N.D. Ohio LCrR 58.3

A defendant may appeal a judgment of conviction by a Magistrate Judge in a

misdemeanor case by filing a statement of appeal with the Clerk of Court within fourteen (14)

days after entry of the judgment pursuant to Fed. R. Crim. P. 58(g)(2), and by serving a copy of

the statement upon the United States Attorney and the Magistrate Judge. The scope of appeal

shall be the same as on an appeal from a judgment of the District Court to the Court of Appeals.

Such appeals shall be assigned to District Judges by random draw and shall be given a criminal

case number by the Clerk.

Last revised:2/1/10. See Historical Notes for full revision history.

LCrR - APPENDIX A

U.S. DISTRICT COURT, NORTHERN DISTRICT OF OHIO

JUROR QUESTIONNAIRE No. ____________

PLEASE COMPLETE BOTH SIDES OF THE FOLLOWING QUESTIONNAIRE USING INK, PLEASE PRINT YOUR ANSWERS.

Please be assured that the information in this questionnaire will be used only for the purpose of jury

selection. Pursuant to Local Rule LR 47.2 and LCrR 24.1, "Questionnaires will be available to counsel for

the limited purpose of assisting their preparation for voir dire (questioning of potential jurors). They are

not otherwise to be used, copied, or disclosed without court order. Upon selection of a jury, all

questionnaires shall be returned to the Clerk. Contact prior to trial by any counsel, party, or any person

acting on behalf of any counsel or party with any prospective juror is absolutely forbidden.

Noncompliance with this directive or any other limitation imposed with reference to the disclosure or use

of the questionnaires will lead to contempt of Court citation and other appropriate sanction."

Date:

Name:

Spouse's/Significant Other’s Name:

Names and Ages of your children:

1. Please indicate the employers for whom you have worked, your occupations, periods of

employment, and whether you work from home (including military service, if any):

2. If your spouse or significant other is or has been employed, please indicate employers,

occupations, and periods of employment (including military service, if any):

3. Please indicate the employers and occupations of your parents or guardians:

4. If your children or any other adult member of your household is employed, please indicate

employers, occupations, and periods of employment (including military service):

5. If you are a member of a trade union, professional association, civic, charitable, or other

work-related organization, please indicate:

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LCrR - APPENDIX A

PAGE 2

6. Please indicate whether you own, are buying, or rent your home (circle one).

7. Please list previous residences by city and state, indicating the approximate period of residence

at each location:

8. How far did you go in school? ________________ If you attended college or graduate school, or

received other post-high school training, please indicate areas of study and instruction:

9. How far did your spouse or significant other go in school? ______________________ Please

indicate areas of study and instruction in any post-high school training:

10. If any of your children are currently in college or graduate school or are receiving any post-high

school training or instruction, please indicate:

11. Have you, or has any member of your household ever been involved in any way in a civil lawsuit

as a claimant, defendant, witness, or otherwise? _______ If so, please describe:

12. Have you, or has any member of your household ever been involved in any way in criminal

litigation as a defendant, victim, witness, or otherwise? _______ If so, please describe:

13. Have you, or has any member of your household or a close friend ever been a victim of a crime?

If so, please describe:

14. Do you have any physical problems with hearing, vision, or otherwise which would affect your

service as a juror? If so, please describe:

(OVER)

LCrR - APPENDIX A

PAGE 3

15. Are you or is anyone in your family/household currently having any health problems which

would make it difficult for you to serve as a juror? If so, please describe:

16. Have you ever served as a juror before? _______ If so, please indicate when, in what courts, the

types of cases, and the outcomes (if you can recall):

17. Do you have a relative, family member/household member who is an attorney? _______ If so,

please give name and indicate relationship:

18. Do you have a relative, family member/household member that is a member of law

enforcement? Indicate relationship and position in law enforcement.

19. Do you have any objection to sitting as a juror in a criminal case? _______ If so, please explain:

20. Is there anything with reference to your ability to serve as a fair and impartial juror of which you

think the Court should be aware? _______ If so, please describe:

21. How do you get your news? Television, print media, social media or other electronic sources?

LCrR - APPENDIX B

STANDARD CONDITIONS OF SUPERVISION

As part of your supervised release, you must comply with the following standard conditions

of supervision. These conditions are imposed because they establish the basic

expectations for your behavior while on supervision and identify the minimum tools needed

by probation officers to keep informed, report to the court about, and bring about

improvements in your conduct and condition.

1) You must report to the probation office in the federal judicial district where you are

authorized to reside within 72 hours of your release from imprisonment, unless the

probation officer instructs you to report to a different probation office or within a

different time frame.

2) After initially reporting to the probation office, you will receive instructions from the

court or the probation officer about how and when you must report to the probation

officer, and you must report to the probation officer as instructed.

3) You must not knowingly leave the federal judicial district where you are authorized to

reside without first getting permission from the court or the probation officer.

4) You must answer truthfully the questions asked by your probation officer.

5) You must live at a place approved by the probation officer. If you plan to change

where you live or anything about your living arrangements (such as the people you

live with), you must notify the probation officer at least 10 days before the change. If

notifying the probation officer in advance is not possible due to unanticipated

circumstances, you must notify the probation officer within 72 hours of becoming

aware of a change or expected change.

6) You must allow the probation officer to visit you at any time at your home or

elsewhere, and you must permit the probation officer to take any items prohibited by

the conditions of your supervision that he or she observes in plain view.

7) You must work full time (at least 30 hours per week) at a lawful type of employment,

unless the probation officer excuses you from doing so. If you do not have full-time

employment you must try to find full-time employment, unless the probation officer

excuses you from doing so. If you plan to change where you work or anything about

your work (such as your position or your job responsibilities), you must notify the

probation officer at least 10 days before the change. If notifying the probation officer

at least 10 days in advance is not possible due to unanticipated circumstances, you

must notify the probation officer within 72 hours of becoming aware of a change or

expected change. If not in compliance with the condition of supervision requiring

LCrR - APPENDIX B

full-time employment at a lawful occupation, the defendant may be directed to

perform up to 20 hours of community service per week until employed, as approved

or directed by the pretrial services and probation officer.

8) You must not communicate or interact with someone you know is engaged in

criminal activity. If you know someone has been convicted of a felony, you must not

knowingly communicate or interact with that person without first getting the

permission of the probation officer.

9) If you are arrested or questioned by a law enforcement officer, you must notify the

probation officer within 72 hours.

10) You must not own, possess, or have access to a firearm, ammunition, destructive

device, or dangerous weapon (i.e., anything that was designed, or was modified for,

the specific purpose of causing bodily injury or death to another person such as

nunchakus or tasers).

11) You must not act or make any agreement with a law enforcement agency to act as

a confidential human source or informant without first getting the permission of the

court.

12) As directed by the probation officer, you shall notify third parties who may be

impacted by the nature of the conduct underlying your current or prior offense(s) of

conviction and/or shall permit the probation officer to make such notifications, and/or

confirm your compliance with this requirement.

13) You must follow the instructions of the probation officer related to the conditions of

supervision.

LCrR APPENDIX C

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF OHIO

CRIMINAL DESIGNATION FORM (To be completed by the U.S. Attorney)

CRIMINAL CATEGORY: 1. General Criminal Felony

2. All Misdemeanor, Minor, and Petty Offenses

OFFENSE(S) CHARGED:

Title and Section:

Description of Offense:

Statutory Penalty:

THE UNITED STATES ATTORNEY CERTIFIES:

This superseding indictment or superseding information supersedes and supplants the entire previously filed indictment or

information

This supplemental information adds a count or counts for a defendant (or defendants) in a previously filed indictment or

information

THE SUPERSEDING INDICTMENT, SUPERSEDING INFORMATION OR SUPPLEMENTAL INFORMATION TO BE DIRECTLY

ASSIGNED TO THE SAME JUDGE

Case No Judicial Officer

This is a related case in that:

a. This indictment is returned against a defendant(s) who is pending trial or sentencing or is on probation or supervised

release (Judge and Case No. below), and this new case involves only the said defendant(s); OR

b. This criminal prosecution arises out of the same criminal transaction or series of criminal transactions as are charged in

Case No Judicial Officer

(THIS RELATED CASE IS TO BE FILED BY RANDOM DRAW, AFTER WHICH REASSIGNMENT PURSUANT TO LCrR 57.9 MAY BE

SOUGHT.)

**************PREVIOUSLY FILED CRIMINAL CAUSE, IF ANY (INCLUDING COMPLAINTS)******************

CASE NO. Judicial Officer

COUNTY THAT CONTROLS AS TO THE LOCATION OF COURT WHERE THIS CASE IS BEING FILED:

(CHECK ONE) 1. DEFENDANT'S RESIDENCE

COUNTY: 2. SITUS OF ALLEGED CRIME

3. OTHER

NAME AND ADDRESS OF DEFENDANT(S) AND DEFENSE ATTORNEY(S): (Please include Zip Code and Telephone No.)

(Attach additional page(s) if necessary.)

Defendant(s): State or Local Custody Writ Required Attorney(s):

Federal Custody

Telephone

Telephone

DATE: Assistant U.S. Attorney

Asset/Forfeiture handled by: Telephone

LCrR – Appendix D

United States District Court

Northern District of Ohio

Non-Appeal Transcript Order

To Be Completed by Ordering Party

Court Reporter Judicial Officer/Judge

Requested by

Case Name

Case Number Date(s) of Proceedings

Today's Date Requested Completion Date

Receipt of order is the date upon which financial arrangements are made with the court reporter.

If the method of payment is authorized under CJA, submit an AUTH-24 in the OHND CJA eVoucher System.

Email

Phone

Signature of Ordering Party (e-signatures permitted)

Maximum Rate Per Page (effective October 1, 2024)

Transcript Type/Delivery Time Options

Original First Copy to

Each Party

Each Add'l

Copy to Party

30-Day Transcript (Ordinary): A transcript to be delivered within

thirty (30) days after receipt of order.

$4.40

$1.10

$0.75

14-Day Transcript: A transcript to be delivered within fourteen (14) days

after receipt of an order.

$5.10

$1.10

$0.75

7-Day Transcript (Expedited): A transcript to be delivered within

seven (7) days after receipt of order.

$5.85

$1.10

$0.75

3-Day Transcript: A transcript to be delivered within three (3) days after

receipt of order.

$6.55

$1.30

$0.90

1-Day Transcript (Daily): A transcript to be delivered prior to the normal

opening hour of the Clerk’s Office on the calendar day following receipt of the order,

regardless of whether or not that calendar day is a weekend or holiday.

$7.30

$1.45

$1.10

2-Hour Transcript (Hourly): A transcript of proceedings to

be delivered within two (2) hours from receipt of the order.

$8.70

$1.45

$1.10

Realtime Unedited Transcript: A draft unedited transcript produced by

a certified realtime reporter as a byproduct of realtime to be delivered

electronically during proceedings or immediately following receipt of the order.

(Availability is limited to case participants only.)

One feed, $3.70

per page.

Two-to-four feeds,

$2.55 per page.

Five + feeds,

$1.80 per page.

Local Civil Rule 80.1/Criminal Rule 57.20 of the Northern District of Ohio requires transcript requests to be addressed to the court

reporter who took the proceeding and filed with the Clerk of Court.

Please electronically file the form and the appropriate court reporter and court staff will receive notification of the filing.

________________________

This section is for use by OHND Federal Public Defender Only

Approved: Not Approved: ______________________________ _____________

Approving Authority Signature Date