Vernon's Texas Rules Annotated - VTRA TX R PARENT NOT Form 4A . NOTICE OF APPEAL TO TEXAS SUPREME COURT IN PROCEEDING TO WAIVE PARENTAL NOTIFICATION AND CONSENT

ATTENTION CLERK: PLEASE EXPEDITE

Notice of Appeal to the Texas Supreme Court in Proceeding to Waive Parental Notification and Consent (Form 4A)

CAUSE NO.

IN THE SUPREME COURT OF TEXAS

IN RE JANE DOE

On this __________ day of __________, 20 ___, notice is hereby given that Jane Doe petitions the Supreme Court of Texas for review of the order entered in Cause No. __________, in the __________ Court of Appeals affirming the denial of her application for a court order authorizing her to consent to an abortion without the parental notice and consent required by Sections 33.002 and 33.0021, Family Code.