Form DS-S4603.1 "Docketing Statement (Civil)" - Illinois

What Is Form DS-S4603.1?

This is a legal form that was released by the Illinois Appellate Court - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2019;
  • The latest edition provided by the Illinois Appellate Court;
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  • Fill out the form in our online filing application.

Download a fillable version of Form DS-S4603.1 by clicking the link below or browse more documents and templates provided by the Illinois Appellate Court.

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Download Form DS-S4603.1 "Docketing Statement (Civil)" - Illinois

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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Appellate Courts.
THIS APPEAL INVOLVES A MATTER SUBJECT TO EXPEDITED DISPOSITION UNDER
Instructions
Check the box to the
RULE 311(a).
right if your case
involves parental
responsibility or
parenting time
(custody/visitation
rights) or relocation of
a child.
Appellate Case No.:
Enter the appellate
court case number.
Just below "In the
IN THE APPELLATE COURT OF
Appellate Court of
ILLINOIS
Illinois," enter the
number of the
appellate district
District
where the appeal was
filed.
If the case name in the
trial court began with
In re
Appeal from the Circuit Court
"In re" (for example,
of
County
"In re Marriage of
Jones"), enter that
phrase. If the case
Trial Court Case No:
name did not begin
with "In re," enter the
Plaintiff/Petitioner in trial court (First, middle, last name)
names of the parties as
they appeared in the
Appellant
Appellee
Trial Judge:
trial court documents.
Below each party
name check either
Date of Notice of Appeal:
Appellant if the party
v.
filed the appeal or
Appellee if the party
Date Judgment was entered:
is responding to the
appeal.
Defendant/Respondent in trial court (First, middle, last name)
Appellant
Appellee
At the far right, enter
the trial court county,
trial court case
Date Post-Judgment Motion
number, the trial
was ruled on:
judge's name, date of
the notice of appeal,
date of the judgment,
Supreme Court Rule:
date of the ruling on
any post-judgment
motion, and the
Supreme Court Rule
that allows the
appellate court to hear
the appeal.
In 1, check "Yes" if this
DOCKETING STATEMENT (CIVIL)
appeal is related to
another appeal and
1. Is this a cross-appeal, separate appeal, joining in a prior appeal, or related to another appeal
write the docket (case)
that is currently pending or that has been decided by this court?
number of any other
 Yes  No
appeal. Check “No” if
this appeal is not
related to another
If yes, list the docket numbers of the other appeals:
appeal.
DS-S 4603.1
Page 1 of 5
(05/19)
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Appellate Courts.
THIS APPEAL INVOLVES A MATTER SUBJECT TO EXPEDITED DISPOSITION UNDER
Instructions
Check the box to the
RULE 311(a).
right if your case
involves parental
responsibility or
parenting time
(custody/visitation
rights) or relocation of
a child.
Appellate Case No.:
Enter the appellate
court case number.
Just below "In the
IN THE APPELLATE COURT OF
Appellate Court of
ILLINOIS
Illinois," enter the
number of the
appellate district
District
where the appeal was
filed.
If the case name in the
trial court began with
In re
Appeal from the Circuit Court
"In re" (for example,
of
County
"In re Marriage of
Jones"), enter that
phrase. If the case
Trial Court Case No:
name did not begin
with "In re," enter the
Plaintiff/Petitioner in trial court (First, middle, last name)
names of the parties as
they appeared in the
Appellant
Appellee
Trial Judge:
trial court documents.
Below each party
name check either
Date of Notice of Appeal:
Appellant if the party
v.
filed the appeal or
Appellee if the party
Date Judgment was entered:
is responding to the
appeal.
Defendant/Respondent in trial court (First, middle, last name)
Appellant
Appellee
At the far right, enter
the trial court county,
trial court case
Date Post-Judgment Motion
number, the trial
was ruled on:
judge's name, date of
the notice of appeal,
date of the judgment,
Supreme Court Rule:
date of the ruling on
any post-judgment
motion, and the
Supreme Court Rule
that allows the
appellate court to hear
the appeal.
In 1, check "Yes" if this
DOCKETING STATEMENT (CIVIL)
appeal is related to
another appeal and
1. Is this a cross-appeal, separate appeal, joining in a prior appeal, or related to another appeal
write the docket (case)
that is currently pending or that has been decided by this court?
number of any other
 Yes  No
appeal. Check “No” if
this appeal is not
related to another
If yes, list the docket numbers of the other appeals:
appeal.
DS-S 4603.1
Page 1 of 5
(05/19)
Enter the Case Number given by the Appellate Clerk:_________________________________
In 2, if any party, either
Appellant or Appellee,
2.
If any party is a corporation or association, identify any affiliate, subsidiary, or parent group:
is a corporation or
business association,
write the name of any
3.
Full name and complete address of appellant filing this statement:
company related to that
corporation or business
association.
First
Middle
Last
In 3, enter your full
name and other contact
Street, Apt #
Telephone number
information. If there
are other appellants
City
State
ZIP
Email address
besides you, include all
their names and contact
 I have listed additional appellants on the Additional Appellant Information form.
information on the
Additional Appellant
Information form and
Lawyer on Appeal for appellant filing this statement:
attach it to this
Docketing Statement
(Civil) and put a check
First
Middle
Last
in the box. If you have
a lawyer, fill in their
information below
Street, Apt #
Telephone number
“Lawyer on Appeal for
appellant filing this
City
State
ZIP
Email address
statement.” If there is
more than one lawyer
for the appellants,
Lawyer Registration Number
Fax number
check the box and fill
out the Additional
 I have listed additional lawyers on the Additional Lawyer on Appeal Information
form. Insert it after this
form.
page.
In 4, you must enter
the full name and
4.
Full name and complete address of appellee:
contact information
for all appellees you
First
Middle
Last
are filing your appeal
against. If there is
more than one
Street, Apt #
Telephone number
appellee, include all
their names and
City
State
ZIP
Email address
contact information on
the Additional
 I have listed additional appellees on the Additional Appellee Information form.
Appellee Information
form and put a check
in the box. You must
Lawyer for appellee:
also enter the full
name and contact
First
Middle
Last
information for each
lawyer. If you don't
know the name of an
Street, Apt #
Telephone number
appellee's lawyer, fill
in the name and
City
State
ZIP
Email address
address of their trial
lawyer. If there is
more than one
Lawyer Registration Number
Fax number
appellee or more than
one lawyer for the
I have listed additional lawyers on the Additional Lawyer on Appeal Information form.
appellee, check the
box and fill out the
Additional Lawyer on
Appeal Information
form. Insert it after
this page.
DS-S 4603.1
Page 2 of 5
(05/19)
Enter the Case Number given by the Appellate Clerk:_________________________________
5. Court reporter information:
In 5, enter the name
and address of the court
reporter who recorded
First
Middle
Last
the hearing in the trial
court. If the hearing
Street Address
City
State
Zip
was electronically
recorded, contact the
trial court clerk’s office
Telephone
Email address
to order the transcript.
If there was no court
reporter or recording,
I have listed additional court reporters on the Additional Court Reporter Information
then leave 5 blank.
form.
In 5, if there was more
6.
than one court
Is this appeal from a final order in a matter involving child custody, allocation of parental
reporter, check the
responsibilities, or relocation of a minor child under Illinois Supreme Court Rule 311(a),
box and fill out the
which requires Mandatory Accelerated Disposition?
Additional Court
Reporter Information
 Yes
No
form. Insert it before
If yes, this Docketing Statement (Civil), and all other notices, briefs, motions, and pleadings
this page.
filed by any party shall include the following statement in bold type on the top of the front
page:
In 6, check "Yes" if
your case involves
THIS APPEAL INVOLVES A MATTER SUBJECT TO EXPEDITED DISPOSITION
parental responsibility
UNDER RULE 311(a).
or parenting time
(custody/visitation
rights) or relocation of
7.
State the general issues you want to raise in your appeal:
a child. There are
special rules that
apply to speed up
these appeals.
In 7, briefly write
down your reasons for
filing this appeal. If
8. I certify that
you don’t list a reason
here, you will still be
a.
on this date
I filed a request with the trial court clerk to
able to bring it up
Date
later.
prepare the appeal record on appeal.
In 8a, enter the date
you filed your Request
b.
on this date
I made a written request to the court reporting
for Preparation of
Date
Record on Appeal with
personnel to prepare the transcripts, a copy of which is attached to this Docketing Statement.
the trial court.
In 8b, enter the date
you delivered your
Request for Report of
Proceedings
(Transcripts) to the
court reporter you
listed above in 5. If
there was no court
reporter or recording,
leave 8b blank.
/s/
If you are completing
this form on a
Your Signature
Street Address
computer, sign your
name by typing it. If
you are completing it
Print Your Name
City, State, ZIP
by hand, sign and
print your name.
Telephone
DS-S 4603.1
Page 3 of 5
(05/19)
Enter the Case Number given by the Appellate Clerk:_________________________________
GETTING COURT DOCUMENTS BY EMAIL: If you agree to receive court documents by email, check the box below and enter your email
address. You should use an email account that you do not share with anyone else and that you check every day. If you do not check your email every
day, you may miss important information or notice of court dates. Other parties may still send you court documents by mail.
I agree to receive court documents at this email address during my entire case.
Email
PROOF OF SERVICE
(You must serve the other party and complete this section)
In 1a, enter the name,
mailing address, and
1. I sent this document:
email address of the
party or lawyer to
a.
To:
whom you sent the
Name:
document.
First
Middle
Last
In 1b, check the box to
Address:
show how you sent the
Street, Apt #
City
State
ZIP
document, and fill in
Email address:
any other information
 Personal hand delivery
b.
By:
required on the blank
 Regular, First-Class Mail, put into the U.S. Mail with postage paid at:
lines.
CAUTION: If the
other party does not
Address of Post Office or Mailbox
have a lawyer, you may
 Third-party commercial carrier, with delivery paid for at:
send the document by
email only if the other
Name (for example, FedEx or UPS) and office address
party has listed their
email address on a
 The court's electronic filing manager (EFM) or an approved electronic filing
court document.
service provider (EFSP)
 Email
(not through an EFM or EFSP)
 Mail from a prison or jail at:
Name of prison or jail
In c, fill in the date and
c.
On:
time that you sent the
Date
document.
 a.m.
 p.m.
At:
Time
2. I sent this document:
In 2, if you sent the
document to more than
1 party or lawyer, fill in
a.
To:
a, b, and c. Otherwise
Name:
leave 2 blank.
First
Middle
Last
Address:
Street, Apt #
City
State
ZIP
Email address:
 Personal hand delivery
b.
By:
 Regular, First-Class Mail, put into the U.S. Mail with postage paid at:
Address of Post Office or Mailbox
 Third-party commercial carrier, with delivery paid for at:
Name (for example, FedEx or UPS) and office address
 The court's electronic filing manager (EFM) or an approved electronic filing
service provider (EFSP)
 Email
(not through an EFM or EFSP)
DS-S 4603.1
Page 4 of 5
(05/19)
Enter the Case Number given by the Appellate Clerk:_________________________________
 Mail from a prison or jail at:
Name of prison or jail
c.
On:
Date
 a.m.
 p.m.
At:
Time
3. I sent this document:
In 3, if you sent the
document to more than
2 parties or lawyers, fill
a.
To:
in a, b, and c.
Name:
Otherwise leave 3
First
Middle
Last
blank.
Address:
Street, Apt #
City
State
ZIP
Email address:
 Personal hand delivery
b.
By:
 Regular, First-Class Mail, put into the U.S. Mail with postage paid at:
Address of Post Office or Mailbox
 Third-party commercial carrier, with delivery paid for at:
Name (for example, FedEx or UPS) and office address
 The court's electronic filing manager (EFM) or an approved electronic filing
service provider (EFSP)
 Email
(not through an EFM or EFSP)
 Mail from a prison or jail at:
If you are serving more
than 3 parties or
Name of prison or jail
lawyers, check the box
c.
On:
and fill out an
Date
Additional Proof of
Service form. Insert it
 p.m.
At:
a.m.
after this page.
Time
I have completed an Additional Proof of Service form.
Under the Code of
I certify that everything in the Proof of Service is true and correct. I understand that making
Civil Procedure,
735
a false statement on this form is perjury and has penalties provided by law
ILCS
5/1-109, making
under
735 ILCS
5/1-109.
a statement on this
form that you know to
be false is perjury, a
Class 3 Felony.
/s/
Your Signature
If you are completing
this form on a
computer, sign your
Print Your Name
name by typing it. If
you are completing it
by hand, sign by hand
and print your name.
DS-S 4603.1
Page 5 of 5
(05/19)
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