Program basedupon a number of discretionarycriteria, includingthe financialmeansofthe appellantor appellee. Ifa caseis selectedby the Committee,and can be matched with appellate counsel, that counsel will take over representationof the appellant or appellee without charging legal fees. More information regarding this program can be found in the Pro Bono Program Pamphlet available in paper form at the Clerk's Ofiice or on the Intemet at ww]v.tex-app.org. Ifyour caseis selectedand matched with a volunteer lawyer, you will receive a letter from the Pro Bono Committee within thirty (30) to forty-five (45) days after submitting this Docketing Statement. Note: there is no guaranGethat ifyou submit your casefor possible inclusion in the Pro Bono Program, the Pro Bono Committee will select your caseand tlat pro bono counsel can be found to representyou. Accordingly, you should not forego seeking other counsel to representyou in this proceeding. By signing your name below, you are authorizing the Pro Bono committee to transmit publicly available facts and information about your case,including parties and background, through selected Internet sites and Listserv to its pool ofvolunteer appellate attorneys. Do you want this caseto be consideredfor inclusionin the Pro Bono Program? f f iv e s I No Do you authorize the Pro BoJlo Committee to contact your fial counsel ofrecord in this matter to answer questions tlle committee may have regardingthe appeal'r D( Yes ll No
Pleasenote that any such conversationswould be maintained as confidential by the ho Bono Committee and the information used solely for the purposesofconsidering the casefor inclusion in the Pro Bono Program
Ifyou have not previously filed an afftdavit oflndigency and attached a file-stamped copy ofthat affidavit, does your income exceed200Voof the U.S. Departmentof Health and Human ServicesFederalPovertyGuidelines? ffiYes INo
Theseguidelinescanbs found in the ProBonoProgramPamphletaswell ason the intemetat
to the ProBonoCommittesr I Yes ff No Are you willing to discloseyour financialcircumstanc€s Ifyes, pleaseattachanAffidavit oflndigency completedandexecutedby the appellantor appellee.Sampleformsmaybe foundin the Clerk's Office or on the internetat . Your participationin the Pro Bono Programmay be conditioneduponyour executionof an affidavit under oatl as to your financial circumstances.
Give a briefdescriptionofthe issu€sto be raisedon appeal,th€ rclief sought,and the applicablestandardofreview, ifknown (without prejudice to the right to raise additional issuesor requestadditional relief; use a s€parateattachment, if necessary). This caseis regarding a violation of l4th Amendment rights. The trial court erroneously dismissed suit pursuantto Plea to the Jurisdiction. Appellant se€ksreversal ofthisjudgment and any other reliefto which he may be entitled.
XV, $ignature
Date: January26,2015
PrintedName: Alan N. Crotts StateBar No.:
ElectronicSignature: Alan N. Crotts (Optional)
Page8 of 9 Theundersignedcounseloertifiesthatthis docketingstrt€menthasbeenservedon the following leadcounselfor all partiesm the trial court's order or judgment as follows on
of counsel(or pro se party) Electronic Signature: (Optional)
State Bar No.:
Cenificat€of Servic€Requirem€nts CIRAP9.5(e)):A c€rtificatoof servicemustbe signedby the personwho madethe serviceandmust state: (1) the dateandmannerof sewice; (2) the nameandaddressofeachpersonservd and (3) if the penon servcdis a party'saltornoy,the nameofthe partyrepresented by that attom€y
Pleaseenterthe following for cachpersonserved:
Date Served:
Manner Served:
First Name:
Middle Name:
Last Name: Law Firm Name:
Addressl: Address 2:
City: State Zip+4: ffi Telephone' ffi