Form Request Appellate PDF Details

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QuestionAnswer
Form NameForm Request Appellate
Form Length6 pages
Fillable?Yes
Fillable fields390
Avg. time to fill out39 min 47 sec
Other namesradi form second department fill in, radi fillable form, form request appellate, radi appellate division second department

Form Preview Example

Supreme Court of the State of New York

Appellate Division: Second Judicial Department

Form A - Request for Appellate Division Intervention - Civil

See § 670.3 of the rules of this court for directions on the use of this form (22 NYCRR 670.3).

Case Title: Set forth the title of the case as it appears on the summons, notice of petition or order to show cause by which the matter was or is to be commenced, or as amended.

For Court of Original Instance

Date Notice of Appeal Filed

For Appellate Division

 

Case Type

CPLR article 78 Proceeding

 

Filing Type

Transferred Proceeding

Civil Action

Special Proceeding Other

Appeal

CPLR 5704 Review

CPLR article 75 Arbitration

Habeas Corpus Proceeding

Original Proceeding

 

 

 

Nature of Suit: Check up to five of the following categories which best reflect the nature of the case.

A.Administrative Review

D. Domestic Relations

F. Prisoners

I. Torts

1 Freedom of Information Law

1

Adoption

1

Discipline

1

Assault, Battery, False

2

Human Rights

2

Attorney's Fees

2

Jail Time Calculation

 

Imprisonment

3

Licenses

3

Children - Support

3

Parole

2

Conversion

4

Public Employment

4

Children - Custody/Visitation

4

Other

3

Defamation

5

Social Services

5

Children - Terminate Parental

 

 

4

Fraud

6

Other

 

Rights

G. Real Property

5

Intentional Infliction of

 

 

6

Children - Abuse/Neglect

1

Condemnation

 

Emotional Distress

B. Business & Other Relationships

7

Children - JD/PINS

2

Determine Title

6

Interference with Contract

1

Partnership/Joint Venture

8

Equitable Distribution

3

Easements

7

Malicious Prosecution/

2

Business

9

Exclusive Occupancy of

4

Environmental

 

Abuse of Process

3

Religious

 

Residence

5

Liens

8

Malpractice

4

Not-for-Profit

10

Expert's Fees

6

Mortgages

9

Negligence

5

Other

11

Maintenance/Alimony

7

Partition

10

Nuisance

 

 

12

Marital Status

8

Rent

11

Products Liability

C. Contracts

13

Paternity

9

Taxation

12

Strict Liability

1

Brokerage

14

Spousal Support

10

Zoning

13

Trespass and/or Waste

2

Commercial Paper

15

Other

11

Other

14

Other

3

Construction

 

 

 

 

 

 

4

Employment

E. Miscellaneous

H. Statutory

J. Wills & Estates

 

 

 

 

 

 

5

Insurance

1

Constructive Trust

1

City of Mount Vernon

1

Accounting

6

Real Property

2

Debtor & Creditor

 

Charter § § 120, 127-f, or

2

Discovery

7

Sales

3

Declaratory Judgment

 

129

3

Probate/Administration

8

Secured

4

Election Law

2

Eminent Domain Procedure

4

Trusts

9

Other

5

Notice of Claim

 

Law § 207

5

Other

 

 

6

Other

3

General Municipal Law

 

 

 

 

 

 

 

§ 712

 

 

 

 

 

 

4

Labor Law § 220

 

 

 

 

 

 

5

Public Service Law § § 128

 

 

 

 

 

 

 

or 170

 

 

 

 

 

 

6

Other

 

 

 

 

 

 

 

 

 

 

Form A - RADI - Civil

PRINTINGHOUSE PRESS

212-719-0990

V2.0.060293

Appeal

Paper Appealed From (check one only):

Amended Decree

Amended Judgment

Amended Order

Decision

Decree

Determination

Finding

Interlocutory Decree

Interlocutory Judgment

Judgment

Order

Order & Judgment

Partial Decree

Resettled Decree

Resettled Judgment

Resettled Order

Ruling

Other (specify):

Court:

 

 

 

County:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dated:

 

 

 

Entered:

 

 

 

 

 

 

 

 

 

 

 

 

 

Judge (name in full):

 

 

Index No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stage:

Interlocutory

Final

Post-Final

Trial:

Yes

No

If Yes:

Jury

Non-Jury

Prior Unperfected Appeal Information

Are any unperfected appeals pending in this case?

Yes

No. If yes, do you intend to perfect the appeal or appeals

covered by the annexed notice of appeal with the prior appeals?

Yes

No. Set forth the Appellate Division Cause

Number(s) of any prior, pending, unperfected appeals:

 

 

 

 

 

 

 

 

 

 

 

 

 

Original Proceeding

 

 

 

 

 

 

 

 

 

 

Commenced by:

Order to Show Cause

Notice of Petition

Writ of Habeas Corpus

Date Filed:

 

 

 

 

Statute authorizing commencement of proceeding in the Appellate Division:

 

 

 

 

 

 

 

Proceeding Transferred Pursuant to CPLR 7804(g)

 

 

 

 

 

 

 

 

 

Court:

 

 

 

County:

 

 

 

 

 

 

 

 

Judge (name in full):

 

 

 

Order of Transfer Date:

 

 

 

 

 

 

 

 

 

CPLR 5704 Review

of Ex Parte Order

 

 

 

 

 

 

 

 

 

Court:

 

 

 

County:

 

 

 

 

 

 

 

 

 

Judge (name in full):

 

 

 

Dated:

 

 

 

 

 

 

 

 

 

 

Description of Appeal, Proceeding or Application and Statement of Issues

Description: If an appeal, briefly describe the paper appealed from. If the appeal is from an order, specify the relief request- ed and whether the motion was granted or denied. If an original proceeding commenced in this court or transferred pursuant to CPLR 7804(g), briefly describe the object of the proceeding. If an application under CPLR 5704, briefly describe the nature of the ex parte order to be reviewed.

Amount: If an appeal is from a money judgment, specify the amount awarded.

Issues: Specify the issues proposed to be raised on the appeal, proceeding, or application for CPLR 5704 review.

PRINTINGHOUSE PRESS

212-719-0990

Issues Continued:

Use Form B for Additional Appeal Information

Party Information

I n s t r u c t i o n s : Fill in the name of each party to the action or proceeding, one name per line. If this form is to be filed for an appeal, indicate the status of the party in the court of original instance and his, her, or its status in this court, if any. If this form is to be filed for a proceeding commenced in this court, fill in only the party's name and his, her, or its status in this court.

Examples of a party's original status include: plaintiff, defendant, petitioner, respondent, claimant, defendant third-party plaintiff, third-party defendant, and intervenor. Examples of a party's Appellate Division status include: appellant, respondent, appellant-respondent, respondent-appellant, petitioner, and intervenor.

No.

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Party Name

Original Status

Appellate Division Status

PRINTINGHOUSE PRESS

212-719-0990

Attorney Information

Instructions: Fill in the names of the attorneys or firms of attorneys for the

In the event that a litigant represents herself or himself, the box

respective parties. If this form is to be filed with the notice of petition or order to

marked "Pro Se" must be checked and the appropriate information for that litigant

show cause by which a special proceeding is to be commenced in the Appellate

must be supplied in the spaces provided.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Division, only the name of the attorney for the petitioner need be provided.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Type:

Retained

Assigned

Government

Pro Se

Pro Hac Vice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Type:

Retained

Assigned

Government

Pro Se

Pro Hac Vice

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Type:

Retained

Assigned

Government

Pro Se

Pro Hac Vice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

Attorney Type:

Retained

Assigned

Government

Pro Se

Pro Hac Vice

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

Attorney Type:

Retained

Assigned

Government

Pro Se

Pro Hac Vice

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

Attorney Type:

Retained

Assigned

Government

Pro Se

Pro Hac Vice

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use Form C for Additional Party and/or Attorney Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The use of this form is explained in § 670.3 of the rules of the Appellate Division, Second Department (22 NYCRR 670.3). If this form is to be filed for an appeal, place the required papers in the following order: (1) the Request for Appellate Division Intervention [Form A, this document]. (2) any required Additional Appeal Information Forms [Form B], (3) any required Additional Party and Attorney Information Forms [Form C], (4) the notice of appeal or order granting leave to appeal, (5) a copy of the paper or papers from which the appeal or appeals covered in the notice of appeal or order granting leave to appeal is or are taken, and (6) a copy of the decision or decisions of the court of original instance, if any.

PRINTINGHOUSE PRESS

212-719-0990

Supreme Court of the State of New York

Appellate Division : Second Judicial Department

Form B - Additional Appeal Information

Use this Form For Each Additional Paper Covered by the Notice of Appeal to be filed with Form A

Paper Appealed From (check one only):

Amended Decree

Amended Judgment

Amended Order

Decision

Decree

Determination

Finding

Interlocutory Decree

Interlocutory Judgment

Judgment

Order

Order & Judgment

Partial Decree

Resettled Decree

Resettled Judgment

Resettled Order

Ruling

Other (specify):

Court:

 

 

 

 

County:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dated:

 

 

 

 

Entered:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Judge (name in full):

 

 

 

Index No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Stage:

Interlocutory

Final

Post-Final

 

Trial:

Yes

No

If Yes:

Jury

Non-Jury

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description of Appeal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Description: Briefly describe the paper appealed from. If the appeal is from an order, specify the relief requested and whether the motion was granted or denied.

Amount: If the appeal is from a money judgment, specify the amount awarded.

Issues: Specify the issues proposed to be raised on the appeal.

V2.0.060293

Form B - RADI - Civil

PRINTINGHOUSE PRESS

212-719-0990

Supreme Court of the State of New York

Appellate Division : Second Judicial Department

 

 

Form C - Additional Party and Attorney Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Party Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

No.

 

Party Name

 

Original Status

 

Appellate Division Status

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

30

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Attorney Information

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Type:

Retained

Assigned

Government

Pro Se

 

Pro Hac Vice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Type:

Retained

Assigned

Government

Pro Se

 

Pro Hac Vice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attorney Type:

Retained

Assigned

Government

Pro Se

 

Pro Hac Vice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

Attorney/Firm Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

State:

Zip:

Telephone No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V2.0.060293

Attorney Type:

Retained

Assigned

Government

Pro Se

 

Pro Hac Vice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Party or Parties Represented (set forth party number[s} from table above or from Form C):

 

 

 

 

 

 

 

 

 

 

 

 

Form C - RADI - Civil

PRINTINGHOUSE PRESS

212-719-0990

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Write down the appropriate details in Jail, Time, Calculation Imprisonment, Human, Rights Licenses, Public, Employment Social, Services Other, Attorneys, Fees Children, Support Children, Custody, Visitation Children, Terminate, Parental Parole, Other, B, Business, Other, Relationships and Children, JD, PINS part.

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