For Clerk’s Use Only Name of Person Filing: Mailing Address: City, State, Zip Code: Daytime Phone Number: Evening Phone Number: _______________________________________ ATLAS Number (if applicable): Attorney Bar Number (if applicable): Representing: Self Petitioner Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY Case Number: (Name of Petitioner) AND _________________________________ (Name of Respondent) PETITION FOR HEARING TO ESTABLISH CHILD SUPPORT OBLIGATION; REQUEST FOR ASSIGNMENT Petitioner, _______________________, requests the court set this matter for hearing to establish child support obligation, pursuant to A.R.S. §25-501 et seq. On________________________, 20___, pursuant to A.R.S. §25-812, the Clerk of Superior Court signed an Order of Paternity, finding that ____________________________________________ is the natural father of ________________________________________________ and said Judgment of Paternity imposes a duty of support pursuant to A.R.S. §25-501 et seq. It also provides a basis for determination of issues related to custody and visitation and affords the parents all rights and responsibilities determination of issues related to custody and visitation and affords the parents all rights and responsibilities provided by Arizona law. Petitioner has filed, along with this Petition, a completed Parent’s Worksheet for Child Support Amount. DATED: ____________________ _____________________________________ PETITIONER STATE OF ARIZONA COUNTY OF:_________________ ) )ss: ) Subscribed and sworn or affirmed and acknowledged before me this date:_________________ My Commission Expires: ______________________ _____________________________________ NOTARY PUBLIC / DEPUTY CLERK 11/2/2006 American LegalNet, Inc. www.FormsWorkflow.com