Docketing Statement C {COA-C}

COA-C (rev. 1/18) IN THE COURT OF APPEALS OF THE STATE OF ALASKA DOCKETING STATEMENT C FOR USE IN EXPEDITED APPEALS UNDER APPELLATE RULE 216 AND JUVENILE APPEALS UNDER APPELLATE RULE 219 Appeal filed by Defendant State of Alaska 1. TYPE OR APPEAL a. Extradition Appeal (App. R. 216(a)(1) b. Preemptory Challenge Appeal (App. R. 216(a)(2) c. Juvenile Delinquency Appeal (App. R. 219(a)(1) d. Juvenile Waiver Appeal (App. R. 219(a)(2) 2. DEFENDANT (If defendant is juvenile, use initials.) a. Name c. Defendant Mailing Address * (not attorney222s address) b. Did defendant have co-counsel YES NO status in the trial court? Will defendant seek co-counsel YES NO status in the appellate court? UNKNOWN City State Zip Code d. Telephone * If defendant is incarcerated, include name and mailing address of correctional facility. 3. DEFENDANT222S ATTORNEY IN APPEAL Defendant not represented by attorney in appeal. a. Name Court Appt b. Bar Number c. Attorney Mailing Address d. Telephone e. Fax City State Zip Code f. Firm/Agency Same as attorney in appeal. 4. DEFENDANT222S ATTORNEY IN TRIAL COURT Defendant not represented by attorney in trial court. a. Nameb. Bar Number c. Attorney Mailing Address d. Telephone e. Fax City State Zip Code f. Firm/Agency 5. PROSECUTING ATTORNEY *a. Nameb. Bar Number c. Attorney Mailing Address d. Telephone e. Fax City State Zip Code f. Agency * Specify attorney who will handle appeal, if known. Otherwise, specify trial attorney. 6. EXTRADITION APPEALa. Superior Court Case No.b. Superior Court Judge c. Date Order or Judgment Distributed d. Offense(s) for which extradition sought: e. Requesting State f. Pending Charges in Alaska Trial Court Case No. Status of Case (for court system use) No. American LegalNet, Inc. www.FormsWorkFlow.com COA-C-2 (rev. 1/18) 7. PEREMPTORY CHALLENGE APPEALa. Trial Court Case No.b. Judge Who is the Subject of Challenge c. Date Order or Judgment Distributed e. Pending Charges in Trial Court f. Pending Charges in Alaska YES NO 8. JUVENILE APPEAL (DOB: )a. Superior Court Case No.b. Superior Court Judge c. Date Order Distributed d. Juvenile Delinquency Appeal e. Juvenile Waiver Appeal. List Underlying Charges(s) Nature of Appeal adjudication only disposition only adjudication and disposition Part of disposition being appealed Institutional Commitment Probation Other. Specify . 9. ATTACHMENTSThe following items are submitted with this form: a. A copy of the final order or judgment from which the appeal is taken. c. A $250 filing fee or a motion to appeal at public expense (financial statement affidavit form must be included). a motion to waive filing fee (financial statement affidavit form must be included). no filing fee is required because appellant is represented by court-appointed counsel, the state or an agency thereof. d. For juvenile appeal only: A designation of electronic recording submitted. not submitted (no electronic recording being requested). motion to extend submitted. Date Signature of Appellant or Appellant222s Attorney 10. ATTORNEY INFORMATION*a. Nameb. Bar Number c. Attorney Mailing Address d. Telephone e. Fax City State Zip Code f. Firm/Agency *Complete this box only if the attorney who signs form is not the attorney named in box 2, 3, or 4. CERTIFICATE OF SERVICE FILING INSTRUCTIONS I certify that on a copy of the notice of appeal, this docketing statement, and all attachments (except filing fee) were mailed delivered to All parties in the trial court (listed) Signature: File original docketing statement and notice of appeal with all attach-ments listed in #9 and ONE copy of ALL except filing fee. American LegalNet, Inc. www.FormsWorkFlow.com