Name of Person Filing: (A) Address of Person Filing:: City, State, Zip Code: Phone Number: Representing: Self, Without an Attorney Attorney for Petitioner Respondent Attorney Bar Number (if applicable) FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY (B) CASE NUMBER (B) Name of Petitioner PETITION TO ENFORCE CHILD CUSTODY ORDER (B) (A.R.S. 25-1058) Name of Respondent STATEMENTS MADE TO THE COURT UNDER OATH OR BY AFFIRMATION: 1. INFORMATION ABOUT ME, THE APPLICANT: Name: Address: Relationship to child(ren): I am 2. Mother Other INFORMATION ABOUT THE OTHER PARTY WHO HAS YOUR MINOR CHILD(REN): Name: Address: Relationship to child(ren): He/she is 3. Father Mother Father Other INFORMATION ABOUT THE CHILD(REN) UNDER THE AGE OF 18 YEARS ABOUT WHOM THIS PETITION IS FILED: Child’s Name: Date of Birth: Current Location (Address): Age: Child’s Name: Date of Birth: Current Location (Address): Age: (If there are additional children, provide that information on a separate piece of paper) 4. INFORMATION ABOUT CURRENT CUSTODY ORDER: Date of Order: Location of Court issuing order (city & state): Name of Judge who signed Order/Decree: According to the Order/Decree, who was awarded custody? © SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY July 21, 2010 Page ALL RIGHTS RESERVED DREHC11f 1 of 3 USE CURRENT FORM American LegalNet, Inc. www.FormsWorkFlow.com Case No. A Certified Copy of the Order/Decree is attached to the “Petition to Enforce a Child Custody Order.” 5. PENDING COURT CASES REGARDING CUSTODY/PARENTING TIME RELATED TO THE MINOR CHILD(REN). (Check one box): I do I do NOT have information regarding a custody/parenting time court case relating to any of the minor child(ren) that is pending in this state or in any other state. (If so, explain here, if not, go on to next question) Name(s) of child(ren): Name(s) of court(s): Location(s) of court(s): Court case number(s): Current status of case(s): How is/are the child(ren) involved? Summary of court order(s): 6. REGISTRATION OF CUSTODY ORDER FROM ANOTHER STATE (A.R.S. 25-1055) (If applicable) There is or There is not a custody order from another state that has been issued about the minor child(ren) listed above. (If there is a custody order from another state, please complete the information below.) The out-of-state order has or has not been registered in Arizona. (Complete the information below if the order has been registered in Arizona.) The name of the court in Arizona where the custody order is registered is: The case was registered in Arizona on: (date of registration) 7. WHY YOU NEED THE COURT TO ISSUE AN ORDER DIRECTING THE PERSON(S) WITH PHYSICAL CUSTODY OF THE MINOR CHILD(REN) TO APPEAR IN COURT (A.R.S. 25-1040): The minor child(ren) is/are presently in the physical custody of without my consent and without lawful authority and he/she has failed to return the minor child(ren) to me. 8. WHY YOU NEED THE COURT TO ISSUE A WARRANT TO TAKE PHYSICAL CUSTODY OF MINOR CHILD (or “CHILDREN”) (A.R.S. 25-1061): The minor child(ren) is/are immediately likely to suffer serious physical injury OR be removed from the State of Arizona. Explain to the Judge how the minor child are in immediate danger and will suffer harm or why you think the person who has the minor children will flee with the minor children if an order is not entered today. © SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY July 21, 2010 Page ALL RIGHTS RESERVED DREHC11f 2 of 3 USE CURRENT FORM American LegalNet, Inc. www.FormsWorkFlow.com Case No. RELIEF REQUESTED: (Check any that you wish to request.) That an “Order for Appearance of Person(s) With Physical Custody of the Minor Child(ren)” be issued and directed to the other party (the party holding the minor child(ren), commanding him/her to produce the minor child(ren) before this Court at the time and place stated in that Order. That a “Warrant to Take Physical Custody of Minor Child(ren)” be granted by this Court, directed to the Sheriff of Maricopa County, commanding the Sheriff that the minor child(ren) shall be picked up immediately and delivered to me or turned over to the Court or to Child Protective Services prior to the hearing AND/OR if the Court deems necessary that the person who has illegally detained and/or restrained the minor children be picked up and arrested pursuant to A.R.S. 25-1061 and brought before the Court. For the Court to grant the relief in the “Petition to Enforce a Child Custody Order”, and I. That the minor child(ren) be immediately delivered to my custody; and, II. For any other order that is in the best interest of the minor child(ren); and, III. That the court award the Applicant all costs, including but not limited to, necessary travel expenses, investigator’s fees and other costs and fees incurred in this matter. UNDER OATH OR BY AFFIRMATION I, being duly sworn and under oath or by affirmation state that I am the Applicant in the matter above. I have read the Petition and all the statements are true and complete to the best of my knowledge and belief. I am not filing this Petition to harass or to cause unnecessary delay or to increase the cost of litigation. I understand that if the judge finds that I filed this Petition for an improper purpose, the judge may make an “Order of Contempt” or other sanctions against me, including all reasonable costs, attorney fees, or other expenses caused by my filing of this petition. SIGNED: (Signature of Applicant) (Printed Name of Applicant) SIGNED AND SWORN TO or AFFIRMED before me this (Month, date, year) My Commission expires: Deputy Clerk of Court/Notary Public © SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY July 21, 2010 Page ALL RIGHTS RESERVED DREHC11f 3 of 3 USE CURRENT FORM American LegalNet, Inc. www.FormsWorkFlow.com