The USCA 41 form serves as a critical document within the administrative appellate process, particularly within the United States Court of Appeals for the District of Columbia Circuit. Located at 333 Constitution Avenue, NW, Washington, DC, the court uses this form to streamline the review of administrative agency decisions. Individuals or entities appealing against agency orders are required to complete this form, providing essential details like the case number, the date the case was docketed, key parties involved, and the nature of the case—be it a review, appeal, enforcement action, complaint, or Tax Court matter. A notable feature of the USCA 41 form is the section questioning whether expedited processing is mandated by statute, which underscores the form's role in identifying cases requiring swift resolution. It inquires about the agency whose order is under review, including any docket or order numbers and the dates of such orders. It further probes whether any rehearing or reconsideration requests have been filed with the agency, reflecting on procedural prerequisites. The form also asks appellants to establish their standing, potentially impacting the case's progression. Additionally, it helps map the litigation landscape by asking about related cases pending in any court or before the agency, aiming to avoid duplicative efforts and conflicting decisions. The form's inquiry into attempts at alternative dispute resolution highlights the court's preference for settling issues outside its chambers when possible. By signing the USCA 41 form, counsel attests to the accuracy of the information provided, thereby facilitating the court's review process and ensuring that all parties operate on a foundation of clear and reliable data. The inclusion of a certificate of service requirement emphasizes the form's importance in the fair and orderly conduct of appellate proceedings.
| Question | Answer |
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| Form Name | Usca Form 41 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | Washington, EXPEDITED, DOCKETED, arbitration |
UNITED STATES COURT OF APPEALS
DISTRICT OF COLUMBIA CIRCUIT
333 Constitution Avenue, NW
Washington, DC
Phone:
AGENCY DOCKETING STATEMENT
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Administrative Agency Review Proceedings (To be completed by appellant/petitioner) |
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CASE NO. |
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2. DATE DOCKETED: |
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CASE NAME |
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(lead parties only) |
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v. |
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4. TYPE OF CASE: Review |
Appeal |
Enforcement |
Complaint |
Tax Court |
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5.IS THIS CASE REQUIRED BY STATUTE TO BE EXPEDITED? Yes No If YES, cite statute
6.CASE INFORMATION:
a.Identify agency whose order is to be reviewed:
b.Give agency docket or order number(s):
c.Give date(s) of order(s):
d. Has a request for rehearing or reconsideration been filed at the agency? Yes No
If so, when was it filled? |
By whom? |
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Has the agency acted? Yes No If so, when?
e.Identify the basis of appellant's/petitioner's claim of standing. See D.C. Cir. Rule 15(c)(2):
f.Are any other cases involving the same underlying agency order pending in this Court or any other?
Yes No If YES, identify case name(s), docket number(s), and court(s)
g.Are any other cases, to counsel's knowledge, pending before the agency, this Court, another Circuit Court, or the Supreme Court which involve substantially the same issues as the instant case presents?
Yes No If YES, give case name(s) and number(s) of these cases and identify court/agency:
h.Have the parties attempted to resolve the issues in this case through arbitration, mediation, or any other alternative for dispute resolution? Yes No If YES, provide program name and participation dates.
Signature
Name of Counsel for Appellant/Petitioner
Address
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Fax ( |
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Phone ( |
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ATTACH A CERTIFICATE OF SERVICE
Note: If counsel for any other party believes that the information submitted is inaccurate or incomplete, counsel may so advise the Clerk within 7 calendar days by letter, with copies to all other parties, specifically referring to the challenged statement.
USCA Form 41
August 2009 (REVISED)