Fillable form01 USCA Form 1

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form01 USCA Form 1

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UNITED STATES COURT OF APPEALS
FOR THE NINTH CIRCUIT
Form 1. Notice of Appeal from a Judgment or Order of a
United States District Court
Name of U.S. District Court:
U.S. District Court case number:
Date case was first filed in U.S. District Court:
Date of judgment or order you are appealing:
Fee paid for appeal?
(appeal fees are paid at the U.S. District Court)
Yes No IFP was granted by U.S. District Court
List all Appellants (List each party filing the appeal. Do not use “et al.” or other abbreviations.)
Is this a cross-appeal? Yes No
If Yes, what is the first appeal case number?
Was there a previous appeal in this case?
Yes No
If Yes, what is the prior appeal case number?
Your mailing address:
City: State: Zip Code:
Prisoner Inmate or A Number (if applicable):
Signature Date
Complete and file with the attached representation statement in the U.S. District Court
Feedback or questions about this form? Email us at forms@ca9.uscourts.gov
Form 1 Rev. 12/01/2018
UNITED STATES COURT OF APPEALS
FOR THE NINTH CIRCUIT
Form 6. Representation Statement
Instructions for this form: http://www.ca9.uscourts.gov/forms/form06instructions.pdf
Appellant(s) (List each party filing the appeal, do not use “et al.” or other abbreviations.)
Name(s) of party/parties:
Name(s) of counsel (if any):
Address:
Telephone number(s):
Email(s):
Is counsel registered for Electronic Filing in the 9th Circuit?
Yes No
Appellee(s) (List only the names of parties and counsel who will oppose you on appeal. List
separately represented parties separately.)
Name(s) of party/parties:
Name(s) of counsel (if any):
Address:
Telephone number(s):
Email(s):
To list additional parties and/or counsel, use next page.
Feedback or questions about this form? Email us at forms@ca9.uscourts.gov
Form 6 1 New 12/01/2018
Continued list of parties and counsel: (attach additional pages as necessary)
Feedback or questions about this form? Email us at forms@ca9.uscourts.gov
Appellants
Name(s) of party/parties:
Name(s) of counsel (if any):
Address:
Telephone number(s):
Email(s):
Is counsel registered for Electronic Filing in the 9th Circuit?
Yes No
Appellees
Name(s) of party/parties:
Name(s) of counsel (if any):
Address:
Telephone number(s):
Email(s):
Name(s) of party/parties:
Name(s) of counsel (if any):
Address:
Telephone number(s):
Email(s):
Form 6
2 New 12/01/2018
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form01 USCA Form 1

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Completed 2 October 2019

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