The Commonwealth of Massachusetts
Committee for Public Counsel Services
44 Bromfield Street, Boston, MA 02108-4909
TEL: (617) 482-6212
FAX: (617) 988-8493
ANTHONY J. BENEDETTI NANCY T. BENNETT
CHIEF COUNSEL DEPUTY CHIEF COUNSEL
PRIVATE COUNSEL DIVISION
APPEAL REFERRAL FORM FOR SDP CASES
FORM SUBMITTED BY: DATE
CLIENT’S NAME D.O.B.______MTC ID#
SECTION 9 SECTION 12
TRIAL
DATES
JUDGE ______HELD LOCATION
ATTORNEY ATTORNEY FOR COMM.
DOCKET NUMBER JURY TRIAL YES NO
UNDERLYING OFFENSE(S) DATE(S) OF CONVICTION DISPOSITION/SENTENCE
COMMENTS:
EXPERT TESTIFYING FOR PETITIONER:
EXPERTS TESTIFYING FOR COMMONWEALTH:
ISSUES FOR APPEAL/ OTHER COMMENTS:
POST-TRIAL ATTORNEY ACTION: APPEAL
HAS THE CLIENT BEEN INFORMED OF THE APPEAL PROCESS? YES NO
NOTICE OF APPEAL FILED:______(date)
TRIAL TRANSCRIPT ORDERED? YES NO
LETTER SENT TO CLERK OF COURT AND DISTRICT ATTORNEY INDICATING THAT TRANSCRIPT HAS BEEN ORDERED DATE
HAS THE RECORD BEEN ASSEMBLED? YES DATE NO
If YES, has Motion to Waive Filing Fee and Affidavit of Indigency been filed with the Appeals Court
within 10 days of assembly (or Motion for Leave to Late File Affidavit of Indigency if client cannot sign within 10 days of assembly)?
NO
YES DATE FILED DATE DOCKETED IN APPEALS COURT
NOTE: Do not withdraw from the case until appellate counsel is appointed and enters an appearance.
POST-TRIAL ATTORNEY ACTION: NEW SECTION 9 PETITION
HAS A NEW SECTION 9 PETITION BEEN FILED ON BEHALF OF THE CLIENT?
YES DATE FILED
NO (IF NO, WHY NOT?)
HAS A COPY OF THE PETITION BEEN SENT TO MARY MURRAY (DOC) ?
YES DATE SENT
HAS A COPY OF THE PETITION BEEN SENT TO THE DISTRICT ATTORNEY OF THE ORIGINATING
COUNTY ?
YES DATE SENT
NOTE: Do not withdraw from the case until verifying with Kristin Zitano that she has received a new petition with a docket number from the originating county.
Return to Scott Miller, Senior Appeals Attorney, Alternative Commitment and Registration Support Unit; ; or fax# (617) 988-8493