Court Of Appeals Transcript Order Form

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READ INSTRUCTIONS ON LAST PAGE BEFORE COMPLETING
TRANSCRIPT ORDER FORM
District Court: __________________________________________ District Court Docket No.____________________________________
Short Case Title: ______________________________________________ Court Reporter: _____________________________________
ONLY ONE COURT REPORTER PER FORM
Date Notice of Appeal Filed by Clerk of District Court: _____________________ Court of Appeals No.: _______________________
PART I.
(To be completed by party ordering transcript. Do not complete this form unless financial arrangements have been made.)
A. Complete the Following:
☐No Hearings ☐Transcript is unnecessary for appeal purposes ☐Transcript is already on file in the Clerk’s Office
or
Check All of the Following that Apply, Enter the date of the proceeding in the blank line.
This is to Order a Transcript of the following proceedings: ☐Bail Hearing: _______________ ☐Voir Dire:______________
☐Opening Statement of Plaintiff:_______________ ☐Opening Statement of Defendant:_______________
☐Closing Argument of Plaintiff:_______________ ☐Closing Argument of Defendant:_______________
☐Opinion of court:_______________ ☐Jury Instructions:_______________ ☐Sentencing:_______________
Hearing Date(s)
Proceeding
Judge/Magistrate
Failure to specify in adequate detail those proceedings to be transcribed, or failure to make prompt satisfactory
financial arrangements for transcript, are grounds for DISMISSAL OF APPEAL.
B. This is to certify that satisfactory financial arrangements have been completed with the court reporter for
payment of the transcript. The method of payment will be:
☐Private Funds;
☐Criminal Justice Act Funds (Enter Authorization-24 to USDC eVoucher);
☐Other IFP Funds;
☐Advance Payment waived by reporter;
☐U.S. Government Funds
☐Other____________________________________________________________________________________________________________
Signature_________________________________________________________ Date Transcript Ordered__________________________
Print Name_______________________________________________________ Phone:___________________________________________
Counsel for_________________________________________________________________________________________________________
Address____________________________________________________________________________________________________________
PART II. COURT REPORTER ACKNOWLEDGEMENT (To be completed by the Court Reporter and filed with the Court
of Appeals within 7 days after receipt. Read instructions on page 2 before completing.)
Date Transcript Order
If arrangements not yet made, date
Estimated Completion Date
Estimated number of
Received
contact made w/ ordering party
Pages
☐Satisfactory Arrangements for payment were made on _______________________________
☐ Payment Arrangements have NOT been made. Reason: ☐Deposit not received ☐Unable to contact ordering party
☐Other (Specify)______________________________________________________________________________________
Date:____________________ Signature of Reporter:_____________________________________________ Tel._____________________
Address of Reporter:_________________________________________________________________________________________________
Part III. NOTIFICATION THAT TRANSCRIPT HAS BEEN FILED IN THE DISTRICT COURT (To be completed by court
reporter on date of filing transcript in the District Court and this completed form e-filed with the Court of Appeals.)
This is to certify that the transcript has been completed and filed at the District Court today.
Actual Number of Pages: ___________________________
Actual Number of Volumes:________________________
Date: ___________________________ Signature of Reporter:____________________________________________________________

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