Assignment Form {JD-AC-14}

Page 1 Signed (Counsel of record) u Names, addresses and numbers included on separate page. ASSIGNMENT - APPELLATE COURT JD-AC-14 Rev. 1-19 P.B. Sections 60-8, 62-7, 69-3, 70-2CONNECTICUT JUDICIAL BRANCH APPELLATE CLERK 231 Capitol Avenue Party/parties represented Appeal docket number(s) Law firm (if applicable) Appeal caption(s) Name of attorney or self-represented party who will argue appealIf you have appeals which should be heard together, please list them below: List the date(s) and reason(s) that you are unavailable to argue this appeal during the*Please note that Supreme and Appellate arguments take precedence over all other Judicial Branch assignments. See Practice Book Section 69-3. term: Check to indicate a copy of this request has been mailed to each client who is a party to this appealDate signed If you have an exemption from e-filing under Practice Book Section 60-8, attach a list with the name, address, e-mail address, telephone number, and facsimile number of each counsel of record and the address where the copy was delivered. I certify that a copy of the document(s) that I am filing has been delivered on to each other counsel of record and I have included their names, addresses, e-mail addresses and telephone and facsimile numbers; the document(s) have been redacted or do not contain any names or other personal identifying information that is prohibited from disclosure by rule, statute, court order or case Date A.M., P.M., or entire day Reason(s) for unavailability* Telephone number (with area code) of attorney or self-represented party E-mail address of attorney or self-represented party