Juvenile Dependency

This form is a notification of the filing of a notice of appeal in a dependency case. The form asks for information about the date the notice of appeal was filed, the date of the order being appealed from, and the name of the judicial officer who issued the order. The form also asks if the notice of appeal packet has been emailed to the reviewing court, and if any other parties have filed an appeal to the same order. Finally, the form asks for the name of the attorney representing the appellant, if any.

Here are some of the key details from the first paragraph:

* The notice of appeal was filed on [DATE].
* The order being appealed from was issued on [DATE] by [JUDICIAL OFFICER].
* The notice of appeal packet has been emailed to the reviewing court.
* No other parties have filed an appeal to this order.
* The appellant is not represented by an attorney.