Report Of New Appeal (Combined or Total)

	If there is additional information which does not fit on this form, please feel free to e-mail it to looney@appellateproject.org
	Defendant:      Race:  Select Sex:  Select DOB:  DOC#:  Case No:  Parish:  Select     Judicial District:  Judge:    Appeal From:  Select Jury Judge Hearing Crosby Charges:  Trial Dates:  Trial Length [days] Trial Attorney(s):  ADA(s):  Sentencing Date: Sentence Imposed: Was Motion to Reconsider Sentence Filed?  N/A Yes No     Motion to Reconsider Was: N/A Oral Written , then was Select Denied Set For Hearing , on Was Appeal Bond Requested by Client?  N/A Yes No   Bond Granted by Court?:  N/A Yes No Bond Motion Pending? N/A Yes No Bond Amount:  Bond Made by Client? N/A Yes No Multiple Offender Filed?:  N/A Yes No If so, when set? Level of Multibill Alleged?:  2nd   3rd   4th   Level of Multibill Found by Court? 1st   2nd   3rd   4th   New Sentencing Date:     New Sentence Imposed:   Brief Synopsis of case: Defense(s) Offered: Any Memos or Special Pleadings Filed?:   (A full review of the record will be made, but we would appreciate information about anything that stands out in your mind.  Please review in your mind things like: Jury Selection; Pre-trial Motions; Trial Objections; Jury Instructions; Argument; Insufficient Evidence - which element; anything else which led to an objection.) Appellate Issues:
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	Name:    Title: (Attorney, atty staff, PD Office):    E-Mail:    Phone:    Fax:        Please contact me as soon as possible regarding this matter.