Name of Person Filing: Address: City, State, Zip Code: Day/Evening Telephone: ATLAS Number (if applicable) Attorney Bar Number (if applicable) Self Petitioner Representing: / Respondent FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA MARICOPA COUNTY Case Number: Name of Petitioner NOTICE OF FILING PETITION FOR MODIFICATION OF CHILD CUSTODY Name of Respondent (A.R.S. 25-1035) A Petition for Modification of Child Custody has been filed. A copy of the petition and/or affidavits is served on you with this Notice. If you do not want a modification order taken against you without your input, you must file a response in writing with the court within twenty (20) days from the date of service. A copy of each response document shall be provided to the applicant’s attorney or, if unrepresented, the applicant and to the assigned division. No sooner than five (5) days after expiration of the time permitted for the filing of the response, either party or attorney shall provide a Request for Order Granting or Denying Custody Hearing to the assigned division. The court shall determine whether a custody hearing should be granted. A copy of the court’s determination shall be mailed by the court to all persons entitled to notice. Requests for reasonable accommodation for persons with disabilities must be made to the office of the judge or commissioner assigned to the case, at least five (5) days before your scheduled court date. Signed and sealed this date: _______________________ MICHAEL K. JEANES, CLERK OF SUPERIOR COURT By: _________________________________________ Deputy Clerk ©Superior Court of Arizona in Maricopa County July 10, 2007 ALL RIGHTS RESERVED Page 1 of 1 DRMC12f Use current version NFM American LegalNet, Inc. www.FormsWorkflow.com