Notice Of Appeal (Of Denial Of Petition To Authorize Physician To Perform Abortion)
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Notice Of Appeal (Of Denial Of Petition To Authorize Physician To Perform Abortion) Form. This is a Arizona form and can be use in Abortion Statewide.
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Tags: Notice Of Appeal (Of Denial Of Petition To Authorize Physician To Perform Abortion), Arizona Statewide, Abortion
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
SUPERIOR COURT OF ARIZONA
-against:
_________________ COUNTY
:
:
IN THE MATTER OF:
)
Defendant(s)CASE NO. _____________________
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .). . . . . . . . . . . . .
___________________________,
)
a minor
)
[Use fictitious name if petitioner
)
THE PEOPLE OF THE STATE OF NEW YORK
has so requested]
)
___________________________________ )
TO
1.
GREETINGS:
NOTICE OF APPEAL
I hereby appeal from the denial of my Petition to Authorize Physician to Perform
Abortion issued on_______________ by Judge ______________________ of the
_______________________ Superior Court.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable I am aware that the Court will appoint an attorney to represent me, at no charge to
at the
Court
2.
located at
County of
me, if I so choose.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
3.
____ I request that the Court appoint an attorney to represent me in this matter,
free of charge; OR
Your failure toIcomply with thisa court-appointed attorney.contemptpersonally chosen to you liable to
____ do not request subpoena is punishable as a I have of court and will make
the party on whose behalf this subpoena was be represented by an attorney; OR and all damages sustained as a
represent myself, and not issued for a maximum penalty of $50
result of your failure to comply.
____ I am represented by an attorney, as follows:
Witness, Honorable
, one of the Justices of the
Court in
County, of attorney _____________________________________________
day of
, 20
Name
Address ____________________________________________________
Telephone number ____________________________________________
4.
(Attorney must sign above and type name below)
I ____ will ____ will not appear at the appellate hearing ____ in person ____ by
telephone. My telephone number is ____________________________.
Attorney(s) for
DATE: ______________________
03.03.03
________________________________________
(Petitioner’sOffice and P.O. Address
signature, using true name OR
fictitious name OR initials)
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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