Name of Person Filing: ______________________________________ Mailing Address: ______________________________________ City, State, and Zip Code: ______________________________________ Phone number(s): ______________________________________ ATLAS Number (if applicable):______________________________________ State Bar Number (if applicable):____________________________________ Representing: Self (Without a Lawyer) OR Attorney for: Petitioner Respondent (If Attorney, include State Bar Number) For Clerk's Use Only SUPERIOR COURT OF ARIZONA MOHAVE COUNTY _______________________________________ Name of Petitioner/Plaintiff _______________________________________ Name of Respondent/Defendant Case Number: ___________________________ AFFIDAVIT OF SERVICE WITH SIGNATURE CONFIRMATION For Family Court Cases Arizona Rules of Family Law Procedure 41 & 42 YOU MUST ATTACH A COPY OF A SIGNED RETURN RECEIPT FOR DELIVERED MAIL and A COPY OF THE RECEIPT THAT SHOWS TO WHOM AND WHERE THE DOCUMENTS WERE SENT. I sent the Family Court legal documents checked or listed below to the other party in the manner indicated. The documents were signed for BY THE OTHER PARTY ONLY AND NO ONE ELSE. A copy of the OTHER PARTY'S SIGNATURE acknowledging receipt of delivery is attached to page 3. Mailed to (Name): Address: City, State, Zip: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (Month/Day/Year) _______________________________________________ (Month/Day/Year) _______________________________________________ Date documents sent: Date documents delivered: Mark the box beside each document you sent to the other party. You must send each and every document listed under your type of court case unless indicated otherwise. DIVORCE (OR ANNULMENT) DIVORCE (OR ANNULMENT) WITH CHILDREN WITHOUT CHILDREN Petition Petition Summons Summons Preliminary Injunction Preliminary Injunction Health Insurance Notice Health Insurance Notice Parent Info. Program Notice Notice to Creditors Notice to Creditors Affidavit Regarding Minor Children Notice Regarding Child Support Forms Parent Worksheet for Child Support (if filed) LEGAL SEPARATION LEGAL SEPARATION WITH CHILDREN WITHOUT CHILDREN Petition Petition Summons Summons Preliminary Injunction Preliminary Injunction Notice to Creditors Notice to Creditors Health Insurance Notice Parent Info. Program Notice Affidavit Regarding Minor Children Notice Regarding Child Support Forms Parent Worksheet for Child Support (if filed) Revised: 8/16/2016 Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com PATERNITY (to establish) Petition Summons Parent Info. Program Notice Notice Regarding Child Support Forms Parent Worksheet for Child Support (if filed) TEMPORARY ORDERS Motion for Temporary Order Order to Appear Family Court Dept. Notices Returns/Confere Temporary Orders Affidavit of Financial Info (if for spousal maintenance) Notice Regarding Child Support Forms (if for child support) Parenting Plan (if for legal decision making/parenting time Case No.________________________________ LEGAL DECISION MAKING, PARENTING TIME, SUPPORT (to establish when paternity already legally established) Petition Summons Parent info. Program Notice Notice Regarding Child Support Forms Parent Worksheet for Child Support (if filed) CHILD SUPPORT (to establish when paternity already legally established) Petition Order to Appear Notice Regarding Child Support Forms Parent Worksheet for Child Support (if filed) MODIFY CHILD SUPPORT 15% OR MORE ("Simplified Mod") Petition to Modify Support Order Notice Regarding Child Support Forms Blank Request for Hearing Parent Worksheet for Child Support (if filed) MODIFY CHILD SUPPORT ("Standard Mod") Petition to Modify Child Support - Std. Process Affidavit of Financial Information Order to Appear Notice Regarding Child Support Forms Parent Worksheet for Child Support (if filed) STOP ORDER OF ASSIGNMENT Petition to Stop Order of Assignment Blank Request for Hearing MODIFY SPOUSAL MAINTENANCE OR SPOUSAL AND CHILD SUPPORT ("Standard Mod") Petition to Modify Support Order Affidavit of Financial Information Order to Appear Notice Regarding Child Support Forms Parent Worksheet for Child Support (if filed) MODIFY LEGAL DECISION MAKING and/or PARENTING TIME AND SUPPORT Petition to Modify Notice of Filing for Modification of Legal Decision Making Notice Regarding Child Support Forms Affidavit Regarding Minor Children (only if children have not lived in Mohave County the whole time since last legal decision making order) Parent Worksheet for Child Support (if filed) MODIFY (Change) ORDER OF ASSIGNMENT Petition to Modify Order of Assignment Notice Regarding Child Support Forms Blank Request for Hearing OTHER TYPE CASE (List Type): (Example: "Annulment") _______________________________________________ (Below list name of each document you sent: Example: "Petition for Annulment," "Summons," etc.) _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ _____________________________ How I sent the documents: U.S. Mail (Express or Priority Mail with Signature Confirmation, Certified or Registered Mail. Copy of OTHER PARTY'S SIGNATURE of Receipt is attached. Commercial Delivery Service (FEDEX, UPS, etc.) Copy of OTHER PARTY'S SIGNATURE of Receipt is attached. Revised: 8/16/2016 Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Case No.________________________________ OATH AND VERIFICATION STATE OF ARIZONA County of Mohave ) ) ss. By signing below, I swear or affirm under penalty of perjury that I have read and understand the contents of this document are true and correct to the best of my knowledge and belief. _____________________________________________ Signature SUBSCRIBED AND SWORN to before me this by My Commission Expires _____________________ ______________________________________ Notary Public / Deputy Clerk day of _____________________________ Date , 20 , Attach a copy/printout of the other party's signature acknowledging receipt of the court papers here. If using Certified Mail, tape the green signed return receipt card to th