(1) Person Filing: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: In this case I am a: Petitioner or a Represented by Attorney (IF)Attorney Name: Attorney Phone: / Respondent Bar No.: FOR CLERK’S USE ONLY Atty. Email: SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY (2) Case Number (4) Petitioner CROSS EXPEDITED PROCESS PETITION TO ENFORCE: (5) Respondent ATLAS No.:___________________ (3) Child Support (ESR) Child Support Arrears (ESR) Spousal Maintenance (ESR) Spousal Maintenance Arrears (ESR) Medical Insurance Coverage (ESR) Uninsured Medical/Dental/Vision Expenses Parenting Time (EAR) (ESR) On (6) , I was served with an “Expedited Process Petition to Enforce”. In response, I request enforcement of the following issue(s) during the Conference: SECTION A: COMPLETE ONLY IF YOU HAVE MARKED ONE OR MORE OF THE BOXES ABOVE WHICH REFER TO ENFORCEMENT OF SUPPORT (ESR) On this date (7) , the Honorable (8)_________________________, a Judicial Officer of the Superior Court of Arizona, ordered (9) to pay child support, spousal maintenance, uninsured medical /dental /vision expenses, and / or to obtain medical insurance coverage as follows: (10) The total amount of child support or spousal maintenance past due is (11) $ the time period beginning (12) , for , through . The total amount of medical, dental or vision care expense reimbursement past due is (13) $ . Documentation of these expenses has been presented to the other party and is more than 30 days past due. I request that the Court consider any or all of the following action(s): • Order the other party to bring to the conference those items set forth in the Order to Appear. © Superior Court of Arizona in Maricopa County June 25, 2007 ALL RIGHTS RESERVED DRESE31f Use current form Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com Case No. • Enter judgment for past-due support, un-reimbursed uninsured medical/dental/vision care expenses, clerk’s fees, service costs, other court costs against the other party. • Enter an “Order of Assignment” for payments on current child support, child support arrears, current spousal maintenance, and/or spousal maintenance arrears against the other party. • Order the other party to pay support through the Support Payment Clearinghouse. • Find the other party in civil contempt of court and order sanctions which may include, but are not limited to, incarceration and the posting of a surety bond. • Issue a child support arrest warrant if the other party fails to appear and/or enter a default judgment. • Order the other party to provide evidence of medical insurance coverage within a fixed period of time. • Order reimbursement of uninsured medical / dental / vision expenses. • Order other relief as deemed just and proper by the court. SECTION B: COMPLETE ONLY IF YOU HAVE MARKED THE BOX FOR ENFORCEMENT OF PARENTING TIME (EAR) On this date (14) , the Honorable (15)__________________________, a Judicial Officer of the Superior Court of Arizona, signed an Order established the following schedule for parenting time: (16) The other party, (17) order in the following manner: (18) , failed to comply with the parenting time I request that the court consider any or all of the following action(s): • Compel compliance with the parenting time order. • Find the other party in civil contempt of court and order sanctions which may include, but are not limited to, incarceration. • Order either or both parties to mediation, counseling, or supervised parenting time pursuant to A.R.S. §25-410. • Issue a civil arrest warrant or enter an order for the requested relief should the other party fail to appear at the conference. © Superior Court of Arizona in Maricopa County June 25, 2007 ALL RIGHTS RESERVED DRESE31f Use current form Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com Case No. • Enter an order for other relief as deemed just and proper by the court. After filing this “Cross Expedited Process Petition to Enforce”, I will immediately Mail Hand-deliver, or Fax a copy to (Fax Number): Name: (19) Address: (19) OATH OR AFFIRMATION AND VERIFICATION I swear or affirm that the information on this document is true and correct under penalty of perjury. Signature Date Sworn to or Affirmed before me this: by (date) My Commission Expires: Deputy Clerk or Notary Public IMPORTANT INFORMATION FOR PETITIONER AND RESPONDENT Expedited Services will mail a notice to the Petitioner and Respondent advising of the date, time and location for the conference. IT IS THE RESPONSIBILITY OF THE PETITIONER AND RESPONDENT TO KEEP THE COURT AND EXPEDITED SERVICES ADVISED OF THEIR CORRECT AND CURRENT ADDRESS. FAILURE TO DO SO WILL NOT PROHIBIT EXPEDITED SERVICES FROM PROCEEDING WITH THE CONFERENCE. The conference may last several hours and additional conferences may be set, if appropriate. Conferences are for the Petitioner and Respondent. Attorneys are invited to appear and participate in the conference. Spouses, child(ren), family members or significant others will not be allowed in the conference. DO NOT BRING CHILDREN. They will not be allowed in the conference and you may not leave them unattended. © Superior Court of Arizona in Maricopa County June 25, 2007 ALL RIGHTS RESERVED DRESE31f Use current form Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com