court_form | California
APP-109E - Proof of Electronic Service (Appellate Division)
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Proof of Electronic Service (Appellate Division)
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Form ID: APP-109E Title: Proof of Electronic Service (Appellate Division) Effective Date: 2017-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/APP-109E Primary Download URL: https://www.courts.ca.gov/documents/app109e.pdf Form Detail Page: Proof of Electronic Service (Appellate Division) (APP-109E) Tells the court that legal papers in a case in the Superior Court Appellate Division were electronically delivered to (served on) the other party. Tells what papers that were served and when they were served. Get form APP-109E Effective: January 1, 2017 Go to How-to instructions for Appeals Go to Appeals Form Packets Go to How-to instructions for Proof of Service PDF Text: Judicial Council of California, www.courts.ca.gov New January 1, 2017, Optional Form Proof of Electronic Service (Appellate Division) APP-109E Proof of Electronic Service (Appellate Division) Clerk stamps date here when form is filed. You fill in the name and street address of the court that issued the decision that is being challenged in this case: Superior Court of California, County of You fill in the number and name of the trial court case in which the decision being challenged was issued: Trial Court Case Number: Trial Court Case Name: You fill in the appellate division case number (if you know it): Appellate Division Case Number: Instructions This form is only for providing proof that a document has been electronically served (delivered) in a proceeding in the superior court appellate division. The person who serves (delivers) a document in this case and who fills out this form must be at least 18 years old. Before you fill out this form, read What Is Proof of Service? (form APP-109-INFO) to understand your responsibilities. 1 At the time I served the documents listed in 3 , I was at least 18 years old. 2 a. My home business address is: Street City State Zip b. My electronic service address is: 3 I electronically served the following document, as indicated below (check or fill in the name of the document you are serving). Notice of Appeal/Cross Appeal (Limited Civil Case) Notice Designating Record on Appeal (Limited Civil Case) Proposed Statement on Appeal ( Limited Civil Case Misdemeanor Infraction) Appellant’s Opening Brief Respondent’s Brief Appellant’s Reply Brief Abandonment of Appeal (Limited Civil Case) Petition for Writ (Misdemeanor, Infraction, or Limited Civil Case) Other (write in the name of the document): APP-109E, Page 1 of 2 For your protection and privacy, please press the Clear This Form button after you have printed the form. New January 1, 2017 Proof of Electronic Service (Appellate Division) Appellate Division Case Name: Appellate Division Case Number: I electronically served the document checked in 3 as follows4 a. (1) Name of person served: On behalf of (name or names of parties represented, if person served is an attorney): (2) Electronic service address of person served: (3) On (date): b. (1) Name of person served: On behalf of (name or names of parties represented, if person served is an attorney): (2) Electronic service address of person served: (3) On (date): Check here if you gave copies of the document listed in 3 to more people. Attach a separate page listing the names of these people, the names of parties represented if the person served is an attorney, the electronic service address used for each person served, and the date you electronically served the document. Write “APP-109E, Item 4” on top of the page. 5 I declare under penalty of perjury under California state law that the information above is true and correct. Date: Type or print server’s name Server signs here after serving APP-109E, Page 2 of 2
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Form ID: APP-109E Title: Proof of Electronic Service (Appellate Division) Effective Date: 2017-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/APP-109E Primary Download URL: https://www.courts.ca.gov/documents/app109e.pdf Form Detail Page: Proof of Electronic Service (Appellate Divis…
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Other (write in the name of the document): APP-109E, Page 1 of 2 For your protection and privacy, please press the Clear This Form button after you have printed the form. New January 1, 2017 Proof of Electronic Service (Appellate Division) Appellate Division Case Name: Appellate Division Case Number: I electr…