Ohio Loc. App. R. Form II

As amended through October 29, 2024

Form II - Criminal Docket Statement

1. Counsel for the appellant, or the appellant if pro se, must complete, serve, and file this docket statement at the time of filing the notice of appeal.

2. A copy of the judgment entry or order which is being appealed must be attached to the notice of appeal.

3. A copy of the order for the transcript of proceedings must be filed with the clerk and served on the court reporter at the time of filing the notice of appeal.

4. If less than the entire transcript of proceedings is to be included in the record, appellant must , at the time of filing the notice of appeal, file a statement of the assignments of error appellant intends to present on appeal.

Court of Appeals Case No.:________________ County:________________________

Case Caption:_____________________________________________________________

Counsel for appellant or appellant pro se:

Name:_______________Address and Telephone:________________________________

Email Address:__________________________

Counsel for appellee or appellee pro se:

Name:_______________Address and Telephone:________________________________

Email Address:_________________________

Trial Judge:________________________Trial Court Case No.:______________________

Date notice of appeal filed:_________________________

Date that judgment or order appealed from was filed:_________________________

Related Appeals Nos.:________________________________

Was counsel appointed for trial?	Yes___	No___
Is substitute counsel requested for appeal?	Yes___	No___
Did the trial court stay execution of sentence?	Yes___	No___
Is a stay of execution by the Court of Appeals requested?	Yes___	No___

Nature of the case (check appropriate box and provide requested information):

Trial: Jury trial:________________________________Bench trial:________________________________

Plea: Guilty plea:_____________________________No contest:_____________________________

Misdemeanor: Charge______________________Sentence:______________________

Felony: Charge:________________________Sentence:________________________

Probation Revocation: Prior Charge:__________________________ Sentence:_________________________

Appeal by State: of right___by leave of court___

Postconviction Relief (R.C. 2953.21) :___

Did the trial court hold a hearing on the petition?:

Yes___ No___

App.R. 5(A) motion for leave to file a delayed appeal:___

Record (indicate type of record to be filed):_______________________________________

There will be a full____partial____transcript of the proceedings filed. If partial, designate parts:_______________________________________________

There will be an App.R. 9(C) statement:___

There will be an App.R. 9(D) agreed statement:___

No transcript, statement, or agreed statement to be filed:___

TRANSCRIPT INFORMATION [App.R. 9(B)]

___I have ordered a complete transcript of proceedings from the court reporter.

___I have ordered a partial transcript of proceedings from the court reporter.

___A statement of the evidence pursuant to App.R. (C) or (D) is to be prepared in lieu of a transcript of proceedings.

___No transcript of proceedings or statement of the evidence pursuant to either App.R. 9(C) or (D) is necessary and I have notified the court reporter of that fact in writing pursuant to App.R. 9(B).

___ The transcript of proceedings has been completed and already made part of the record.

Name:_______________________________

Attorney for:___________________________________

Ohio. Loc. App. R. Form II

As amended effective 2/1/2021; as amended effective 3/2/2022.