Fill and Sign the District of Columbia Application for Allowance of Appeal from the Small Claims and Conciliation Branch of the Civil Division Form

Form 3. Application for Allowance of Appeal from the Small Claims and Conciliation Branch of the Civil Division. DISTRICT OF COLUMBIA COURT OF APPEALS ____________________________ Applicant ____________________________ ____________________________ No._______________________ (Address) v. _____________________________ Respondent _____________________________ ______________________________ (Address) APPLICATION FOR ALLOWANCE OF APPEAL FROM THE SMALL CLAIMS AND CONCILIATION BRANCH OF THE CIVIL DIVISION OF THE SUPERIOR COURT OF THE DISTRICT OF COLUMBIA 1. Applicant was the  plaintiff (or)  defendant in the case below and seeks to appeal the decision (ruling) entered on the _______ day of __________ 20___, in the Small Claims Branch in case number ___________________. The case below was captioned: _____________________________________________________________________________ _____________________________________________________________________________ 2. The decision was made by a:  Judge  Jury 3. The name of the trial judge. Please note that you may only seek review in this court of a final decision of a judge; if the decision was made by a magistrate judge you must first file for review by a judge in the Small Claims Division.___________________________ 4. Description of case filed below (indicate the amount of judgment and why the lawsuit was filed):_______________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 2 5. The ruling made by the judge:_______________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 6. State why the Court of Appeals should accept this application. Specifically, state how the trial court erred in making its decision or what important issue the application raises that the Court of Appeals has not yet decided but should decide. State these points as simply and specifically as possible and include facts and evidence necessary for the court to consider them. Attach additional pages if necessary: _____________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ____________________________________ Applicant/Attorney (all but natural persons representing themselves must be represented by counsel) ___________________________________ ____________________________________ ____________________________________ Address ____________________________________ Telephone Number CERTIFICATE OF SERVICE I hereby certify that I have mailed a copy of this application, postage prepaid, to ___________________________________________________ this ________ day of _________________, 20____. ____________________________________ Applicant/Attorney