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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

APP-003  

FOR COURT USE ONLY

STATE:

FAX NO.:

ZIP CODE:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT:

OTHER PARENT/PARTY:

RE: Appeal filed on (date):

APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL 
(UNLIMITED CIVIL CASE)

SUPERIOR COURT CASE NUMBER:

COURT OF APPEAL CASE NUMBER (if known):

Notice: Please read Information on Appeal Procedures for Unlimited Civil Cases (form APP-001-INFO) before 
completing this form. This form must be filed in the superior court, not in the Court of Appeal.

1.

RECORD OF THE DOCUMENTS FILED IN THE SUPERIOR COURT
I choose to use the following method of providing the Court of Appeal with a record of the documents filed in the superior court 
(check a, b, c, or d, and fill in any required information):

a.

A clerk's transcript under rule 8.122. (You must check (1) or (2) and fill out the clerk's transcript section (item 4) on pages 
2 and 3 of this form.)

(1)

(2)

(a)

(b)

I will pay the superior court clerk for this transcript myself when I receive the clerk's estimate of the costs of this  
transcript. I understand that if I do not pay for this transcript, it will not be prepared and provided to the Court of  
Appeal.

I request that the clerk's transcript be provided to me at no cost because I cannot afford to pay this cost. I have  
submitted the following document with this notice designating the record (check (a) or (b)):

An order granting a waiver of court fees and costs under rules 3.50–3.58; or

An application for a waiver of court fees and costs under rules 3.50–3.58. (Use Request to Waive Court Fees 
(form FW-001) to prepare and file this application.)

An appendix under rule 8.124.

The original superior court file under rule 8.128. (NOTE: Local rules in the Court of Appeal, First, Third, and Fourth 
Appellate Districts, permit parties to stipulate (agree) to use the original superior court file instead of a clerk's transcript; 
you may select this option if your appeal is in one of these districts and all the parties have stipulated to use the original 
superior court file instead of a clerk's transcript in this case. Attach a copy of this stipulation.)

An agreed statement under rule 8.134. (You must complete item 2b(2) below and attach to your agreed statement copies  
of all the documents that are required to be included in the clerk's transcript. These documents are listed in rule 8.134(a).)

2.

RECORD OF ORAL PROCEEDINGS IN THE SUPERIOR COURT
I choose to proceed (you must check a or b below):

WITHOUT a record of the oral proceedings (what was said at the hearing or trial) in the superior court. I understand that 
without a record of the oral proceedings in the superior court, the Court of Appeal will not be able to consider what was 
said during those proceedings in deciding whether an error was made in the superior court proceedings.

b.

c.

d.

a.

Form Approved for Optional Use 
Judicial Council of California 
APP-003 [Rev. January 1, 2019]

APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL  
(Unlimited Civil Case)

Cal. Rules of Court, rules 3.50, 
8.121–8.124, 8.128, 8.130, 8.134, 8.137 
www.courts.ca.gov

Page 1 of 4

CASE NAME:

SUPERIOR COURT CASE NUMBER:

APP-003 

2.

b.

WITH the following record of the oral proceedings in the superior court (you must check (1), (2), or (3) below):

(1)

A reporter's transcript under rule 8.130. (You must fill out the reporter's transcript section (item 5) on pages 3 and 4 
of this form.) I have (check all that apply):

Deposited with the superior court clerk the approximate cost of preparing the transcript by including the deposit 
with this notice as provided in rule 8.130(b)(1).
Attached a copy of a Transcript Reimbursement Fund application filed under rule 8.130(c)(1).

Attached the reporter's written waiver of a deposit under rule 8.130(b)(3)(A) for (check either (i) or (ii)):

(i)
(ii)

all of the designated proceedings.
part of the designated proceedings.

Attached a certified transcript under rule 8.130(b)(3)(C).

(2)

An agreed statement. (Check and complete either (a) or (b) below.)

I have attached an agreed statement to this notice.

All the parties have stipulated (agreed) in writing to try to agree on a statement. (You must attach a copy of this 
stipulation to this notice.) I understand that, within 40 days after I file the notice of appeal, I must file either the 
agreed statement or a notice indicating the parties were unable to agree on a statement and a new notice 
designating the record on appeal.

(3)

A settled statement under rule 8.137. (You must check (a), (b), or (c) below, and fill out the settled statement 
section (item 6) on page 4.)

The oral proceedings in the superior court were not reported by a court reporter.
The oral proceedings in the superior court were reported by a court reporter, but I have an order waiving fees 
and costs.
I am asking to use a settled statement for reasons other than those listed in (a) or (b). (You must serve and file 
the motion required under rule 8.137(b) at the same time that you file this form. You may use form APP-025 to 
prepare the motion.)

3.

RECORD OF AN ADMINISTRATIVE PROCEEDING TO BE TRANSMITTED TO THE COURT OF APPEAL

I request that the clerk transmit to the Court of Appeal under rule 8.123 the record of the following administrative proceeding  
that was admitted into evidence, refused, or lodged in the superior court (give the title and date or dates of the administrative  
proceeding):

Title of Administrative Proceeding

Date or Dates

(a)

(b)

(c)

(d)

(a)

(b)

(a)

(b)

(c)

4.

NOTICE DESIGNATING CLERK'S TRANSCRIPT
(You must complete this section if you checked item 1a above indicating that you choose to use a clerk's transcript as the record of  
the documents filed in the superior court.)
a.

Required documents. The clerk will automatically include the following items in the clerk's transcript, but you must provide the 
date each document was filed, or if that is not available, the date the document was signed.   

Document Title and Description

Date of Filing

(1)

(2)

(3)

(4)

(5)

(6)

(7)

Notice of appeal

Notice designating record on appeal (this document)

Judgment or order appealed from

Notice of entry of judgment (if any)

Notice of intention to move for new trial or motion to vacate the judgment, for judgment 
notwithstanding the verdict, or for reconsideration of an appealed order (if any)

Ruling on one or more of the items listed in (5)

Register of actions or docket (if any)

APP-003 [Rev. January 1, 2019]

APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL 
(Unlimited Civil Case)

Page 2 of 4

CASE NAME:

SUPERIOR COURT CASE NUMBER:

APP-003 

4.

NOTICE DESIGNATING CLERK'S TRANSCRIPT
b.

Additional documents. (If you want any documents from the superior court proceeding in addition to the items listed in 4a. 
above to be included in the clerk's transcript, you must identify those documents here.)

I request that the clerk include in the transcript the following documents that were filed in the superior court proceeding. 
(You must identify each document you want included by its title and provide the date it was filed or, if that is not 
available, the date the document was signed.)

Document Title and Description

Date of Filing

(8)

(9)

(10)

(11)

(1) 

(2) 

(3)

(4) 

(1) 

(2) 

(3)

See additional pages. (Check here if you need more space to list additional documents. List these documents on a 
separate page or pages labeled "Attachment 4b," and start with number (12).)

c.

Exhibits to be included in clerk's transcript

I request that the clerk include in the transcript the following exhibits that were admitted in evidence, refused, or lodged in 
the superior court. (For each exhibit, give the exhibit number, such as Plaintiff's #1 or Defendant's A, and a brief 
description of the exhibit. Indicate whether or not the court admitted the exhibit into evidence. If the superior court has 
returned a designated exhibit to a party, the party in possession of the exhibit must deliver it to the superior court clerk 
within 10 days after service of this notice designating the record. (Rule 8.122(a)(3).))

Exhibit Number

Description

Admitted (Yes/No)

See additional pages. (Check here if you need more space to list additional exhibits. List these exhibits on a separate 
page or pages labeled "Attachment 4c," and start with number (5).)

5.

NOTICE DESIGNATING REPORTER'S TRANSCRIPT 
You must complete both a and b in this section if you checked item 2b(1) above indicating that you choose to use a reporter's 
transcript as the record of the oral proceedings in the superior court. Please remember that you must pay for the cost of preparing 
the reporter's transcript.

a.

Format of the reporter's transcript
I request that the reporters provide (check one): 

My copy of the reporter's transcript in electronic format. 

My copy of the reporter's transcript in paper format.   

My copy of the reporter's transcript in electronic format and a second copy in paper format. 

(Code Civ. Proc., § 271.)

APP-003 [Rev. January 1, 2019]

APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL 
(Unlimited Civil Case)

Page 3 of 4

CASE NAME:

5.

b. Proceedings

I request that the following proceedings in the superior court be included in the reporter's transcript. (You must identify each 
proceeding you want included by its date, the department in which it took place, a description of the proceedings (for example, 
the examination of jurors, motions before trial, the taking of testimony, or the giving of jury instructions), the name of the court 
reporter who recorded the proceedings (if known), and whether a certified transcript of the designated proceeding was 
previously prepared.)

Date

Department

Full/Partial Day

Description

Reporter's Name

Prev. prepared?

SUPERIOR COURT CASE NUMBER:

APP-003 

See additional pages. (Check here if you need more space to list additional proceedings. List these exhibits on a separate 
page or pages labeled "Attachment 5b," and start with number (5).)

6.

NOTICE DESIGNATING PROCEEDINGS TO BE INCLUDED IN SETTLED STATEMENT
(You must complete this section if you checked item 2b(3) above indicating you choose to use a settled statement.) I request 
that the following proceedings in the superior court be included in the settled statement. (You must identify each proceeding you 
want included by its date, the department in which it took place, a description of the proceedings (for example, the examination 
of jurors, motions before trial, the taking of testimony, or the giving of jury instructions), the name of the court reporter who 
recorded the proceedings (if known), and whether a certified transcript of the designated proceeding was previously prepared.)

Date

Department

Full/Partial Day

Description

Reporter's Name

Prev. prepared?

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

 No

 No

 No

 No

 No

 No

 No

 No

See additional pages. (Check here if you need more space to list additional proceedings. List these proceedings on a 
separate page or pages labeled "Attachment 6," and start with number (5).)

The proceedings designated in 5b or 6

include

do not include

all of the testimony in the superior court.

If the designated proceedings DO NOT include all of the testimony, state the points that you intend to raise on appeal. (Rule  
8.130(a)(2) and rule 8.137(d)(1) provide that your appeal will be limited to these points unless the Court of Appeal permits 
otherwise.) Points are set forth: 

On a separate page labeled "Attachment 7."

Below

(1)  

(2)  

(3)  

(4)  

(1)  

(2)  

(3)  

(4)  

7.

a.

b.

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF APPELLANT OR ATTORNEY)

APP-003 [Rev. January 1, 2019]

APPELLANT'S NOTICE DESIGNATING RECORD ON APPEAL 
(Unlimited Civil Case)

Page 4 of 4

Appellant's Notice Designating Record on Appeal (Unlimited Civil Case)

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 4
Fields(s): 142
Average fields per page: 35
Reading Level: Grade 8
LIST Grouping(s): CO-07-00-00-00, CO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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ap_p_subform_proceeding_reporter_ft__1 was APP-003[0].#subform[3].ProceedingReporter_ft[0] (0.42 conf)
ap_p_subform_proceeding_date_ft__2 was APP-003[0].#subform[3].ProceedingDate_ft[1] (0.38 conf)
ap_p_subform_proceeding_dept_ft__2 was APP-003[0].#subform[3].ProceedingDept_ft[1] (0.40 conf)
ap_p_full_part_ft__2 was APP-003[0].#subform[3].ProceedingFullPart_ft[1] (0.35 conf)
ap_p_subform_desc_ft__2 was APP-003[0].#subform[3].ProceedingDesc_ft[1] (0.38 conf)
ap_p_subform_proceeding_reporter_ft__2 was APP-003[0].#subform[3].ProceedingReporter_ft[1] (0.42 conf)
ap_p_subform_proceeding_date_ft__3 was APP-003[0].#subform[3].ProceedingDate_ft[2] (0.38 conf)
ap_p_subform_proceeding_dept_ft__3 was APP-003[0].#subform[3].ProceedingDept_ft[2] (0.40 conf)
ap_p_full_part_ft__3 was APP-003[0].#subform[3].ProceedingFullPart_ft[2] (0.35 conf)
ap_p_subform_desc_ft__3 was APP-003[0].#subform[3].ProceedingDesc_ft[2] (0.38 conf)
ap_p_subform_proceeding_reporter_ft__3 was APP-003[0].#subform[3].ProceedingReporter_ft[2] (0.42 conf)
ap_p_subform_proceeding_date_ft__4 was APP-003[0].#subform[3].ProceedingDate_ft[3] (0.38 conf)
ap_p_subform_proceeding_dept_ft__4 was APP-003[0].#subform[3].ProceedingDept_ft[3] (0.40 conf)
ap_p_full_part_ft__4 was APP-003[0].#subform[3].ProceedingFullPart_ft[3] (0.35 conf)
ap_p_subform_desc_ft__4 was APP-003[0].#subform[3].ProceedingDesc_ft[3] (0.38 conf)
ap_p_subform_proceeding_reporter_ft__4 was APP-003[0].#subform[3].ProceedingReporter_ft[3] (0.42 conf)
ap_p_subform_x_caption_case_number_ft was APP-003[0].#subform[3].pXCaption[0].CaseNumber[0].CaseNumber_ft[0] (0.40 conf)
ap_p_x_caption_name_ft was APP-003[0].#subform[3].pXCaption[0].CaseName[0].CaseName_ft[0] (0.43 conf)
ap_p_subform was APP-003[0].#subform[3].T14[0] (0.38 conf)
ap_p_subform_proceeding_date_ft__5 was APP-003[0].#subform[3].ProceedingDate_ft[4] (0.38 conf)
ap_p_subform_proceeding_dept_ft__5 was APP-003[0].#subform[3].ProceedingDept_ft[4] (0.40 conf)
ap_p_full_part_ft__5 was APP-003[0].#subform[3].ProceedingFullPart_ft[4] (0.35 conf)
ap_p_subform_desc_ft__5 was APP-003[0].#subform[3].ProceedingDesc_ft[4] (0.38 conf)
ap_p_subform_proceeding_reporter_ft__5 was APP-003[0].#subform[3].ProceedingReporter_ft[4] (0.42 conf)
ap_p_subform_proceeding_date_ft__6 was APP-003[0].#subform[3].ProceedingDate_ft[5] (0.38 conf)
ap_p_subform_proceeding_dept_ft__6 was APP-003[0].#subform[3].ProceedingDept_ft[5] (0.40 conf)
ap_p_full_part_ft__6 was APP-003[0].#subform[3].ProceedingFullPart_ft[5] (0.35 conf)
ap_p_subform_desc_ft__6 was APP-003[0].#subform[3].ProceedingDesc_ft[5] (0.38 conf)
ap_p_subform_proceeding_reporter_ft__6 was APP-003[0].#subform[3].ProceedingReporter_ft[5] (0.42 conf)
ap_p_subform_proceeding_date_ft__7 was APP-003[0].#subform[3].ProceedingDate_ft[6] (0.38 conf)
ap_p_subform_proceeding_dept_ft__7 was APP-003[0].#subform[3].ProceedingDept_ft[6] (0.40 conf)
ap_p_full_part_ft__7 was APP-003[0].#subform[3].ProceedingFullPart_ft[6] (0.35 conf)
ap_p_subform_desc_ft__7 was APP-003[0].#subform[3].ProceedingDesc_ft[6] (0.38 conf)
ap_p_subform_proceeding_reporter_ft__7 was APP-003[0].#subform[3].ProceedingReporter_ft[6] (0.42 conf)
ap_p_subform_proceeding_date_ft__8 was APP-003[0].#subform[3].ProceedingDate_ft[7] (0.38 conf)
ap_p_subform_proceeding_dept_ft__8 was APP-003[0].#subform[3].ProceedingDept_ft[7] (0.40 conf)
ap_p_full_part_ft__8 was APP-003[0].#subform[3].ProceedingFullPart_ft[7] (0.35 conf)
ap_p_subform_desc_ft__8 was APP-003[0].#subform[3].ProceedingDesc_ft[7] (0.38 conf)
ap_p_subform_proceeding_reporter_ft__8 was APP-003[0].#subform[3].ProceedingReporter_ft[7] (0.42 conf)
ap_p_subform_check_box__1 was APP-003[0].#subform[3].CheckBox61[0] (0.44 conf)
ap_p_subform_check_box__2 was APP-003[0].#subform[3].CheckBox61[1] (0.44 conf)
ap_p_subform_sig_date was APP-003[0].#subform[3].SigDate[0] (0.43 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

ap_p_page_record_method__1
ap_p_page_pay_cb__1
ap_p_page_pay_cb__2
ap_p_page_rule_cb__1
ap_p_page_rule_cb__2
ap_p_page_record_method__2
ap_p_page_record_method__3
ap_p_page_record_method__4
ap_p_page_withoutor_cb__1
ap_p_page_case_number_ft
ap_p_page_app_case_number_ft
ap_p_page_title_party_name__1
ap_p_page_title_party_name__2
ap_p_page_title_party_name__3
ap_p_page_appeal_date
ap_p_page_court_info_county
ap_p_page_court_info_crt_street
ap_page_court_info_mailing_add
ap_p_page_court_info_crt_city_zip
ap_p_page_court_info_crt_branch
ap_p_page_party_info_bar
ap_p_page_atty_party_info_name
ap_p_page_party_info_firm
ap_p_page_atty_party_info_street
ap_p_page_party_info_city
ap_p_page_party_info_state
ap_p_page_atty_party_info_zip
ap_p_page_party_info_phone
ap_p_page_party_info_fax
ap_p_page_party_info_email
ap_p_page_atty_party_info
ap_p_page_withoutor_cb__2
ap_p_page_transcriptorstatement_cb__1
ap_p_page_check_box__1
ap_p_page_check_box__2
ap_p_page_check_box__3
ap_p_page_deposit_waiver_cb__1
ap_p_page_deposit_waiver_cb__2
ap_p_page_check_box__4
ap_p_page_transcriptorstatement_cb__2
ap_p_page_agreed_stmt_cb__1
ap_p_page_agreed_stmt_cb__2
ap_p_page_transcriptorstatement_cb__3
ap_p_page_check_box__5
ap_p_page_x_case_number__1
ap_p_page_x_caption_name_ft__1
ap_p_page_adm_title_ft__1
ap_p_page_adm_proceeding_date_ft__1
ap_p_page_adm_title_ft__2
ap_p_page_adm_proceeding_date_ft__2
ap_p_page_adm_title_ft__3
ap_p_page_adm_proceeding_date_ft__3
ap_p_page_adm_title_ft__4
ap_p_page_adm_proceeding_date_ft__4
ap_p_page_adm_title_ft__5
ap_p_page_adm_proceeding_date_ft__5
ap_p_page_doc_filing_date_ft__1
ap_p_page_doc_filing_date_ft__2
ap_p_page_doc_filing_date_ft__3
ap_p_page_doc_filing_date_ft__4
ap_p_page_doc_filing_date_ft__5
ap_p_page_doc_filing_date_ft__6
ap_p_page_doc_filing_date_ft__7
ap_p_page_settled_stmt_cb__1
ap_p_page_settled_stmt_cb__2
ap_p_page_settled_stmt_cb__3
ap_p_page_x_case_number__2
ap_p_page_x_caption_name_ft__2
ap_p_page_check_box__6
ap_p_page_check_box__7
ap_p_page_check_box__8
ap_p_page_format_cb__1
ap_p_page_area_format_cb
ap_p_page_format_cb__2
ap_p_page_check_box__9
ap_p_page_doc_title_ft__1
ap_p_page_doc_filing_date_ft__8
ap_p_page_doc_title_ft__2
ap_p_page_doc_filing_date_ft__9
ap_p_page_doc_title_ft__3
ap_p_page_doc_filing_date_ft__10
ap_p_page_doc_title_ft__4
ap_p_page_doc_filing_date_ft__11
ap_p_page_exhibit_number_ft__1
ap_p_page_exhibit_admitted_ft__1
ap_p_page_exhibit_desc_ft__1
ap_p_page_exhibit_number_ft__2
ap_p_page_exhibit_admitted_ft__2
ap_p_page_exhibit_desc_ft__2
ap_p_page_exhibit_number_ft__3
ap_p_page_exhibit_admitted_ft__3
ap_p_page_exhibit_desc_ft__3
ap_p_page_exhibit_number_ft__4
ap_p_page_exhibit_desc_ft__4
ap_p_page_exhibit_admitted_ft__4
ap_p_subform_points_appeal_ft
ap_p_subform_proceeding_date_ft__1
ap_p_subform_proceeding_dept_ft__1
ap_p_full_part_ft__1
ap_p_subform_desc_ft__1
ap_p_subform_proceeding_reporter_ft__1
ap_p_subform_proceeding_date_ft__2
ap_p_subform_proceeding_dept_ft__2
ap_p_full_part_ft__2
ap_p_subform_desc_ft__2
ap_p_subform_proceeding_reporter_ft__2
ap_p_subform_proceeding_date_ft__3
ap_p_subform_proceeding_dept_ft__3
ap_p_full_part_ft__3
ap_p_subform_desc_ft__3
ap_p_subform_proceeding_reporter_ft__3
ap_p_subform_proceeding_date_ft__4
ap_p_subform_proceeding_dept_ft__4
ap_p_full_part_ft__4
ap_p_subform_desc_ft__4
ap_p_subform_proceeding_reporter_ft__4
ap_p_subform_x_caption_case_number_ft
ap_p_x_caption_name_ft
ap_p_subform
ap_p_subform_proceeding_date_ft__5
ap_p_subform_proceeding_dept_ft__5
ap_p_full_part_ft__5
ap_p_subform_desc_ft__5
ap_p_subform_proceeding_reporter_ft__5
ap_p_subform_proceeding_date_ft__6
ap_p_subform_proceeding_dept_ft__6
ap_p_full_part_ft__6
ap_p_subform_desc_ft__6
ap_p_subform_proceeding_reporter_ft__6
ap_p_subform_proceeding_date_ft__7
ap_p_subform_proceeding_dept_ft__7
ap_p_full_part_ft__7
ap_p_subform_desc_ft__7
ap_p_subform_proceeding_reporter_ft__7
ap_p_subform_proceeding_date_ft__8
ap_p_subform_proceeding_dept_ft__8
ap_p_full_part_ft__8
ap_p_subform_desc_ft__8
ap_p_subform_proceeding_reporter_ft__8
ap_p_subform_check_box__1
ap_p_subform_check_box__2
ap_p_subform_sig_date

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Appellant's Notice Designating Record on Appeal (Unlimited Civil Case)

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02