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Rules of the Supreme Court

APPENDIX C — CAPTION AND CERTIFICATION FORMS

  • C-1Instructions
  • C-2Standard cover
  • C-3Caption forms
  • C-4Simple Notice of Criminal Appeal
  • C-5Civil or Administrative Notice of Appeal
  • C-6Petition for Review checklist
  • C-7Attorney and self-represented signature blocks
  • C-8Factual declaration
  • C-9Combined filing certifications
  • C-10Proof of original or alternative service
  • C-11Petition for Rehearing certificate
  • C-12Technical-failure notice
  • C-13Fee-waiver request
  • C-14Request for appointed counsel
  • C-15Adoption-order certificate

APPENDIX C — CAPTION AND CERTIFICATION FORMS

Section C-8. Factual declaration

Cite asRid. R. Sup. Ct. app. C-8Official text at page 49

Use when the filing relies on facts outside the existing authenticated record:

DECLARATION
I declare under penalty of perjury under the laws of the State of
Ridgeway that I have personal knowledge of the facts identified in
paragraphs [________], and that those facts are true and correct.
Executed on [DATE] at [UTC TIME].
/s/ [DECLARANT]
[ROBLOX USERNAME AND IMMUTABLE USER ID]

The declaration must identify attached screenshots, logs, recordings, or other digital material sufficiently to satisfy Rule 39(e).

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