Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: ATLAS Number: Lawyer222s Bar Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of : Case Number: ATLAS No. (if applicable) Name of Grandparent(s) Requesting Visitation ORDER REGARDING PETITION FOR GRANDPARENT VISITATION A.R.S 247 25-409 Name of Party A Name of Party B Name of Legal Guardian (if any) THE COURT FINDS AS FOLLOWS: 1. This case comes before this Court for a final Order. The Court has taken all testimony needed to enter this Order. 2. This Court has jurisdiction over the parties and minor child(ren) under the law. 3. It is in the best interests of the child(ren) that visitation be ordered as described below. 4. This order applies to these children: (list additional children on attachment page) For Clerk222s Use Only 251 Superior Court of Arizona in Maricopa County DRGV81f 010119 ALL RIGHTS RESERVED Use only most recent version Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Case No. NAME DATE OF BIRTH 5. This order concerns the visitation rights of the grandparents or great grandparents whose full names are listed below. Party A222s Grandmother: Party A222s Grandfather: Party B222s Grandmother: Party B222s Grandfather: 6. The names of the parents of the child(ren) are: Party A Party B : 7. The Court makes the following findings: (check which applies) A. Parents of minor child(ren) have been divorced for at least 3 months: B. Party A OR Party B, a legal parent of the minor child(ren),has been dead for at least 3 months: C. Party A OR Party B, a legal parent of minor child(ren) has been missing for at least 3 months: D. The child(ren) were born out of wedlock, OR E. The requirements of Arizona law for grandparent visitation, as stated in A.R.S. 247 25-409 have NOT been met. 251 Superior Court of Arizona in Maricopa County DRGV81f 010119 ALL RIGHTS RESERVED Use only most recent version Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Case No. 8. This order governs visitation rights between the minor children named in number 4 above, and the grand or great grandparents named in Number 5, and: Party A Party B OTHER (Name of guardian or other person listed in caption to case): IT IS ORDERED THAT: A. Visitation shall be as follows: (if NO visitation, skip to 223C224) 1. TRANSPORTATION OF CHILDREN: (explain specifically) 2. VISITATION DURING WEEKDAYS OR WEEKENDS: (explain specifically) 3. VISITATION DURING THE SUMMER MONTHS OR SCHOOL BREAKS: (be specific) 4. VISITATION FOR HOLIDAYS AND BIRTHDAYS: (be specific): 251 Superior Court of Arizona in Maricopa County DRGV81f 010119 ALL RIGHTS RESERVED Use only most recent version Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Case No. 5. TELEPHONE CALLS AND OTHER COMMUNICATIONS: (explain specifically): B. OTHER ORDERS: This Court makes further Orders relating to this matter as follows: (Explain -- use additional paper if necessary) C. NO VISITATION is ordered at this time. FINAL APPEALABLE ORDER. Pursuant to Arizona Rules of Family Law Procedure, Rule 78, this final judgment/decree is settled, approved and signed by the court and shall be entered by the clerk. DONE IN OPEN COURT this day of , . JUDGE OR COURT COMMISSIONER 251 Superior Court of Arizona in Maricopa County DRGV81f 010119 ALL RIGHTS RESERVED Use only most recent version Page 4 of 4 American LegalNet, Inc. www.FormsWorkFlow.com