Person Filing: Mailing Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO Petitioner’s Name: Case Number: DO PRELIMINARY INJUNCTION Respondent’s Name: WARNING: This is an official order from the court. It affects your rights. Read it immediately and carefully. If you do not understand it, contact a lawyer for help. Your spouse has filed a Petition for Dissolution (Divorce) or Petition for Annulment or Petition for Legal Separation with the Court. This order is made at the direction of the presiding judge of the Superior Court of Arizona in Coconino County. It has the same force and effect as an order signed by the judge. You and your spouse must obey this order. It may be enforced by any remedy available under the law, including an order of contempt of court. To help you understand this order, we have explained it. Read the explanation and the statute itself. If you have any questions, you should contact a lawyer for help. EXPLANATION: (What does this order mean to you?) 1. ACTIONS FORBIDDEN BY THIS ORDER: From the time the Petition for Dissolution (Divorce), Annulment, or Legal Separation is filed with the Court, and until the judge signs the Decree, or until further court order, you and your spouse shall not do any of the following things: a. Hide earnings or community property from your spouse, AND b. Take out a loan on the community property, AND c. Sell the community property or give it away to someone, UNLESS you have your spouse's or the court's written permission. The law allows for situations in which you may need to transfer joint or community property as part of the every day running of a business; or in which the sale of community property is necessary to meet the necessities of life, such as food, shelter, or clothing; or to pay court fees and attorney fees associated with this action. If this applies to you, you should see a lawyer for help, AND d. Harass or bother your spouse or the children, AND e. Physically abuse or threaten your spouse or the children, AND f. Take children common to your marriage out of Arizona for any reason unless you and your spouse have a written agreement or court order beforehand. Page 1 of 2 Revised June 2010 Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkFlow.com g. Remove or cause to be removed your spouse or the parties' children from any existing insurance coverage, including medical, hospital, dental, automobile, and disability insurance. Parties shall maintain all insurance coverage in full force and effect. STATUTORY REQUIREMENTS: Arizona Law, A.R.S. 25-315(A) provides: 1(a). RESTRICTIONS ON PROPERTY OF THE MARRIAGE: Neither party shall transfer, encumber, use as collateral on a loan, conceal, sell, or otherwise dispose of any of the parties' joint, common, or community property, unless related to the usual course of business, the necessities of life, or court fees and reasonable attorney fees associated with an action filed under this article, without the parties' written consent or the court's permission. 1(b). REQUIREMENTS OF BEHAVIOR: Neither party shall molest, harass, disturb the peace of, or commit assault or battery on the other party's person or the parties' natural or adopted children. 1(c). RESTRICTIONS ABOUT YOUR CHILDREN: Neither party shall remove any natural or adopted child of the parties then residing in Arizona from the court's jurisdiction without advance written consent of the parties or the court's permission. 1(d). RESTRICTIONS ABOUT INSURANCE: Neither party shall remove or cause to be removed the other party or the parties' children from any existing insurance coverage, including medical, hospital, dental, automobile, and disability insurance. Both parties shall maintain all insurance coverage in full force and effect. 2. EFFECTIVE DATE OF THIS ORDER: This order is effective against the Petitioner when the Petition was filed with the court. It is effective against the other party when it is served on the other party. It shall remain in effect until further court order or the entry of a Decree of Dissolution, Annulment, or Legal Separation. 3. ORDER TO PETITIONER: You must serve a copy of this order on Respondent with a copy of the Petition, the Summons, and other required court papers. 4. WARNING: This is an official court order. If you disobey it, the court may find you in contempt of court. You may also be arrested and prosecuted for the crime of interfering with judicial proceedings and any other crime you may have committed in disobeying this order. 5. LAW ENFORCEMENT: You or your spouse may file a certified copy of this order with your local law enforcement agency. You may obtain a certified copy from the Clerk of Court. If any changes are made to this order and you have filed a certified copy with your local law enforcement agency, you must notify them of the changes. 6. DESCRIPTION OF THE PARTIES: Petitioner: Name: Gender: [ ] Male [ ] Female Weight: Last Four Digits of Driver's License #: Date of Birth: Height: Respondent: Name: Gender: [ ] Male [ ] Female Weight: Last Four Digits of Driver's License #: Date of Birth: Height: Leave this blank. This is for the court to fill in. GIVEN UNDER MY HAND AND THE SEAL OF THE COURT this date: Clerk of Superior Court Page 2 of 2 Revised June 2010 By Deputy Clerk: Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkFlow.com