Person Filing: Mailing Address: City, State, Zip: Day/Evening Phone: Person Filing is: If Attorney, Bar No.: SELF (No Attorney) OR / Attorney For Clerk's Use Only Atty. Phone: SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of: Case Number: Name of Minor whose birth record needs correction NOTICE OF HEARING REGARDING PETITION for CORRECTION/AMENDMENT of BIRTH CERTIFICATE of A MINOR READ THIS NOTICE CAREFULLY. An important court proceeding that affects your rights has been scheduled. If you do not understand this Notice or the other court papers, contact an attorney for legal advice. 1. NOTICE: A Petition to Amend a Birth Certificate of the Minor named above has been filed with the Court. A hearing has been scheduled where the Court will consider whether to grant or deny the requested change. If you wish to be heard on this issue, you must appear at the hearing at the date and time indicated below. 2. COURT HEARING. A court hearing has been scheduled to consider the Application as follows: DATE: BEFORE: Commissioner 125 W. Washington Street Courtroom Phoenix, AZ 85003 Commissioner 14264 W. Tierra Buena Lane Courtroom Surprise, AZ 85374 Commissioner 101 W. Jefferson , ___ floor Courtroom Phoenix, AZ 85003 DATED: (Month/Day/Year) TIME: Commissioner 18380 North 40th Street Courtroom Phoenix, AZ 85032 Commissioner 222 E. Javelina Avenue Courtroom Mesa, AZ 85210 Commissioner 201 W. Jefferson , ___ floor Courtroom Phoenix, AZ 85032 Petitioner's Signature CVABM18f-081010 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED NOH