Va. R. Sup. Ct. Form [Effective 1/20/2024] Notice of Appeal from Trial Court (Rule 5A:6)
VIRGINIA: IN THE CIRCUIT COURT OF ________________________________
(The style of the case in the Circuit Court.)
NOTICE OF APPEAL
_____________________________,________________________________________________
(name(s) of party(ies)) (plaintiff, defendant or other designation in trial court)
______________________________________ hereby appeals to the Court of Appeals of Virginia from the _________________________________________________________ (final judgment or other appealable order or decree) of this Court entered on ______________.
(date)
[If applicable]
This is a termination of parental rights case (Va. Code § 16.1-283, § 16.1-277.01, §16.1- 277.02 or § 16.1-278.3).
A transcript will be filed.
A statement of facts, testimony, and other incidents of the case will be filed.
[In criminal cases only:] Appellant requests the clerk of the circuit court to cause a transcript to be prepared of the following circuit court proceedings:
_______________________________________
_______________________________________
_______________________________________.
CERTIFICATE
The undersigned certifies as follows:
(1) The name(s) and address(es) of appellant(s) are:
[If applicable] Appellant(s), is (are) not represented by counsel. The telephone number(s), facsimile number (if any) and e-mail address (if any) of appellant(s) are:
(2) The name(s), Virginia State Bar numbers(s), address(es), telephone number(s), facsimile number (if any), and email address(es) (if any) of counsel for appellant(s) are:
(3) The name(s) and address(es) of appellee(s) are:
[If applicable] Appellee(s), is (are) not represented by counsel. The telephone number(s) facsimile number (if any) and e-mail address (if any) of appellee(s) (are):
(4) The name(s), Virginia State Bar numbers(s), address(es), telephone number(s), facsimile number (if any), and email address(es) (if any) of counsel for appellee(s) are:
(5) [If applicable] The name(s), address(es), and telephone number(s) of the guardian ad litem for the child(ren) is (are):
(6) [If applicable] Counsel for appellant, or appellant if not represented by counsel, has ordered from the court reporter who reported the case the transcript for filing as required by Rule 5A:8(a).
(7) [If applicable]____________________________, (name of party)____________________________ (appellant)
(appellee) __________________, is not represented by counsel. ____________________________ (his) (her)
address and telephone number are:
(8) [In criminal and termination of parental rights cases only] Counsel for defendant has been ________________________________________.
(appointed) (privately retained)
(9) A copy of this Notice of Appeal has been mailed, emailed, or delivered to all opposing counsel [and/or to unrepresented parties, to the guardian ad litem, if applicable] and to the Clerk of the Court of Appeals this ______ day of _____________, 20____.
(10) [In criminal cases only] A copy of this Notice of Appeal has been [sent by email to noticesofappeal@oag.state.va.us] [(if the appellant does not have access to email) mailed to Office of the Attorney General, attn.: Notices of Appeal, 202 North Ninth Street, Richmond, Virginia 23219] this ____ day of _________, 20__.
_________________________________________
(Signature of counsel or unrepresented party)
Va. Sup. Ct. Form [Effective 1/20/2024] Notice of Appeal from Trial Court (Rule 5A:6)