|1| Untitled Document 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 email@example.com Defendant: Race: Select AsianBlackHispanicNativeOtherWhite Sex: Select FemaleMale DOB: DOC#: Case No: Parish: Select AcadiaAllenAscensionAssumptionAvoyellesBeauregardBienvilleBossierCaddoCalcasieuCaldwellCameronCatahoulaClaiborneConcordiaDesotoEast CarrollEast FelicianaEBREvangelineFranklinGrantIberiaIbervilleJacksonJeffersonJefferson DavisLafayetteLafourcheLasalleLincolnLivingstonMadisonMorehouseNatchitochesOrleansOuachitaPlaqueminesPointe CoupeeRapidesRed RiverRichlandSabineSt BernardSt CharlesSt HelenaSt JamesSt JohnSt LandrySt MartinSt MarySt TammanyTangipahoaTensasTerrebonneUnionVermilionVernonWashingtonWBRWebsterWest CarrollWest FelicianaWinn 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: Tell us how to get in touch with you: Name: Title: (Attorney, atty staff, PD Office): E-Mail: Phone: Fax: Please contact me as soon as possible regarding this matter.