Notice Of Appeal

(Appellants Attorneys Name) Attorney for Appellant Post Office Address Phone Number IN THE DISTRICT COURT OF THE _______ JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _______ IN THE (PUBLIC UTILITIES COMMISSION) (INDUSTRIAL COMMISSION) OF THE STATE OF IDAHO (Title of original action or ) Case No. proceeding together with the ) NOTICE OF APPEAL additional designation of ) parties as appellant and ) respondent) ) TO: THE ABOVE NAMED RESPONDENT(S), (Names), AND HIS (THEIR) ATTORNEYS, (Names and Addresses), AND THE CLERK OF THE ABOVE-ENTITLED COURT (ADMINISTRATIVE AGENCY). NOTICE IS HEREBY GIVEN THAT: 1. The above named appellant(s), (Name), appeal(s) against the above-named respondent(s) to the Idaho Supreme Court fromhe final judgm (t ent) (the order, describing it) _______ entered in the above-entitled action (proceeding) on the _______ day of _______ , (Honorable Judge _______ ) (Chairman _______ ) presiding. 2. The party has a right to appeal to the Idaho Supreme Court, and the judgments or orders described in paragraph 1 above are appealable orders under and pursuant to Rule [e.g. (11(a)(2)) or (12(a))] I.A.R. 3. A preliminary statement of the issues on appeal which the appellant then intends to assert in the appeal; provided, any such list of issues on appeal shall not prevent the appellant from asserting other issues on appeal. 4. (a) Is a reporters transcript requested? ___ (b) The appellant requests the preparation of the following portions of the reporters transcript: e.g. (The entire reporters standard transcript as defined in Rule 25(a), I.A.R.) <<<<<<<<<********>>>>>>>>>>>>> 2(The entire reporters standard transcript supplemented by the following:) (Voir dire examination of jury) (Closing arguments of counsel) (The following reporters partial transcript:) (The testimony of witness "X") (Instructions verbally given by court) 5. The appellant requests the following documents to be included in the clerks (agencys) record in addition to those automatically included under Rule 28, I.A.R. e.g. (All requested and given jury instructions) (The deposition of "X") (Plaintiffs motion for continuance of trial) 6. I certify: (a) that a copy of this notice of appeal has been served on the reporter. (b) (1) [ ] That the clerk of the district court or administrative agency has been paid the estimated fee for preparation of the reporters transcript. (2) [ ] That the appellant is exempt from paying the estimated transcript fee because _______ (c) (1) [ ] That the estimated fee for preparation of the clerks or agencys record has been paid. (2) [ ] That appellant is exempt from paying the estimated fee for preparation of the record because _______ (d) (1) [ ] That the appellate filing fee has been paid. (2) [ ] That appellant is exempt from paying the appellate filing fee because _______ <<<<<<<<<********>>>>>>>>>>>>> 3(e) That service has been made upon all parties required to be served pursuant to Rule 20. (and the Attorney General of Idaho pursuant to 67-1401(1), Idaho Code). DATED THIS _______ day of _______, 20 ___. _________________________________ /s/Attorneys Signature (Name of Attorney or Firm for Appellant) Attorneys for the Appellant (When certification is made by a party instead of his attorney the following affidavit must be executed pursuant to I.A.R. Rule 17(i)) State of Idaho ) ) ss. County of ________________ ) _____________________________________ , being sworn, deposes and says: That the party is the appellant in the above-entitled appeal, and that all statements in this notice of appeal are true and correct to the best of his or her knowledge and belief. _______________________________________ Signature of Appellant Subscribed and Sworn to before me this _______ day of _______, 20 __. (SEAL) ________________________________ Title Residence