Alternative Dispoute Resolution Statement To The Court Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Alternative Dispoute Resolution Statement To The Court Form. This is a Arizona form and can be use in Coconino Local County.
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Tags: Alternative Dispoute Resolution Statement To The Court, Arizona Local County, Coconino
Name:
Mailing Address:
City, State, Zip Code:
Daytime Phone Number:
Evening Phone Number:
Representing:
State Bar Number:
] Self
Petitioner
Respondent
FOR CLERK’S USE ONLY
SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY
Case No.
Petitioner
ATLAS No.
ALTERNATIVE DISPUTE RESOLUTION
STATEMENT TO THE COURT
Respondent
A.R.C.P. 16(g)(2)
Check appropriate box below:
Petitioner’s Statement
Respondent’s Statement
Joint Statement (signed by both parties)
Pursuant to the Arizona Rules of Family Law Procedure, we hereby state the following, under penalty of
perjury:
1.
The parties agree to participate in the following Alternative Dispute Resolution (ADR)
process and:
a.
have selected the following ADR process:
Arbitration
Mediation
Settlement Conference
Other:
The parties will use a private provider OR
b.
The parties request a program provided through the court.
c.
The person or company providing the ADR service is:
d.
2.
The parties expect to complete the ADR process by
,
.
The parties have been unable to agree on an ADR process.
The Petitioner Respondent believe(s) that the following ADR process would be
appropriate:
The
Petitioner
Respondent request(s) a conference to discuss ADR.
The
Petitioner
Respondent believe(s) that an ADR process would not be
appropriate for the following reason:
Date
Petitioner
Date
Respondent
©Superior Court of Arizona in Maricopa County
June 27, 2007
ALL RIGHTS RESERVED
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