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UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUITCIVIL APPEALS DOCKETING STATEMENT PLEASE TYPE OR PRINT. ATTACH ADDITIONAL PAGES IF NECESSARYTITLE IN FULL: DISTRICT: JUDGE: DATE COMPLAINT FILED: DISTRICT COURTDOCKET NUMBER: DATE NOTICE OFAPPEAL FILED: IS THIS A CROSS-APPEAL? YES NO HAS THIS MATTER BEEN BEFORE THIS COURT PREVIOUSLY? _____YES _____NOIF YES, STATE WHEN: CASE NAME:CITATION: DOCKET NUMBER: CHECK AS MANY AS APPLY JURISDICTION DISTRICT COURT DISPOSITION 1. FEDERAL 2. APPELLATE1. STAGE OF PROCEEDINGS 2. TYPE OF JUDGMENT/ ORDER APPEALED 3. RELIEF ( ) FEDERAL QUESTION ( ) DIVERSITY ( ) OTHER (SPECIFY): ( ) FINAL DECISION OF DISTRICT COURT ( ) INTERLOCUTORY DECISION APPEALABLE AS OF RIGHT ( ) INTERLOCUTORY ORDER CERTIFIED BY DISTRICT JUDGE (SPECIFY) ( ) OTHER (SPECIFY) ( ) PRE-TRIAL( ) DURING TRIAL( ) AFTER TRIAL ( ) DEFAULT JUDGMENT( ) JUDGMENT/COURT DECISION ( ) DISMISSAL/JURISDICTION( ) JUDGMENT/JURY VERDICT( ) DISMISSAL/MERITS( ) SUMMARY JUDGMENT( ) JUDGMENT NOV( ) DECLARATORY JUDGMENT( ) DIRECTED VERDICT ( ) OTHER (SPECIFY)( ) DAMAGES: AMOUNT SOUGHT $____________ AMOUNT ( ) GRANTED: ( ) DENIED:$________________ ( ) INJUNCTIONS ( ) PRELIMINARY OR ( ) PERMANENT ( ) GRANTED OR ( ) DENIED BRIEF DESCRIPTION OF NATURE OF ACTION AND RESULT BELOW: ________________________________________________________________________________________________________________________________________________________________ ISSUES PROPOSED TO BE RAISED ON APPEAL: INTERNAL USE ONLY BASED ON YOUR PRESENT KNOWLEDGE:Does this appeal involve a question of first impression? _____Yes _____No Will the determination of this appeal turn on theinterpretation or application of a particular caseor statute?_____ Yes _____No If yes, provide Case name/statue: _______________________________________________________________Citation: ________________________________Docket number, if unreported:______________________________________________________ Is there any case now pending or about to be filed in thiscourt or any other court or administrative agency which: a) Arises from substantially the same case or controversy as this appeal?_____ Yes _____No b) Involves an issue that is substantially the same,similar or related to an issue in this appeal?_____ Yes _____No Case name: _____________________________ _______________________________________Citation: ________________________________Court or Agency:__________________________Docket number, if unreported: ______________________________________________________ Will this appeal involve a conflict of law within the NinthCircuit?_____ Yes _____No Among circuits? _____ Yes _____No If yes, explain briefly:_______________________________________________________________________________________________________________________________________ DOES THIS APPEAL INVOLVE ANY OF THEFOLLOWING: _____ Possibility of settlement; _____ Likelihood of a motion to expedite the appeal;_____ Multiple parties on either side for whom joint briefing is possible; _____ Likelihood of motions to intervenue on appeal;_____ Likelihood of motions to file amicus briefs;_____ Likelihood of motions to stay appeal pending resolution of a related case. Identify case name, docket number and court or agency: ________________________________________ ________________________________________ ________________________________________ _____ Other procedural complexities: ________________________________________ ________________________________________ ________________________________________ COUNSEL FOR APPELLANT(S): NAME: _________________________________ ________________________________________ FIRM: __________________________________ADDRESS: ______________________________ ________________________________________ ________________________________________ TELEPHONE: ( ) I CERTIFY THAT A COPY OF THIS CIVIL APPEALS DOCKETING STATEMENT WAS SUBMITTED TOTHE CLERK OF DISTRICT COURT OR THE U.S.COURT OF APPEALS, AND THAT IT WAS SERVEDON EACH PARTY/COUNSEL SHOWN ON THEATTACHED SERVICE LIST. ______________________________ _____________ SIGNATURE DATE REMEMBER TO ATTACH COPIES OF ORDER/JUDGMENT APPEALED FROM AND SERVICE LIST WITH TELEPHONE NUMBERS