Rule 12: Required Civil Case Information Supplement

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Rule 12: Required Civil Case Information Supplement

In a civil appeal from a circuit court, except a post-conviction appeal, and in all workers' compensation appeals from the Labor and Industrial Relations Commission, the appellant shall complete and file with the Notice of Appeal a Civil Case Information Supplement Form using the form designated for this purpose and made a part of this rule. The appellant shall file the Notice of Appeal and the Civil Case Information Supplement Form with the clerk of the circuit court or the secretary of the Labor and Industrial Relations Commission and serve a copy on each respondent. The circuit clerk or secretary of the Labor and Industrial Relations Commission shall forward the Notice of Appeal, the Civil Case Information Supplement Form and any attachments to this court. All Notices of Appeal shall be accompanied by a copy of the judgment or order appealed from. Failure to file the required Supplement to the Notice of Appeal may result in the dismissal of the appeal or some other sanction.

(Adopted March 16, 1999)

IN THE COURT OF APPEALS
SOUTHERN DISTRICT

CIVIL CASE INFORMATION FORM
(This form must be filed with the Notice of Appeal)

List every party involved in the case, indicate the position of the party in the circuit court (e.g. plaintiff, defendant, intervenor) and in the Court of Appeals (e.g. appellant or respondent) and the name of the attorney of record, if any, for each party. Attach additional sheets to identify all parties and attorneys if necessary.

Party	Attorney
____________________________	___________________________
	Name Bar No.
____________________________	___________________________
	Address
____________________________	___________________________
	City, State, Zip Code
	___________________________
	Telephone Number
	___________________________
	Fax Number
VS _________________________________ _________________________________ _________________________________	____________________________ Name Bar No. ____________________________ Address ____________________________ City, State, Zip Code ____________________________ Telephone Number ____________________________ Fax Number

Date Notice of Appeal filed in Circuit Court ___________________________________

ATTACH A COPY OF THE JUDGMENT OR ORDER APPEALED

The Record on Appeal will consist of:
_________ Legal File Only _________ Legal File and Transcript

FACTUAL BACKGROUND: (Events giving Rise to the Cause of Action. Attach one additional page, if necessary).

ISSUES EXPECTED TO BE RAISED ON APPEAL: (Attach one additional page, if necessary. Appellant is not bound by this list. Attach copy of post-trial motion, if one was filed).

A COPY OF THIS FORM AND ATTACHMENTS
MUST BE SERVED ON THE RESPONDENT

(Adopted March 16, 1999)