§ Form No. 16 Designation of record for appeals from tribunals other than district courts
Form No. 16. Designation of record for appeals from tribunals other than district courts
BEFORE THE (NAME OF TRIBUNAL) OF THE STATE OF OKLAHOMA
___________________________________, )
)
Petitioner, Plaintiff, Protestant )
)
) Cause No. __________.
v. )
)
)
___________________________________, )
)
Respondent, Defendant, etc. )
DESIGNATION OF RECORD FOR APPEALS FROM TRIBUNALS OTHER THAN DISTRICT COURTS
___ Designation of Record
___ Counter-Designation of Record
___ Amended Designation of Record
A. DESIGNATION OF RECORD AND TRANSCRIPTS
[Plaintiff, Protestant, Petitioner, etc., or Defendant, Respondent, etc.] _______ hereby designates the following for inclusion in the record on appeal in this case:
B. DATE, SIGNATURE, AND SERVICE BY COUNSEL OR PARTY
DATE: _______________, 19___.
Signature: ___________________________________________
(Signature of Attorney or Pro Se Party)
Attorney for ___________________________________________
(Petitioner, etc., or Respondent, etc.)
OBA No.: ___________________________________________
Firm: ___________________________________________
Address: ___________________________________________
___________________________________________
___________________________________________
Telephone: ___________________________________________
CERTIFICATE OF SERVICE
I, _______ , hereby certify that in addition to filing the original Designation of Record with the _______ a copy of the foregoing Designation of Record was mailed by first class mail, postage prepaid, this ___ day of _______ 199___, to the following:
[Names and Addresses of all parties or their counsel of record]
________________________________________________________________________________
Adopted July 10, 1996
Effective January 1, 1997
Heading renumbered by order of May 5, 2005, which added a new Part IX.