SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Downtown Superior Court, 201 W. Jefferson, Phoenix, AZ 85003 Southeast Adult Court, 222 E. Javelina, First Floor, Mesa, AZ 85210 Northeast Regional Court Center, 18380 N. 40th St., Phoenix, AZ 85032 Northwest Regional Court Center, 14264 W. Tierra Buena Lane, Surprise, AZ 85374 NCIC# AZ007035J FOR CLERK’’S USE ONLY DPS# 0700 REQUEST: ____________________ Plaintiff Name v. Case No. HEARING DISMISS ORDER CANCEL HEARING AND ORDER ____________________ Defendant Name CONTINUANCE OP/ IAH/ IAWH Issue Date: _____________ (mm/dd/ccyy) Defendant requests a hearing. If the Plaintiff is: • a current or former spouse, or • someone with whom you live/lived, or • the child of an intimate partner, or • a parent of your child AND the Order remains in effect or is changed after the hearing, You will be prohibited from possessing or purchasing firearms or ammunition until the Order expires one year after the service of the original Order. By making this request, if you fail to appear for the hearing, the prohibition against you possessing or purchasing firearms or ammunition will apply. Plaintiff requests: the protective order listed above be dismissed. that the Court cancel the hearing set prior to the issuance of the protective order in this case. that the Court continue the scheduled hearing on (Date). List the reasons for your request: Date Requesting Person's Signature Address and telephone number if Defendant is the requesting party. CERTIFICATE OF TRANSMITTAL Copy mailed/delivered to [ ] Plaintiff [ ] Defendant on ___/___/_____ by Superior Court of Arizona in Maricopa County Effective: January 2007 LRD 9-09 Docket Code: REQ DVOP31F Page 1 of 1 Adopted by Administrative Directive No. 2006-01 American LegalNet, Inc. www.FormsWorkFlow.com