251Superior Court of Arizona in Maricopa County Page 1 of 9 DRCV11f- ALL RIGHTS RESERVED Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: ATLAS Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: Name of Petitioner / Party A PETITION TO ESTABLISH (Check one box only) LEGAL DECISION - MAKING ( LEGAL CUSTODY), PARENTING TIME, and CHILD SUPPORT, or LEGAL DECISION - MAKING ( LEGAL CUSTODY) AND PARENTING TIME (ONLY) Name of Respondent / Party B STATEMENTS THE COURT 1.INFORMATION ABOUT ME: Name: Address : Date of Birth : Occupation: Relationship to children for whom I want the Primary Residence , Legal Decision - Making and Parenting Time (or Parenting Time and Child Support) Order: Mother Father Other. My relation to the children is: 2.INFORMATION ABOUTTHE OTHER PARTY: Name: Address : Date of Birth : Occupation : Relationship to children for whom I want the Primary Residence , Legal Decision - Making and Parenting Time (or Parenting Time and Child Support) Order: Mother Father Other. My relation to the children is: American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251Superior Court of Arizona in Maricopa County Page 2 of 9 DRCV11f-010119 ALL RIGHTS RESERVED 3. VENUE: This is the proper court to bring this lawsuit under Arizona law because: It is the county of residence of the Party A, or Party B, or the minor child(ren). 4. JURISDICTION: WHY I AM FILING THIS COURT CASE AGAINST THE OTHER PERSON IN ARIZONA: (check all that apply) The other Party is a resident of Arizona. I believe that I will personally serve the other party The other Party agrees to have the case heard here and will file written papers in the court case. The other Party lived with the minor child(ren) in this state at some time. The other Party lived in this state and provided pre-birth expenses or support for the minor child(ren). The minor child(ren) lives in this state as a result of the acts or directions of the other Party. The other Party had sexual intercourse in this state as a result of which the minor child may have been conceived in Arizona. The other party signed an acknowledgment of paternity that is filed in this state. The other Party did any other acts that substantially connect the other Party with this state (see a lawyer to help you determine this). This Court has jurisdiction to decide legal decision-making matters under Arizona law, A.R.S. 247247 25-402 and 25-802. 5. STATEMENTS ABOUT PATERNITY AND CHILD SUPPORT: A. PATERNITY WAS ESTABLISHED BY: (check one box). (A copy of any Order or document referenced here should already be in the Court file or attached.) A Court Order for Paternity from this county or previously transferred to this county stating that is the natural father of the minor child(ren) included in this Petition. (A.R.S. 247 25-502(c)) Both parents signing an Acknowledgment of Paternity through the Hospital Paternity Program or other means provided by law after July 18, 1996, and a birth certificate listing the name of the father was issued as a result. We do not have an order of paternity, but we do have a child support order. *NOTE: If married when minor child(ren) born, conceived or adopted, and no decree of Divorce or Separation has been issued, STOP! Do not use these forms unless advised to do so by an attorney. Requests for legal decision-making authority (custody) and parenting time must generally be filed as part of a case for Legal Separation or Divorce. 4. INFORMATION ABOUT MINOR CHILD(REN) FOR WHOM I WANT THE COURT ORDER(S): B. INFORMATION ABOUT CHILD SUPPORT FOR MINOR CHILDREN: There is an order for Child Support, dated from (name of court). This order needs does not need to be changed. There is a pending child support petition or modification currently filed in this court or another. American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251Superior Court of Arizona in Maricopa County Page 3 of 9 DRCV11f-010119 ALL RIGHTS RESERVED To my knowledge there is no child support order for the minor child(ren) and the court should order child support in this case along with legal decision-making (custody), and parenting time. Party A Party B made voluntary/direct support payments that need to be taken into account, if past support is requested. Party A Party B owes past support for the period between: the date this petition was filed and the date current child support is ordered. OR the date the parties started living apart, but not more than three years before the date of this petition was filed, and the date current child support is ordered. 6. INFORMATION ABOUT MINOR CHILDREN, including past 5 years residence: Gender: Female Male Place of Birth: Date of Birth: Current Address: (include city, state) How long at this address: County: Lived with Party A Party B Other (Name & Relat ion to Child): (If less than 5 years, provide 5 years previous address information for each child.) Previous Address: How long at this address: Lived with Par ty A Par ty B Other: Previous Address: How long at this address: Lived with Party A Party B Other: B Gender: Female Male Place of Birth: Date of Birth: Current Address: (include city, state) How long at this address: County: Lived with Party A Party B Other (Name & Relation to Child): (If less than 5 years, provide 5 years previous address information for each child.) Previous Address: How long at this address: Lived with Party A Party B Other: Previous Address: How long at this address: Lived with Party A Party B Other: American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251Superior Court of Arizona in Maricopa County Page 4 of 9 DRCV11f-010119 ALL RIGHTS RESERVED C Name: Gender: Female Male Place of Birth: Date of Birth: Current Address: (include city, state) How long at this address: County: Lived with Party A Party B Other (Name & Relation to Child): (If less than 5 years, provide 5 years previous address information for each child.) Previous Address: How long at this address: Lived with Party A Party B Other: Previous Address: How long at this address: Lived with Party A Party B Other: D . Gender: Female Male Place of Birth: Date of Birth: Current Address: (include city, state) How long at this address: County: Lived with Party A Party B Other (Name & Relation to Child): (If less than 5 years, provide 5 years previous address information for each child.) Previous Address: How long at this address: Lived with Party A Party B Other: Previous Address: How long at this address: Lived with Party A Party B Other: Continues on attached page(s) made part of this document by reference. 7. COURT CASES NOT INVOLVING PHYSICAL CUSTODY, LEGAL DECISION-MAKING (LEGAL CUSTODY) OR PARENTING TIME RELATED TO THE CHILDREN UNDER 18 YEARS OLD: (check one box) I HAVE I HAVE NOT been a party or a witness in court in this state or any other state NOT involving the legal decision-making (custody) or parenting time of any of the minor children named above (If so, explain below, using extra pages if necessary. IF NOT, GO ON.) Name of each child: Court State: Court location (county/city): Court case number: Current case s tatus: How the minor children are involved: Summary of any Court Order: American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251Superior Court of Arizona in Maricopa County Page 5 of 9 DRCV11f-010119 ALL RIGHTS RESERVED 8. PHYSICAL CUSTODY, LEGAL DECISION-MAKING (LEGAL CUSTODY) OR PARENTING TIME CASES RELATED TO CHILDREN UNDER 18 YEARS OLD: (Check one box) I DO NOT HAVE I DO HAVE information about a legal decision-making (custody) or parenting time court case relating to any of the minor children named above that is pending in this state or in any other state (If so, explain below, using extra pages if necessary. IF NOT, GO ON). Name of each child: Court State: Court location (county/city): Court case number: Current case status: Nature (type) of court proceeding: Summary of any Court Order: 9. PHYSICAL CUSTODY, LEGAL DECISION-MAKING (LEGAL CUSTODY) OR PARENTING TIME CLAIMS OF ANY PERSON: (Check one box) I DO NOT KNOW I DO KNOW a person other than the Petitioner or the