Fill and Sign the 2019 Form Ca App 110 Fill Online Printable Fillable Blank

InstructionsBefore you fill out this form, read Information on Appeal Procedures for Limited Civil Cases (form APP-101-INFO) to know your rights and responsibilities. You can get form APP-101-INFO at any courthouse or county law library or online at www.courts.ca.gov/forms. This form is only for choosing (“designating”) the record on appeal in a limited civil case. Fill out this form and make a copy of the completed form for your records and for each of the other parties. • • • • Take or mail the original completed form and proof of service on the other parties to the clerk’s office for the same court that issued the judgment or order that is being appealed. It is a good idea to take or mail an extra copy to the clerk and ask the clerk to stamp it to show that the original has been filed. Serve a copy of the completed form on each of the other parties and keep proof of this service. You can get information about how to serve court papers and proof of service from What Is Proof of Service? (form APP-109-INFO) or on the California Courts Online Self-Help Center at www.courts.ca.gov/selfhelp-serving.htm. • Your InformationName of respondent (the party who is responding to an appeal filed by another party): a. Clerk stamps date here when form is filed. Superior Court of California, County of You fill in the number and name of the trial court case in which you are appealing the judgment or order: Trial Court Case Number: Trial Court Case Name: You fill in the name and street address of the court that issued the judgment or order you are appealing: You fill in the appellate division case number (if you know it): Appellate Division Case Number: APP-110 Respondent’s Notice Designating Record on Appeal (Limited Civil Case) Phone: E-mail: Mailing address (if different): State Bar number: Name: Respondent’s lawyer (skip this if the respondent does not have a lawyer for this appeal): c. Name: City State Street address: Street Zip Street City State Zip Phone: Mailing address (if different): City State Street address: Street Zip Street City State Fax: Zip E-mail: Respondent’s contact information (skip this if the respondent has a lawyer for this appeal): b. Judicial Council of California www.courts.ca.gov Revised January 1, 2019, Optional Form Cal. Rules of Court, rules 8.831, 8.832, 8.834 Respondent's Notice Designating Record on Appeal (Limited Civil Case) APP-110, Page 1 of 5 1 I request that the clerk include in the transcript the following exhibits that were admitted in evidence, refused, or lodged in the trial court. (For each exhibit, give the exhibit number (such as Plaintiff’s #1 or Defendant’s A) and a brief description of the exhibit and indicate whether or not the court admitted the exhibit into evidence. If the trial court has returned a designated exhibit to a party, the party who has that exhibit must deliver it to the trial court clerk as soon as possible.) In addition to the documents designated by the appellant, I request that the clerk include in the transcript the following documents that were filed in the trial court. (Identify each document you want included by its title and provide the date it was filed or, if that is not available, the date the document was signed). Information About the Appeal Record of the Documents Filed in the Trial Court a. The appellant elected (chose) to use a clerk’s transcript under rule 8.832 as the record of the documents filed in the trial court. Additional documents or exhibits. If you want any documents or exhibits in addition to those designated by the appellant to be included in the clerk’s transcript, you must identify those documents here. Check here if you need more space to list other documents and attach a separate page or pages listing those documents. At the top of each page, write “APP-110, item 4a(1).” (1) Check here if you need more space to list other exhibits and attach a separate page or pages listing those exhibits. At the top of each page, write “APP-110, item 4a(2).” Exhibits (2) Documents Trial Court Case Number: Trial Court Case Name: Revised January 1, 2019 Respondent's Notice Designating Record on Appeal (Limited Civil Case) APP-110, Page 2 of 5 another party filed a notice of appeal in the trial court case identified in the box on page 1 of this form. On (fill in the date): the appellant filed an appellant’s notice designating the record on appeal. On (fill in the date): Document Title and Description Date of Filing (a) (b) (c) (d) Exhibit Number Description Admitted Into Evidence Yes No Yes No Yes No Yes No 2 3 4 In addition to the proceedings designated by the appellant, I request that the following proceedings in the trial court be included in the reporter’s transcript. (You must identify each proceeding you want included by its date, the department in which it took place, a description of the proceedings (for example, the examination of jurors, motions before trial, the taking of testimony, or the giving of jury instructions), the name of the court reporter who recorded the proceedings, and whether a certified transcript of the designated proceeding was previously prepared.) Record of Oral Proceedings in the Trial Court b. (continued) Designation of additional proceedings to be included in the reporter’s transcript. (If you want any proceedings in addition to the proceedings designated by the appellant to be included in the reporter’s transcript, you must identify those proceedings here.) Reporter’s Transcript. The appellant elected to use a reporter’s transcript under rule 8.834 as the record of the oral proceedings in the trial court. The appellant elected to use the following record of what was said in the trial court proceedings (check and complete only one of the following below—a, b, or c): a. Check here if you need more space to list other proceedings and attach a separate page or pages listing those proceedings. At the top of each page, write “APP-110, item 5a(1).” (1) Revised January 1, 2019 Respondent's Notice Designating Record on Appeal (Limited Civil Case) APP-110, Page 3 of 5 Copy of clerk’s transcript. I request a copy of the clerk’s transcript. (Check and complete (1) or (2).) I am asking that a copy of the clerk’s transcript be provided at no cost to me because I cannot afford to pay this cost. I have submitted the following document with this notice designating the record (check (a) or (b) and submit the checked document): I will pay the trial court clerk for this transcript myself when I receive the clerk’s estimate of the costs of the transcript. An application for a waiver of court fees and costs under rules 3.50–3.58 and 8.818(d). ( Use Request to Waive Court Fees (form FW-001). The court will review this form to decide if you are eligible for a fee waiver.) An order granting a waiver of the cost under rules 3.50–3.58 and 8.818(d). (1) (2) (a) (b) Date Department Description Reporter’s Name (a) (b) (c) (d) (e) (f) (g) Prev. prepared? Yes No Yes No Yes No Yes No Yes No Yes No Yes No 4 5 Trial Court Case Number: Trial Court Case Name: (2) (continued) OR Revised January 1, 2019Respondent's Notice Designating Record on Appeal (Limited Civil Case) APP-110, Page 4 of 5 (a) Pay the reporter directly and file with the trial court a copy of the written waiver of deposit signed by the reporter. I understand that if I do not comply with this requirement, I will not receive a copy of the transcript. Deposit an amount equal to the estimated cost of the transcript with the trial court, and a fee of $50 for the trial court to hold this deposit in trust. I understand that if I do not comply with this requirement, I will not receive a copy of the transcript. I will pay for the reporter’s transcript. Within 10 days of receiving the reporter’s estimate of the cost of the transcript, I will (check and complete (i) or (ii)): I am unable to afford the cost of the reporter’s transcript and am therefore applying to the Transcript Reimbursement Fund to pay for this transcript. Within 10 days of receiving the reporter’s estimate of the cost of the transcript, I will file with the trial court a copy of my application to the Court Reporters Board for payment or reimbursement from the Transcript Reimbursement Fund. I understand that within 90 days of filing my application, I must file with the trial court a copy of the provisional approval of my application or pay for the reporter's transcript as provided in (a). I understand that if I do not comply, I will not receive a copy of the transcript. (i) (ii) (b) Transcript From Official Electronic Recording. The appellant elected to use the transcript from an official electronic recording as the record of the oral proceedings in the trial court under rule 8.835(b). b. (1) Designation of additional proceedings to be included in the transcript. (If you want any proceedings in addition to the proceedings designated by the appellant to be included in the transcript, you must identify those proceedings here.) a. 5 Trial Court Case Number: Trial Court Case Name: In addition to the proceedings designated by the appellant, I request that the following proceedings in the trial court be included in the transcript. ( You must identify each proceeding you want included by its date, the department in which it took place, a description of the proceedings, and if you know it, the name of the electronic recording monitor who recorded the proceedings.) (3) Copy of reporter’s transcript. I request a copy of the reporter’s transcript. Certified transcripts. I have attached to this Respondent’s Notice Designating Record on Appeal an original certified transcript of all the proceedings I have designated in (1). The transcript complies with the format requirements in rule 8.144 of the California Rules of Court. (a) Electronic format only. Paper format only. Electronic format and a second copy of the reporter's transcript in paper format. (b) (c) (4) Format of reporter’s transcript. I request that the reporter provide my copy of the transcript in: Copy of reporter’s transcript. I request a copy of the reporter’s transcript. (Check and complete (a) or (b).) OR (continued) Revised January 1, 2019 Respondent's Notice Designating Record on Appeal (Limited Civil Case) APP-110, Page 5 of 5 (a) (i) (ii) An order granting a waiver of the cost under rules 3.50–3.58 and 8.818(d). An application for a waiver of court fees and costs under rules 3.50–3.58 and 8.818(d). (Use Request to Waive Court Fees (form FW-001). The court will review this form to decide if you are eligible for a fee waiver.) (b) Copy of Official Electronic Recording. The appellant and I have agreed to use the official electronic recording itself as the record of the oral proceedings in the trial court under rule 8.835(a). I request a copy of this recording. (Check and complete (1) or (2).) I will pay the trial court clerk for this transcript myself when I receive the clerk’s estimate of the cost of the transcript. I understand that if I do not pay for the transcript, I will not receive a copy. I am asking that the transcript be provided at no cost to me because I cannot afford to pay this cost. I have submitted the following document with this notice designating the record. (Check (i) or (ii) and submit the appropriate document): c. (1) (a) I will pay the trial court clerk for this copy of the recording myself when I receive the clerk’s estimate of the costs of this copy. I am asking that the transcript be provided at no cost to me because I cannot afford to pay this cost. I have submitted the following document with this notice designating the record. (Check (a) or (b) and submit the appropriate document): (b) An order granting a waiver of the cost under rules 3.50–3.58 and 8.818(d). An application for a waiver of court fees and costs under rules 3.50–3.58 and 8.818(d). (Use Request to Waive Court Fees (form FW-001). The court will review this form to decide if you are eligible for a fee waiver.) (2) Date: Type or print your name Signature of respondent or attorney b. 5 Trial Court Case Number: Trial Court Case Name: Check here if you need more space to describe any proceeding or to list other proceedings and attach a separate page describing or listing those proceedings. At the top of each page, write “APP-110, item 5b(1).” Date Department Description Electronic Monitor’s Name (a) (b) (c) (1) Copy of the transcript from an official electronic recording. I request a copy of this transcript. (Check and complete (a) or (b).) (2)