Free Docketing Statement A - Alaska

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IN THE SUPREME COURT OF THE STATE OF ALASKA
DOCKETING STATEMENT A For Use in Appeals Under Appellate Rule 204 and 218
INSTRUCTIONS FOR MULTIPLE PARTIES OR ATTORNEYS: If there are multiple parties or attorneys, repeat the appropriate box. This may be done on a separate page. Please clearly indicate which attorney represents which party.

(for court system use)

1. TYPE OF APPEAL
a. General Civil Rule Appeal (App. Rule 204) b. Appeal in Child Custody Case (App. Rule 218) No.

2. PARTY FILING APPEAL (Appellant)
a. Name c. Party mailing address (not attorney's address) City State Zip Code b. Status in the Trial Court Plaintiff Other. Specify: d. Telephone Defendant

3. APPELLANT'S ATTORNEY
a. Name c. Attorney mailing address City State Zip Code b. Bar Number d. Telephone f. Firm/Agency e. Fax

4. PARTY APPEALED AGAINST (Appellee)
[All parties in the trial court when the final order/judgment were entered are appellees and must be listed if they did not file a notice of appeal. AR 204(b)[1] & (g).]

a. Name c. Party mailing address City State Zip Code

b. Status in the Trial Court Plaintiff Other. Specify: d. Telephone Defendant

5. APPELLEE'S ATTORNEY
a. Name c. Attorney mailing address City State Zip Code b. Bar Number d. Telephone f. Firm/Agency e. Fax

6. SUPERIOR COURT PROCEEDING
a. Case No. b. Superior Court Judge c. Date Judgment Distributed d. Post-Judgment Motions: List all post-judgement motions that affect time for filing appeal. See Appellate Rule 204 (a)(3). DATE ORDER DISTRIBUTED DATE OF FILING Type of Post-Judgment Motion Month Day Year Month Day Year

7. CONSTITUTIONAL ISSUES
Is the constitutionality of a state statute or regulation at issue in this appeal? If yes, cite statute or regulation: SCT-A (rev. 6/05)
Yes No

8. FINALITY OF JUDGMENT OR ORDER BEING APPEALED
a. b. c. The judgment or order being appealed is final and disposes of ALL claims by ALL parties. (The judgment or order is final under City and Borough of Juneau v. Thiboudeau 595 P.2d 626 (AK 1979).) The judgment or order being appealed does not dispose of all claims by all parties but is final under Civil Rule 54(b). (The trial court's Civil Rule 54(b) order must be attached.) The judgment or order being appealed is not final. The authority for this appeal is

9. ATTACHMENTS
The following items are submitted with this form (except that cross-appellants need not submit item a.): a. b. c. A copy of the final order or judgment from which the appeal is taken. A statement of points on appeal. A $150 filing fee or a motion to appeal at public expense (financial statement affidavit form must be included). a motion to waive filing fee (if basis for motion is inability to pay, financial statement affidavit form must be included). an application for exemption from filing fee under AS 9.19.010. no filing fee is required becuse appellant is represented by court-appointed counsel, and AS 9.19.010 does not apply. the state or an agency thereof. an employee appealing denial of benefits under AS 23.20 (Employment Security Act).

d.

A $750 cost bond or deposit or

a copy of a superior court order approving appellant's supersedeas bond or a copy of appellent's motion to the superior court for approval of a supersedeas bond. a motion to waive cost bond (if basis for motion is inability to pay, financial statement affidavit form must be included). a motion to appeal at public expense (financial statement affidavit form must be included). no cost bond is required because appellant is represented by court-appointed counsel. a state agency, municipality, or state or municipal officer. an employee appealing denial of compensation by Alaska Workers' Compensation Board or denial of benefits under AS 23.20 (Employment Security Act). e. Designation of transcript submitted not submitted (no transcript being requested) motion to extend submitted

Date CERTIFICATE OF SERVICE
I certify that on a copy of the notice of appeal, this docketing statement, and all attachments (except filing fee and cost bond) were

Signature of Appellant or Appellant's Attorney FILING INSTRUCTIONS

mailed

delivered

to All Parties (listed)

File original docketing statement and notice of appeal with all attachments listed in #9 and ONE copy of ALL except filing fee and cost bond.

Signature: SCT-A-2 (rev. 6/05)