Case Number:         

Case Name:         

Directions: Answer the following questions about the appeal to the best of your ability. Use additional sheets of paper, if necessary, not to exceed 30 pages. Please print or write legibly, or type your answers double-spaced. You need not limit your brief solely to this form, but you should be certain that the document you file contains answers to the questions below. The Court prefers short and direct statements.

Within 28 days you should return your completed brief to:

1. Did the District court incorrectly decide the facts?         
   If so, what facts?
   
   
   
   

2. Do you think the District Court applied the wrong law?          If so, what law do you want applied?
   
   
   
   

3. Do you feel that there are any others reasons why the District Court's judgment was wrong?          If so, what are they?
   
   
   
   

4. What action do you want the Court to take in this case?
   
   
   
   

5. What specific issues do you wish to raise on appeal?
   
   
   
   

I certify that a copy of this brief was sent to opposing counsel via U.S. Mail on the        day of            , 19      .