Clerk stamps date here when form is filed.

Clerk fills in the name and street address of the 
court:
Superior Court of California, County of

Clerk fills in the number and name of the case

Trial Court Case Number:

Trial Court Case Name: 
The People of the State of California
v.

Clerk fills in the number below:

Appellate Division Case Number:

CR-136

Order Concerning Appellant's 
Proposed Statement on Appeal 
(Misdemeanor)

The court has received and reviewed the Proposed Statement on Appeal 
(form CR-135) filed by the appellant on 

(fill in date):

The court makes the following order:

The court certifies that parts       through        of the statement as 
5
proposed by the appellant are an accurate summary of the 
testimony and other evidence that is relevant to the issues the 
appellant indicated in item      are the reason for this appeal. 
4
This statement is ready to be sent to the appellate division. 

9

Corrections are needed in order for parts       through       of the 
statement proposed by the appellant to be an accurate 
summary of the testimony and other evidence that is relevant 
to the issues the appellant indicated in item       are the reason 
for this appeal.

4

5

9

(1)

(2)

A modified statement is attached to this order. This 
modified statement must be sent to the parties.

The appellant is ordered to prepare a statement 
incorporating these modifications listed below and to serve 
and file this modified statement.

a.

b.

1 2

(a)

(b)

(c)

(3)

More corrections than could be listed above were needed in order for parts      through      of the 
statement proposed by the appellant to be an accurate summary of the testimony and other 
evidence that is relevant to the issues the appellant indicated in item      are the reasons for this 
appeal. A list of the required modifications is attached. The appellant is ordered to prepare a 
statement incorporating those modifications and to serve and file this modified statement.

5

4

9

Judicial Council of California, www.courts.ca.gov 
Revised March 1, 2014, Optional Form 
Cal. Rules of Court, rule 8.869(d)

Order Concerning Appellant's 
Proposed Statement on Appeal 
(Misdemeanor)

CR-136 Page 1 of 2

Trial Court Case Name:

Trial Court Case Number:

c.

The proposed statement does not contain the following material required by rule 8.869:

The appellant is ordered to prepare a new proposed statement that includes this material.

The trial court proceedings in this case were reported by a court reporter or officially recorded 
electronically under Government Code section 69957. Instead of correcting this statement, the court orders 
under rule 8.869(d)(6)(B) that a transcript be prepared as the record of these proceedings. (Check the 
court’s local rules to make sure the court has adopted a rule providing that this option is available.)

This superior court has a local rule for the appellate division authorizing the use of an official electronic 
recording as the record of the oral proceedings. The trial court proceedings in this case were officially 
electronically recorded. Instead of correcting this statement, the court orders that a copy of that electronic 
recording be prepared as the record of these proceedings at the court’s expense.

Signature of trial court judicial officer

d.

e.

Date:

Revised March 1, 2014

CR-136, Page 2 of 2

Order Concerning Appellant's 
Proposed Statement on Appeal 
(Misdemeanor)

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