Intake Form
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APPEALS INTAKE FORM Paul D. Sullivan, Appellate Attorney CLIENT INFORMATION
ATTORNEY INFORMATION
Name Address
Phone Email CASE INFORMATION Cause No.:
Date of Decision:
Judicial District:
Judge:
Has Notice of Appeal Been Filed?
☐ Yes
☐ No
Do You Wish to Remain Involved in the Appeal?
☐ Yes
☐ No
Brief Description
ISSUES FOR APPEAL (brief description) 1
2
3
Email: [email protected] Fax: 406.837.4122 Phone: 406.837.9970
ATTORNEY INFORMATION
Name Address
Phone Email CASE INFORMATION Cause No.:
Date of Decision:
Judicial District:
Judge:
Has Notice of Appeal Been Filed?
☐ Yes
☐ No
Do You Wish to Remain Involved in the Appeal?
☐ Yes
☐ No
Brief Description
ISSUES FOR APPEAL (brief description) 1
2
3
Email: [email protected] Fax: 406.837.4122 Phone: 406.837.9970
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