FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA MOHAVE COUNTY _____________________________________ (Name of Petitioner) Case Number: ______________________________ TEMPORARY ORDER WITHOUT NOTICE FOR CHILD CUSTODY (PRE-DECREE) AND OTHER:_____________________________ _____________________________________ (Name of Respondent) THIS IS AN IMPORTANT COURT ORDER THAT AFFECTS YOUR RIGHTS. READ CAREFULLY. IF YOU DO NOT UNDERSTAND THIS ORDER, CONTACT AN ATTORNEY FOR LEGAL ADVICE. THE COURT FINDS: 1. INFORMATION ABOUT PETITIONS. A Petition for Dissolution of Marriage Legal Separation Paternity with Custody/Visitation Custody/Visitation where paternity has already been established, was filed by: December Petitioner / Respondent on this ______________ day of _______________, 20_________. “ With Notice” / “ Without Notice” was filed by: A “Motion for Temporary Order Petitioner / Respondent on this ______________ day of _______________, 20_________. December The Court read the Motion, took testimony if relevant, considered all matters and issues a temporary order without notice. 2. EMERGENCY SITUATION. The court has found that an emergency exists and this order must be entered immediately to avoid irreparable harm because: Someone is about to cause serious bodily harm to another person immediately, OR The health, safety, and welfare of a person is otherwise in serious and immediate jeopardy as follows (describe): ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 10/03/06 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case No._____________________________ 3. BEST INTEREST OF THE CHILD(REN). This order is made in the best interest of the child(ren) whose names and dates of birth (month/day/year) are listed below: Name ____________________________________________ Date of Birth ____________________ Name ____________________________________________ Date of Birth ____________________ Name ____________________________________________ Date of Birth ____________________ Name ____________________________________________ Date of Birth ____________________ Name ____________________________________________ Date of Birth ____________________ THE COURT ORDERS: 1. TEMPORARY CHILD CUSTODY WITHOUT NOTICE is awarded To: ____________________________________________ as follows: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 2. OTHER TEMPORARY ORDERS WITHOUT NOTICE: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 3. THIS ORDER SHALL CONTINUE until this date:______________________ unless extended by the court, or by agreement between the parties in writing and filed with this court. 4. SERVICE AND NOTICE TO THE OTHER PARTY: The person who requested this Order shall personally serve this order on the other party by serving a copy of this Order. 5. BOND in the amount of $___________________ shall be posted with the Clerk of the Court no later than this date: _____________________ and this time: ______________________ as security for the payment of costs and damages that may be incurred or suffered by any party as a result of this Order should it be determined the basis of this Order was false or without merit. Bond shall be posted by: (Name(s)) ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ DONE IN OPEN COURT: ________________________ (Date) 10/03/06 Page 2 of 2 _____________________________________ JUDGE/COMMISSIONER American LegalNet, Inc. www.FormsWorkFlow.com