Fill and Sign the Notice of Appeal and Designation of Record Criminal Colorado Form

 County Court  District Court ___________________________ County, Colorado Court Address: State of Colorado/Appellee: v. Defendant/Appellant: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom NOTICE OF APPEAL AND DESIGNATION OF RECORD - CRIMINAL The Defendant hereby files an appeal in _______________________ (County Court case number) for the following reason(s): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________  At this time, I request a stay of execution. I understand that as a condition of the stay of execution, I may be required to post a bond or deposit the amount of fines and costs assessed. Current information about the Appellant/Defendant: Full Name: ___________________________________________________________________________________________ Mailing Address: _________________________________________City & Zip: _____________________________________ Home Phone #: _______________________ Work Phone #: ______________________ Cell #: ________________________ Designation of Record: The clerk of court will prepare the record on appeal, pursuant to Rule 37, Rules of Criminal Procedure and will include the following items:  The county court case file, including all pleadings, motions, reports, exhibits, orders of the court, and jury instructions, if applicable.  The original transcript: (identify proceedings). ____________________________________________________________________________________________________ ____________________________________________________________________________________________________  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. (Checking this box requires you to remove JDF number and copyright at the bottom of the form.) Date: _____________________________________ __________________________________________ _________________________________________________ Signature of Defendant/Appellant Signature of Attorney for Defendant/Appellant, if applicable CERTIFICATE OF SERVICE I certify that on _______________________ (date) an original was filed with the Court and that a true and accurate copy of this NOTICE OF APPEAL/DESIGNATION OF RECORD - CRIMINAL was provided to other party by:  Hand Delivery or  Faxed to this number ____________________ or  by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ___________________________________ ___________________________________ ___________________________________________ ___________________________________ Signature JDF 222 R8-17 NOTICE OF APPEAL AND DESIGNATION OF RECORD – CRIMINAL © 2017 Colorado Judicial Department for use in the Courts of Colorado