The caption of this request should contain the style and cause number of the underlying case. A clerk’s record is not required but may be used with a petition for writ of mandamus. The relator may either attach certified or sworn copies of relevant documents or refer to clerk’s and reporter’s records. Tex. R. App. P. 52.3(g), (h). If a reporter’s record is needed, see form 26-19.
[Caption. See note above and § 3 of the Introduction in volume 1 of this manual.]
Request for Clerk to Prepare Record
[Name of relator], Relator, is filing a Petition for Writ of Mandamus in the Court of Appeals for the [designation] District of Texas and requests a partial clerk’s record of the proceedings in the trial court in this case for use with the Petition for Writ of Mandamus. Relator requests and directs that the record contain the following documents: [list].
[Name]
Attorney for Relator
State Bar No.:
[E-mail address]
[Address]
[Telephone]
[Fax]
Certificate of Service
I certify that a true copy of this [document/[title of document]] was served in accordance with rule 21a of the Texas Rules of Civil Procedure on the following on [date]:
[Name of attorney of record or party to be served] by [electronic filing manager/e-mail at [e-mail address]/fax at [fax number]/personal delivery at [address]/commercial delivery service at [address]/certified mail at [address]/first-class mail at [address]]. [Repeat for each attorney of record or party to be served.]
[Name]
Attorney for Relator