in this case?
Signature
The entire district court record is available for the court's review. You must attach
copies of the district court docket entries, the opinion and order appealed, and the
notice of appeal. You may, but are not required to, attach any documents filed in the
district court that you think the court of appeals must see in order to decide your
appeal. Documents not admitted in the district court may not be submitted to the court
of appeals without permission of the court.
IMPORTANT: IF YOU ARE PROCEEDING PROCEEDING IN FORMA PAUPERIS, YOU
MUST FILE AN ORIGINAL AND THREE (3) COPIES OF THIS BRIEF AND ANY
ATTACHMENTS WITH THE CLERK. IF YOU HAVE PAID THE DOCKETING FEE, YOU
MUST FILE AN ORIGINAL AND SIX (6) COPIES OF THIS BRIEF AND ANY
ATTACHMENTS WITH THE CLERK. A COPY OF THIS BRIEF AND ANY ATTACHMENTS
MUST ALSO BE SENT TO ALL OPPOSING PARTIES. YOU MUST CERTIFY ON THE
ATTACHED PROOF OF SERVICE THAT A COPY OF THIS BRIEF AND ANY
ATTACHMENTS WERE SENT TO ALL OPPOSING PARTIES.
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PROOF OF SERVICE
I certify that on (date) I mailed a copy of this brief and all
attachments via first class mail to the following parties
at the addresses listed below
:
PROOF OF SERVICE FOR INSTITUTIONALIZED OR
INCARCERATED LITIGANTS
In addition to the above proof of service all litigants who are currently
institutionalized or incarcerated should include the following statement on all documents to be
filed with this Court:
I certify that this document was given to prison officials on (date) for
forwarding to the Court of Appeals. I certify under penalty of perjury that the foregoing is true
and correct. 28 U.S.C. §1746.
Signature
Dated:
Rev. 06/2018
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