Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Representing Self, without a Lawyer or FOR CLERK'S USE ONLY Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY IN THE MATTER OF: Case Number: ACCEPTANCE OF SERVICE A.R.C.P. 4(f) (Names of Children) THE PERSON WHO SIGNED BELOW STATES UNDER OATH OR AFFIRMATION: 1. ACCEPT AND WAIVE FORMAL SERVICE. I voluntarily accept and waive formal service by process server or sheriff of the court papers listed below and understand by accepting these papers it is the same as if I were personally served under Arizona law. (Below: Check the boxes to indicate documents received. If papers received are not for a Dependency or to Terminate Parental Rights, check the box for "Other", list the type of case and the name of documents received (example: "Petition" or "Notice of Hearing"). Do not check the box unless you received the document.) JUVENILE DEPENDENCY Petition Notice of Hearing Findings and Temporary Orders TERMINATE PARENTAL RIGHTS Petition Notice of Hearing Orders Setting Initial Hearing OTHER 2. DOES NOT INDICATE AGREEMENT. I understand that accepting service does not affect my right to appear at the hearing or file papers with the Court to disagree with what is stated or requested. © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 1 of 2 JV22f 050115 Use current form American LegalNet, Inc. www.FormsWorkFlow.com Case No.:______________ 3. ATTEND THE HEARING. I understand that if I do not attend the hearing that I may lose my right to be heard in this case. I understand that failure to appear at the hearing could result in the Court giving the other party any and all things requested in his or her legal papers. 4. MILITARY SERVICE. I am not in the military forces of the United States of America in any capacity or I waive the protection of the Service Members Civil Relief Act. Date Signature of Person Accepting Service Printed Name of Person Accepting Service STATE OF COUNTY OF Subscribed and sworn to or affirmed before me this: (date) by . (notary seal) Deputy Clerk or Notary Public © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 2 of 2 JV22f 050115 Use current form American LegalNet, Inc. www.FormsWorkFlow.com