Instructions for Filling Out Forms in the Appellate Division

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					Instructions for Filling Out Forms in the Appellate Division
The purpose of the following instructions is to indicate what is to be entered in each section of
various forms used in the Appellate Division and what documents must accompany the forms.
Enclosed are copies of the forms with each section numbered. That number corresponds with the
number under the instructions for filling out that specific form. Please print or type the
information on the forms which are enclosed.

Table of Contents

         Notice of Appeal Form - Side One ..................................................................................... 2

         Notice of Appeal Form - Side Two..................................................................................... 3

         Necessary Attachments to the Notice of Appeal ................................................................ 4

         Court Transcript Request Form .......................................................................................... 5

         Civil Case Information Statement Form ............................................................................. 5

         Criminal Case Information Statement Form....................................................................... 7

         Notice of Motion Form ....................................................................................................... 8

         Certified Statement in Support of Motion for Leave to Proceed As an Indigent Form...... 9




Revised: 06/2005, CN: 10886-English                                                                                       page 1 of 10
Instructions for Filling Out Forms in the Appellate Division
Notice of Appeal Form - Side One
   1.     Enter the complete caption or title of the case exactly as it appears on the papers from
          the trial court or State agency from which you are appealing.

    2.          Enter your name, address and daytime telephone number. As you are representing
                yourself pro se, you are the "ATTORNEY OF RECORD" for yourself in this case. If
                you are not an attorney at law admitted to practice in the State of New Jersey, you
                may not represent any person other than yourself.

    3. A. Enter the name of the trial court from which this case originates (for example,
          "Superior Court, Law Division, Essex County," or "Superior Court, Family Part,
          Mercer County," or "Tax Court.") If the appeal is from a final decision of a State
          agency, enter the name of the agency.

          B. Enter the number assigned the case by the trial court or agency from which you are
             appealing.

          C. Enter the name of the judge whose judgment or order you are appealing, and indicate
             by checking the appropriate box as to whether the matter is "CIVIL", "CRIMINAL"
             or "JUVENILE".

    4.          Enter your name.

    5.          Check the appropriate box. If you check "OTHER," briefly describe same on the line
                provided.

    6.          Enter the date of the judgment, order or decision appealed from.

    7.          Enter the name of the party who prevailed in the trial court or agency.

    8.          If you are appealing the entire judgment, order or decision, leave these lines blank. If
                appealing only a part or several parts, specify on these lines.

    9.          If all issues as to all parties are disposed of in this action in the trial court or agency,
                check "Yes." If all issues as to all parties are not disposed of, check "No". If you
                check "No", you should not be filing a notice of appeal, but rather a motion for leave
                to appeal, unless the answer to the next question, whether there is a certification of
                final judgment entered pursuant to Court Rule 4:42-2, is "Yes."

    10.         Answer whether the case is entitled to a priority under Court Rule 1:2-5. If it is,
                specify under which section of the rule it is so entitled. Court Rule 1:2-5.
                Advancement of Cases for Trial or Argument In the scheduling of cases for trial,
                hearing or argument, the following classes of actions shall be given preference:

          (1)       all contested matters where a principal issue is the custody, status, welfare and
                    protection of minors; criminal and quasi-criminal cases, election actions, actions
                    (except negligence actions) to which the State, a county, municipality or other
                    public or quasi-public agency is a party;


Revised: 06/2005, CN: 10886-English                                                                page 2 of 10
Instructions for Filling Out Forms in the Appellate Division
          (2)      if the action is in a trial court, all cases to be tried without a jury;

          (3)      appeals on leave granted pending in the appellate courts;

          (4)      workers' compensation appeals;

          (5)      such other cases as any court may from time to time order.

    11.         If the case is criminal, quasi-criminal, or juvenile, indicate whether you are
                incarcerated and, if so, enter the name and full address of the facility or institution at
                which you are confined. Be sure to include any inmate identification number assigned
                to you. Then enter the required information concerning the offense, the judgment
                entered, the date of its entry, and the sentence or disposition imposed in the case.


Notice of Appeal Form - Side Two
   12. (Section 1) Pursuant to Court Rule 2:5-1, a notice of appeal must be served upon a
       number of individuals. Enter the names and other information requested. Enter the date
       that the notice of appeal was served and the manner in which it was served. Pursuant to
       Court Rule 1:5-2, service may be made by personal delivery of the papers, by ordinary
       mail or by certified or registered mail return receipt requested. See also Court Rules 1:5-1
       and 4:4-4. You must date the certification and sign on the line for the "SIGNATURE OF
       ATTORNEY OF RECORD." Your signature on this line satisfies the "Proof of Service"
       requirement of Court Rule 1:5-3 as to the notice of appeal.

    13. (Section 2) As discussed elsewhere in this pro se kit, the transcript of the proceedings of
        the trial court or agency from which you are appealing must be ordered. As appellant,
        you must order the transcript and complete this section of the notice of appeal. Enter the
        names of the persons on whom you served the court transcript request form(s), the date of
        service and the amount of deposit paid. You must then date the certification and sign on
        the line for the "SIGNATURE OF ATTORNEY OF RECORD."

    14. (Section 3) You need not order nor pay a deposit for the transcript at the time of filing the
        notice of appeal if any of the conditions enumerated in this section apply:

          (A)      THERE IS NO VERBATIM RECORD
                   This means that during the proceedings in the trial court or agency from which
                   you are appealing there was no court reporter present, no tape recorder that was
                   sound recording, nor any other verbatim recording of the proceedings being made.

          (B)      TRANSCRIPT IS IN THE POSSESSION OF THE ATTORNEY OF RECORD
                   This means that either you or an attorney representing another party have already
                   obtained the transcript. In these instances, it will not have to be reordered as a
                   new transcript. As you are the appellant, however, it will be your responsibility to
                   have sufficient copies made of the transcript for filing and service. If the
                   transcript is in the possession of another person, you will be responsible for
                   making arrangements to obtain it from that person, or obtain a copy from the
                   person who produced the transcript.


Revised: 06/2005, CN: 10886-English                                                             page 3 of 10
Instructions for Filling Out Forms in the Appellate Division
         (C)      A MOTION FOR ABBREVIATION OF TRANSCRIPT HAS BEEN FILED
                  WITH THE COURT OR AGENCY BELOW
                  In lieu of a transcript of the entire proceedings in the trial court or agency, the
                  transcript may be abbreviated by either the consent of all parties or by a motion to
                  the trial court or agency. See the Appellate Division Practice Checklist and Court
                  Rule 2:5-3(c) for more information. If you have filed a motion for abbreviation of
                  the transcript, a copy of that motion must accompany your notice of appeal. As
                  the person who filed the motion with the trial court or agency, it is your
                  responsibility to keep the Clerk's office informed as to the status of that motion,
                  and to obtain a copy of the decision deciding same.

         (D)      A MOTION FOR FREE TRANSCRIPT HAS BEEN FILED WITH THE
                  COURT BELOW
                  If you have filed a motion for free transcript with the trial court, a copy of that
                  motion must accompany your notice of appeal. As the person who filed the
                  motion with the trial court, it is your responsibility to keep the Clerk's office
                  informed as to the status of that motion and to obtain a copy of the order deciding
                  same. Please refer to the cover letter of this pro se kit and the Appellate Division
                  Practice Checklist for more information. In completing this section of the notice
                  of appeal form, you should check off which one (or more) of the boxes applies to
                  your case, attach a copy of any motion filed with the trial court or agency, date
                  and sign on the line for the "SIGNATURE OF ATTORNEY OF RECORD." If
                  none of the four statements in this section applies to your case, you should leave
                  this section blank.


Necessary Attachments to the Notice of Appeal
The notice of appeal that you mail or deliver to the Clerk's office for filing, and which you serve
on the other parties and individuals, must have a transcript request form and a case information
statement attached.

    (1) Transcript Request Form(s).
        One copy of a transcript request form for each individual court reporter must be attached
        to your notice of appeal. In the case of sound recordings, one copy of the transcript
        request form to the clerk of the trial court or agency from which this appeal is being
        taken must be attached to your notice of appeal. The transcript request form must be
        completed, with all the information requested on it provided, and dated and signed by
        you. The check in payment of the deposit is not mailed to the Clerk's office, but is to be
        sent by you to the court reporter or, in the case of sound recordings, to the clerk of the
        trial court or agency. If, as discussed elsewhere in this pro se kit, you can not afford the
        transcript, your notice of appeal should be accompanied by a copy of the motion for free
        transcript you filed in the trial court, or by a copy of the motion for abbreviation of
        transcript filed in the trial court or agency. If you are filing a motion for free transcript in
        the Appellate Division, you must include with your notice of appeal an original and four
        copies of your motion, made pursuant to Court Rule 2:8-1.

    (2) Case Information Statement.
        If your case is a civil matter, you must complete and sign a civil case information

Revised: 06/2005, CN: 10886-English                                                           page 4 of 10
Instructions for Filling Out Forms in the Appellate Division
         statement. If criminal or quasi-criminal, you must complete and sign a criminal case
         information statement. A copy of the judgment or order of the trial court or decision of
         the State agency, which is the subject of the appeal, should be attached to your case
         information statement.


Court Transcript Request Form
  1. Enter the name and address of the court reporter, if a court reporter was present in court
      transcribing the proceedings. If the proceedings were sound recorded, enter the name and
      address of the agency or the court clerk of the trial judge. If you do not know the name of
      the court reporter, call the county courthouse and ask to be connected to the office of the
      supervisor of court reporters for that county. Likewise, if you do not know the name of
      the court clerk, call the trial judge's chambers and ask for this information. Be sure to ask
      for the mailing address of either the court reporter or court clerk, and enter this on the
      court transcript request.

    2. Enter the caption or title of the case as it appears on the papers from the trial court or
       agency from which you are appealing.

    3. In civil cases, enter the trial court or agency docket number. In criminal cases, enter the
       complaint, accusation or indictment number(s). If a municipal appeal, enter the Law
       Division docket number.

    4. Enter the county and the name of the trial court or agency from which you are appealing.

    5. Enter your name and address.

    6. Since you are filing an appeal, check the box which indicates use on "appeal".

    7. Enter the number of copies you are asking to be produced. The minimum number you can
       request is an original and one copy.

    8. Enter the date(s) of the proceeding(s) you are ordering.

    9. Enter the type of proceeding(s) (for example, trial, sentencing, motion, etc.)

    10. Enter the name of the trial judge or hearing officer who presided at each proceeding.

    11. Sign your name and enter the date.

    12. Enter the amount of the deposit. The original of the court transcript request and a check
        for the deposit are sent to the court reporter or, in the case of a proceeding that was sound
        recorded, to the agency or the court clerk of the trial judge.

    13. Enter lines 2 and 3 pursuant to the instructions which are pre-printed on the form.


Civil Case Information Statement Form
   1. Enter the caption or title of the case as it appears on the papers from the trial court or

Revised: 06/2005, CN: 10886-English                                                         page 5 of 10
Instructions for Filling Out Forms in the Appellate Division
         agency from which you are appealing.

    2. As you are representing yourself pro se, enter your own name, address, and daytime
       telephone number. If you are not an attorney at law admitted to practice in the State of
       New Jersey, the only "CLIENT" whom you can represent is yourself.

    3. Enter the names, addresses and telephone numbers of the attorneys who represented the
       other parties in the trial court or agency and the names of their clients.

    4. Briefly summarize the terms of the judgment, order or decision which is the subject of
       this appeal, including its date.

    5. Answer whether the determination described in 4 above disposes of all issues as to all
       parties. If the answer is "Yes", then you may properly proceed with the filing of a notice
       of appeal. If the answer is "No", then you should immediately move for leave to appeal.
       (But see 6 below.)

    6. If the trial court has certified the determination as final pursuant to Court Rule 4:42-2,
       then leave to appeal need not be sought even though all issues as to all parties have not
       been disposed of. If the determination disposes of less than all issues as to all parties, and
       the trial court has not certified it as final pursuant to Court Rule 4:42-2, then leave to
       appeal must be sought.

    7. Answer "Yes" or "No". If you cannot answer "Yes" or "No", you may answer
       "Unknown".

    8. Briefly summarize the facts and the procedural history of the case.

    9. List the issues which you plan to raise in your appeal.

    10. & 11. As you are representing yourself pro se in the appeal, 10 and 11 do not have to be
        completed.

    12. Answer whether you or anyone you know of has an appeal that is pending or about to be
        brought before this court which involves the same case as your appeal. If you cannot
        answer "Yes" or "No," you may answer "Unknown".

    13. Answer whether you know of any other appeal that is pending or about to be brought
        before this court which involves an issue similar to or related to an issue in your appeal.
        If you do not have this information available to you and cannot answer "Yes" or "No,"
        you may answer "Unknown".

    14. If there was a prior appeal in this court involving this same case or controversy, the
        answer is "Yes" and you should provide the case name(s) and Appellate Division docket
        number(s) in the space provided below (15). If no prior related appeals have been filed in
        this court, the answer is "No".

    15. List any appeals requested in 12, 13 or 14 above.

    16. Advise of any special circumstances which might justify an extension of time for you to

Revised: 06/2005, CN: 10886-English                                                        page 6 of 10
Instructions for Filling Out Forms in the Appellate Division
         prepare, serve and file your brief and appendix on the merits of the appeal.

    17. Type or print your name on the line.

    18. Enter the date on the line.

    19. Type or print your name on the line. As you are representing yourself pro se, you are
        "Counsel of Record" for yourself.

    20. Sign on the line.


Criminal Case Information Statement Form
   1. Enter the caption or title of the case as it appears on the papers from the trial court from
      which you are appealing.

    2. As you are representing yourself pro se, enter your own name, address, and daytime
       telephone number. If you are not an attorney at law admitted to practice in the State of
       New Jersey, the only "CLIENT" whom you can represent is yourself.

    3. Enter the name, address, and telephone number of the county prosecutor's office which
       represented the State of New Jersey in the trial court and/or where appropriate, the name,
       address and telephone number of the Office of the Attorney General. See Court Rule 2:5-
       1(f)3.(iii) as to adult criminal appeals, and Court Rule 2:5-1(d) as to juvenile matters. The
       "CLIENT" is the State of New Jersey.

    4. Briefly summarize the terms of the judgment which is the subject of this appeal,
       including its date.

    5. Answer whether the determination described in 4 above disposes of all issues as to all
       parties. If the answer is "Yes", then you may properly proceed with the filing of a notice
       of appeal. If the answer is "No", then you should immediately move for leave to appeal.

    6. Answer "Yes" or "No". If you cannot answer "Yes" or "No", you may answer
       "Unknown".

    7. On these four lines, answer whether you are confined, whether you are on bail, whether
       you are appealing only your sentence and whether there are co-defendants. If there are
       co-defendants, you should list their names in the space provided. (If your co-defendants
       are juveniles who were not waived up to the Law Division, use only their initials.)

    8. Briefly summarize the facts and the procedural history of the case.

    9. List the issues which you plan to raise in your appeal.

    10. Answer whether you or a co-defendant has an appeal that is pending or about to be
        brought before this court which involves the same case as your appeal. If you cannot
        answer "Yes" or "No," you may answer "Unknown".



Revised: 06/2005, CN: 10886-English                                                       page 7 of 10
Instructions for Filling Out Forms in the Appellate Division
    11. Answer whether you know of any other appeal that is pending or about to be brought
        before this court which involves an issue similar to or related to an issue in your appeal.
        If you do not have this information available to you and cannot answer "Yes" or "No,"
        you may answer "Unknown".

    12. If there was a prior appeal in this court involving this same case or controversy, the
        answer is "Yes" and you should provide the case name(s) and Appellate Division docket
        number(s) in the space provided below (13). If no prior related appeals have been filed in
        this court, the answer is "No".

    13. List any appeals requested in 10, 11 or 12 above.

    14. Advise of any special circumstances which might justify an extension of time for you to
        prepare, serve and file your brief and appendix on the merits of the appeal.

    15. Type or print your name on the line.

    16. Enter the date on the line.

    17. Type or print your name on the line. As you are representing yourself pro se, you are
        "Counsel of Record" for yourself.

    18. Sign on the line.


Notice of Motion Form
Should you need to file a motion, we suggest that you use this as a guide in completing the
notice of motion form.

    1. Enter your name, address and daytime telephone number. Indicate whether you are the
       appellant or respondent.

    2. Enter the Appellate Division docket number of the appeal. If you are filing the motion
       simultaneously with your notice of appeal, or if you are filing a motion for leave to
       appeal, you will not yet have an Appellate Division docket number. In that event, leave
       the line blank, and in the space below enter the number assigned the case by the trial
       court or agency from which you are appealing.

    3. Enter the caption or title of the case exactly as it appeared on the papers from the trial
       court or agency from which you are appealing.

    4. Enter the specific relief your are requesting, in just a few words, such as "STAY
       PENDING APPEAL".

    5. Enter the name and address of the other party's attorney or, if more than one other party,
       the names and addresses of all the attorneys. If a party is not represented by an attorney,
       list the party's name and address.

    6. Enter the specific relief you are requesting, such as "staying the trial court judgment of

Revised: 06/2005, CN: 10886-English                                                        page 8 of 10
Instructions for Filling Out Forms in the Appellate Division
         May 28, 1995 pending disposition of the appeal."

    7. Pursuant to Court Rule 2:8-1, every motion shall be supported by a brief. The brief
       should set forth the nature of the action, the relevant facts, and the legal arguments and
       reasons why the relief you are requesting should be granted.

    8. Enter the date on the line.

    9. Sign (do not print or type) your name on the line.

    10. Type or print your name on the line.

    11. Repeat the same information here that you provided in 5, above.

    12. Enter the date on the line.

    13. Sign (do not print or type) your name on the line.

    14. Type or print your name on the line.


Certified Statement in Support of Motion for Leave to Proceed As an Indigent
Form
If you are requesting to proceed as an indigent, this form should be completed and submitted
with a notice of motion. Do not leave any lines on the form blank or simply draw a line through,
or put an "X" on, any line. If any category does not apply to you, you should enter "None" on the
line. Attach additional sheets as needed to fully answer each question.

    1. Enter your name, daytime telephone number, current address, date of birth and number of
       dependents.

    2. Enter the name and complete address of your present employer, the title or description of
       your position and your salary per month.

    3. Enter the source and monthly amount of any additional income of any kind.

    4. Enter all checking, savings and other bank accounts of any kind, the present balance of
       each and the name and address of the financial institution(s).

    5. Enter the address, present market value and equity of any real estate which you own as an
       individual, or with anyone else.

    6. Enter all personal property, including the present value of each item. (For items such as
       clothing, furniture or jewelry, you may give a total value for each category.)

    7. Enter all automobiles, trucks or motorcycles you own, including for each its year, make
       and present equity.

    8. Enter any other assets of any kind which you own, including the present value of each.


Revised: 06/2005, CN: 10886-English                                                       page 9 of 10
Instructions for Filling Out Forms in the Appellate Division
    9. Enter your monthly mortgage payment, monthly rent or halfway house payment. If you
       own a house, townhouse, condominium or other real property, enter your mortgage
       balance.

    10. Enter all outstanding loans, what they are for, the present balance of each, and the name
        and address of the lender(s).

    11. Enter all credit cards, the present balance of each and the name and address of the
        issue(s).

    12. Enter all other liabilities, what they are, the present balance of each, and the name and
        address of the person(s) or institution(s) owed the money.

    13. Enter any other information of any kind concerning your financial circumstances which
        would be helpful to the court in determining the question of whether you are indigent.

    14. Sign (do not print or type) your name on the line and enter the date. By signing and
        dating the form, you are certifying that all statements made by you on the form, and any
        attachments, are true, and that if any of these statements are willfully false, you are aware
        that you are subject to punishment.




Revised: 06/2005, CN: 10886-English                                                       page 10 of 10