FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA MOHAVE COUNTY _____________________________________ (Name of Petitioner) Case Number: ______________________________ TEMPORARY ORDER WITHOUT NOTICE FOR MODIFICATION OF (POST-DECREE) _____________________________________ (Name of Respondent) CHILD CUSTODY PARENTING TIME (formerly “visitation”) Other: _________________________________ 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 UNDERLYING PETITION. A Petition for modification of custody and/or parenting time was filed on this date: _____________________________ by ___________________________________________________ 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): ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 3. BEST INTEREST OF THE CHILDREN. This order is made in the best interest of the children whose names and dates of birth (month/day/year) are listed below: Name ____________________________________________ Name ____________________________________________ Date of Birth ____________________ Name ____________________________________________ Date of Birth ____________________ Name ____________________________________________ Date of Birth ____________________ Name ____________________________________________ 11/3/06 Date of Birth ____________________ Date of Birth ____________________ Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Case No.__________________________ THE COURT ORDERS: 1. TEMPORARY MODIFICATION OF CHILD CUSTODY WITHOUT NOTICE IS GRANTED, AND PARENTING TIME IS TEMPORARILY MODIFIED AS DENIED FOLLOWS: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 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. 2. TEMPORARY MODIFICATION OF PARENTING TIME WITHOUT NOTICE IS DENIED GRANTED, AND PARENTING TIME IS TEMPORARILY MODIFIED AS FOLLOWS: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 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. 3. OTHER TEMPORARY ORDERS WITHOUT NOTICE: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 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 provide the other party with a copy of the Motion and 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) 11/3/06 Page 2 of 2 _____________________________________ JUDGE/COMMISSIONER American LegalNet, Inc. www.FormsWorkFlow.com