Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: Lawyer's Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR FOR CLERK'S USE ONLY Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of: Case Number (Clerk will stamp case # when submitted) NOTICE OF INITIAL DEPENDENCY HEARING (Names of child(ren) under 18 years of age) TO: Name: Address: Street City parent / legal guardian State Zip Code TO: Name: Address: Street City parent / legal guardian State Zip Code TO: Name: Address: Street City parent / legal guardian State Zip Code WARNING YOU MAY LOSE CUSTODY OF YOUR CHILD(REN) IF YOU DO NOT APPEAR AT THIS HEARING. If you fail to attend this hearing without good cause shown, the court may regard your failure to attend as a waiver of your rights and an admission of the truth of the statements made in the petition. The hearing may proceed without you and may result in a judgment of dependency, the termination of parental rights or the establishment of a permanent guardianship. Juvenile Court Rules of Procedure 48(C) © Superior Court of Arizona in Maricopa County - Juvenile Division ALL RIGHTS RESERVED Page 1 of 2 JVD12f 081414 Use current form American LegalNet, Inc. www.FormsWorkFlow.com Case No. NOTICE IS HEREBY GIVEN that the Petitioner, (name of Petitioner) has filed a Dependency Petition with the Juvenile Court in Maricopa County regarding the above-named child(ren) and the child(ren) has/have been made a temporary ward of the Court. You may obtain a copy of the Petition at either of the two Maricopa Juvenile Court Centers listed below. A HEARING HAS BEEN SET to consider the Petition on: Date of Hearing: Time of Hearing: Location: Maricopa County Juvenile Court Center (check one box): Durango Facility 3131 West Durango Street Phoenix, Arizona 85009 Name of Judicial Officer: OR Southeast Facility 1810 South Lewis Street Mesa, Arizona 85210 The parent or guardian must be prepared to provide to the Court, at the initial dependency hearing, the names, type of relationship and all available information necessary to locate persons related to the child or who have a significant relationship with the child. A.R.S. §8-841.D.5. NOTICE to Parents, Legal Guardians and Indian Custodians You are advised that you and the child(ren) are entitled to have an attorney present at the hearing and that, if you cannot afford an attorney and want to be represented by an attorney, one will be provided. Arizona Revised Statutes §8-841.D.5. You are advised that your failure to appear, without good cause shown, may result in a finding that you have waived legal rights and are deemed to have admitted the allegations in the petition. The hearings may go forward in your absence and may result in an adjudication of dependency and the termination of parental rights or the establishment of a permanent guardianship based upon the record and evidence presented. Juvenile Court Rules of Procedure 48(C) You have a right to make a request, or motion prior to any hearing that the hearing be closed to the public. Juvenile Court Rules of Procedure 48 TODAY'S DATE: Petitioner's Signature © Superior Court of Arizona in Maricopa County - Juvenile Division ALL RIGHTS RESERVED Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com JVD12f 081414 Use current form