Case Name: ________________________________ v ____________________________________ 

INSTRUCTIONS:  Please complete this checklist and file with your claim of appeal.  ALL of the 
numbered items are required.  Check each box as you confirm that each item is being filed. 

1.  A signed claim of appeal showing the correct lower court number(s). [MCR 7.204(B)(1) & (D).] 

2.  A filing fee of $375.00 or appropriate fee substitute. [MCR 7.202(3) & 7.204(B)(2).] (Where multiple lower 
court or tribunal numbers are involved, an additional filing fee may be required.  Appellants will be advised of any 
additional amount required.) 

3.  A copy of the order you are appealing. [MCR 7.204(C)(1).] (This is the order deciding the merits and not an 

order denying reconsideration, new trial, or other post-judgment relief.) 

4.  Evidence that the necessary transcript has been ordered. [MCR 7.204(C)(2).] (Only one item from 

a through g is required). 

 

 

 

 

 

 

 

a.  No transcript will be filed. [MCR 7.204(C)(2) & AO 2004-5 ¶ 8(A)(1).] 

b.  The transcript has already been filed. [MCR 7.210(B)(1)(a).] 

c.  The complete transcript has been ordered. [MCR 7.210(B)(1)(a).] 

d.  This appeal is from a probate court proceeding which does not require a complete transcript. 

[MCR 7.210(B)(1)(b).] 

e.  A motion has been filed in the lower court or tribunal for submission of the appeal on less than 

the complete transcript. [MCR 7.210(B)(1)(c).] 

f.  The parties have stipulated to submission of the appeal on less than the complete transcript. 

[MCR 7.210(B)(1)(d).] 

g.  The parties have stipulated to a statement of facts. [MCR 7.210(B)(1)(e).] 

5.  Proof of service demonstrating that all other parties have been served. [MCR 7.204(C)(3).] (Even if a 

party is not an appellee, they must be served.) 

6.  A current register of actions from the lower court or tribunal. [MCR 7.204(C)(5).] 

Finality of Order Being Appealed  (Check the box that demonstrates your claim of appeal is by right.  If neither 

applies, you do not have an appeal by right.) 

The claim of appeal is from an order defined as a final order by MCR 7.202(6) or MCR 5.801(B)(1). [MCR 
7.203(A)(1).]  Please specify which category of final order applies: ________________________________ 

The claim of appeal is from an order which is designated by statute, court rule, or case law as an order 
appealable by right to the Court of Appeals.  Please specify the authority under which you have an appeal 
by right: ______________________________________________________________________________ 

_____________________________________________________________________________________ 

CASE NO. 

Trial Court/Tribunal: 

ourt of Appeals: 

  C

Jurisdictional Checklist 

Trial Court/Tribunal Name: 

Court of Appeals, State of Michigan 

_________________________________________ 
Preparer’s Signature 

6/07

_______________ 

Date 

  _