Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: ATLAS Number: Lawyer222s Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Regarding the Matter of: Case No. RESPONSE TO PETITION TO ESTABLISH FIRST COURT (Name of Petitioner/Party A) ORDER FOR PARENTING TIME AND (Name of Respondent/Party B) STATEMENTS TO THE COURT, UNDER OATH OR AFFIRMATION 1. INFORMATION ABOUT ME: Name: Address : Date of Birth : Occupation: Relationship to children for whom I want the Parenting Time (or Parenting Time and Child Support) Order: Mother Father Other. My relation to the child ( ren ) is: FOR CLERK222S USE ONLY 251 Superior Court of Arizona in Maricopa County DRV31f - 032818 ALL RIGHTS RESERVED Page 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case No. 2. INFORMATION ABOUT OTHER PARTY: Name: Address : Date of Birth : Occupation : Relationship to children for whom I want the Parenting Time (or Parenting Time and Child Support) Order: Mother Father Other. Other Party222s relation to the child ( re n ) is: 3. INFORMATION ABOUT MINOR CHILDREN FOR WHOM PARENTING TIME ORDER IS REQUESTED Name: Name: Birthdate: Birthdate: Current Address: Current Address: County of residence: County of residence: Name: Name: Birthdate: Birthdate: Current Address: Current Address: County of residence: County of residence: STATEMENTS ABOUT PATERNITYAND CHILD SUPPORT: 4. INFORMATION ABOUT PATERNITY OF MINOR CHILD(REN): (check one box) An Order for Paternity is dated from (name of court) which states that (father222s name) is the natural father of the minor child(ren). A copy of the order is in this court file. (See instructions) We do not have an order of paternity, but we do have a child support order or paternity was legally established by other means such as both parents signing an affidavit acknowledging paternity at the hospital at the time of birth or afterwards. (See instructions) 5. INFORMATION ABOUT CHILD SUPPORT FOR CHILDREN: (You must check only one of the boxes) An Order for Child Support is dated from (name of court) which states that child support is established. (Note: if order is from court other than Superior Court in Maricopa County, see instructions). There is no Order for child support. 251 Superior Court of Arizona in Maricopa County DRV31f - 032818 ALL RIGHTS RESERVED Page 2 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case No. Other information about the minor children: 6. WHERE THE CHILDREN WHO ARE UNDER 18 YEARS OF AGE, HAVE LIVED FOR THE LAST 5 YEARS. (Attach extra pages if necessary.) Child's Name: Dates: From To Lived with: Relationship to child: Street address: City, State Child's Name: Dates: From To Lived with: Relationship to child: Street address : City, State Child's Name: Dates: From To Lived with: Relationship to child: Street address: City, State 7. COURT CASES 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 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 status: How the minor children a re involved: Summary of any Court Order: 251 Superior Court of Arizona in Maricopa County DRV31f - 032818 ALL RIGHTS RESERVED Page 3 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case No. 8. COURT CASES NOT INVOLVING PHYSICAL CUSTODY, LEGAL DECISION- MAKING (LEGAL CUSTODY) OR PARENTING TIME RELATED TO CHILDREN UNDER 18 YEARS OLD: (Check one box) I HAVE I DO NOT HAVE information regarding any court action in this state or any other state involving the minor child(ren) listed above that could affect this case including court cases for enforcement and relating to domestic violence, protective orders, termination of parental rights and adoptions (If you have, 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 statu s: 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 Party A or the Party B who has physical custody or who claims legal decision-making authority (legal custody) or parenting time rights to any of the minor children named above. (If so, explain below, using extra pages if necessary. IF NOT, GO ON). Name of each child: Name of Person with the claim: Address of Person with the claim: Nature of the Claim: 251 Superior Court of Arizona in Maricopa County DRV31f - 032818 ALL RIGHTS RESERVED Page 4 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case No. 10. SUMMARY OF WHAT I SAY ABOUT THE MINOR CHILDREN THAT IS DIFFERENT FROM WHAT THE OTHER PERSON SAYS: (here summarize what is different between what you say about the child(ren), and what the other party said) Other Statements to the Court: 11. DOMESTIC VIOLENCE: Domestic violence has not occurred between the parties. 12. VENUE: This is the proper court to bring this lawsuit under Arizona law because it is the county of residence of Party A, Party B, or the child(ren). 13. GENERAL DENIAL: I deny anything stated in the Petition that I have not specifically admitted, qualified, or denied. REQUESTS TO THE COURT: 1. AWARD PARENTING TIME AS FOLLOWS: (Check only one.) Reasonable parenting time rights as described in the Parenting Plan. Supervised parenting time between the children and Party A OR Party B, No parenting time rights to the Party A OR Party B. Supervised or no parenting time is in the best interests of the child(ren) because: * Explanation continues on attached pages made part of this document by reference. a. Name this person to supervise: b. Restrict parenting time as follows: c. Order cost of supervised parenting time (if applicable) to be paid by: Party A Party B, OR Shared equally by the parties. 251 Superior Court of Arizona in Maricopa County DRV31f - 032818 ALL RIGHTS RESERVED Page 5 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case No. 2. OTHER ORDERS: OTHER: (explain specifically) UNDER OATH OR BY AFFIRMATION I swear or affirm under penalty of perjury that the contents of this document are true and correct to the best of my knowledge and belief. Date Signature STATE OF COUNTY OF Subscribed and sworn to or affirmed before me this: by (date) . (notary seal) Deputy Clerk or Notary Public Copy of this document mailed to the other party on: Month / Date / Year To the following address: 251 Superior Court of Arizona in Maricopa County DRV31f - 032818 ALL RIGHTS RESERVED Page 6 of 6 American LegalNet, Inc. www.FormsWorkFlow.com