Arizona Parenting Plan For Custody Form

14 Jun, 2017 arizona, Divorce, Legal Forms 0

Through the completion of this form, the couple will be able to decide on the specific type of arrangement that will be enforced on them after the conclusion of the divorce proceedings.

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©Superior Court of Arizona in Maricopa County ALL
RIGHTS RESERVED
DRCV1 – 5040 - 090513
ESTABLISH
LEGAL DECISION MAKING
(CUSTODY ),
PARENTING TIME
and
CHILD SUPPORT
1
To Get The First Court Order
When Paternity has already been legally established
(Part 1: Forms and Instructions)

F or more information about the workshops, call (602) 372 -3100.
Family Court Self Help Workshops
Registration: 8:30 – 9:00 am
All workshops begin promptly at 9:00 am
How to Prepare a Default Decree
First Friday of every month
• Downtown Phoenix: 101 W. Jefferson Ave. (East Court Building), Law Library
What to bring: %ODFN3HQ
Child Support Modification
1st Friday of every month (two locations)
• Mesa: 222 East Javelina Ave., Law Library
• Phoenix : 18380 N. 40th Street, Multipurpose Room A
2nd & 4 th Friday of every month
• Downtown Phoenix : 101 W. Jefferson (East Court
Building), Law Library
4th Friday of every month
• Surprise : 14264 W. Tierra Buena Lane, Northwest
Jury Assembly Room
What to bring: &RS\RIWKH&XUUHQW&KLOG6XSSRUW2UGHUDQGD%ODFN3HQ
Establishment of Paternity, Legal Decision
Making, Parenting Time and Child Support
Third Friday of every month
•Downtown Phoenix: 101 W. Jefferson Ave. (East Court
Building), Law Library
• M

esa: 222 E. Javelina Ave., Law Library
W

hat to bring: Copy of the Child(ren)’s Birth Certificate and a
Black Pen
Stop/Change Income Withholding for Child Support and/or Spousal Maintenance
2nd and 4 th Friday of every month
• Downtown Phoenix: 101 W. Jefferson Ave. (East Court Building), Law Library
What to bring: &RS\RIWKH&XUUHQW&KLOG6XSSRUW2UGHUDQGRU6SRXVDO0DLQWHQDQFH 2UGHUDQGD%ODFN3HQ

©
Superior Court of Arizona in Maricopa County DRCV1k-011113
ALL RIGHTS RESERVED Page 1 of 1
SELF -SERVICE CENTER
ESTABLISHMENT OF A COURT ORDER FOR
CHILD CUSTODY (Legal Decision Making) , PARENTING TIME
AND CHILD SUPPORT
CHE

CKLIST
Y

ou may use the forms and instructions in this packet if . . .
 Y

ou are the natural or adoptive parent of the minor child(ren), AND
You are not legally married to the other parent, * AND
 Paternity has already been legally established because:
• You already have a court order establishing paternity, OR
• You have a court order for child support, OR
• Both parents sig ning an Acknowledgment of Paternity through the Hospital
Paternity Program or other means provided by law, and a birth certificate
listing the name of the father was issued as a result, AND
You want a court order concerning your minor children declaring their primary
residence, who has authority to make legal decisions concerning the children, time
each parent is to have with the children, and (optionally) child support , or you have
a support order already (in which case the court will review the order if it orders
custody and legal decision making ) AND
 The minor child(ren) resided (lived) in Arizona at least 6 months (or since birth if
younger than 6 months) before you file the petition or you talked to a lawyer who
advised you that even so you could pursue the case in Arizona.
*If you ARE legally married to the other parent, you mu st obtain an order for custody as part
of an action for legal separation or divorce. A.R.S. 25 -402 (B) (2)
READ ME: Consulting a lawyer before filing documents with the court may help prevent
unexpected results. A list of lawyers you may hire to advise you on handling your own case or to
perform specific tasks, as well as a list of court -approved mediators can be found on the Self -
Service Center website at:
www.superiorcourt.maricopa.gov/SSC

STABLISH CHILD CUSTODY *,
PARENTING TIME , and CHILD SUPPORT
(*I

ncludes Declaration of Primary Residence and Authority for Legal Decision Making (Legal
Custody) concerning the Minor Children)
(

when paternity has already been establi shed)
(

Part 1 – Forms and Instructions)
This packet contains court forms and instructions to file a petition to get a court order regarding legal decision
making (child custody ), parenting time, and support, when paternity has already been established. T he
documents should appear in order as listed below. Items listed in BOLD are forms that you will need to file with
the Court. Do NOT copy or file non- bold items.
Order File Number Title # pages
W orkshop Flyer 1
1 DRCV1k Checklist: You may use these forms if . . . 1
2 DRCV1t Table of contents (this page) 1
3 DRCV

11i Help completing the “Petition to Establish Legal Decision
Making ( Custody ), Parenting Time, and Child Support” 6
4
DRSDS10f -c “Family Court/ Sensitive Data Sheet in Cases With Minor
Children ” **DO NOT COPY OR FILE 1
5 DR11f “Summons” 2
6 DRCV

11f “Petition to Establish Court Order for Legal Decision
Making (Child Custody), Parenting Time and Child Support” 6
7 D

R12f
“

Order and Notice to Attend Parent Information Program” 3
8 DRCV10p Procedures: How to file papers with the Court 3
The documents you have received are copyrighted by the Superior Court of Arizona in Maricopa
County. You have permission to use them for any lawful purpose. These forms shall not be used to
engage in the unauthorized practice of law. The Court assumes no responsibility and accepts no
liability for actions taken by users of these documents, including reliance on their contents. The
documents are under continual revision and are current only for the day they were received. It is
strongly recommended that you verify on a regular basis that you have the most current documents .

©Superior Court of Arizona in Maricopa County DRCV11i-040612
ALL RIGHTS RESERVED
Page 1 of 6
SELF -SERVICE CENTER
HOW TO FILL OUT PAPERS FOR CUSTODY and/or CHILD SUPPORT and
PARENTING TIME

HEN TO USE THIS PACKET:
Use this packet if you want to get a court order for child custody and/or child support and parenting time. YOU
CANNOT USE THIS P ACKET TO ESTABLISH PATERNITY. USE THIS FORM ONLY if you are the natural or
adoptive parent of the child(ren), AND
• You already have a court order establishing paternity, OR
• You have a court order for child support, OR
• You have established paternity by filing an affidavit of paternity through the Hospital Paternity Program
(A.R.S. § 25- 812, § 36-334) or other method permitted by law after July of 1996.
I

f you want a court order for child custody and parenting time, the court will also want to review the current child
support order. If there is no order or if the order needs to be changed, the court will sign a child support in your case.
IF YOU HAVE A COURT ORDER FOR PATERNITY OR CHILD SUPPORT FROM ANOTHER
STATE OR ANOTHER COUNTY IN ARIZONA
If you have a court order involving the child(ren) from this case from a different state, or from a different county in
Arizona, you should:
•G

et a certified copy of the paternity or child support order from the other state or county, AND
• Give the certified copy to the Clerk of Court when you file your court papers , AND
• The Clerk of the Court will file the order and assign a case number to your case in Arizona.
IMPORTANT NOTICE ABOUT WHEN YOU CAN BRING A CHILD CUSTODY CASE IN THE SUPERIOR
COURT IN ARIZONA: Generally, you should have resided (lived) in Arizona with the child(ren) for at least 6
months, OR Arizona must be the child(ren)'s primary place of residence before you file, OR if the child is less
than 6 months old, the child must have resided (lived) in Arizona since his/her birth. If you have questions
regarding this requirement, see a lawyer before filing.
I

MPORTANT NOTICE ABOUT WHEN YOU CAN SUE ANOTHER PERSON IN ARIZONA FOR PATERNITY
OR CHILD SUPPORT: You can sue the defendant/respondent in Arizona to establish, enforce, or change a
support order, or establish paternity, if ONE of the following statements is true about the defendant/respondent:
•T

he other party is a resident of Arizona; OR
• You serve the other party with the court papers in Arizona. (See the Self-Service Center packet
on
s

ervice if you have any questions.); OR
• The other party agrees to have the case heard here and files written papers in the court case; OR
• The other party lived with the child in this state; OR
• The other party lived in this state and provided pre- birth expenses or support for the child; OR
• The child lives in this state because of the acts or directions of the other party; OR
• The person had sexual intercourse in this state and the child may have been conceived in this state;
OR
• The other party signed an affidavit acknowledging paternity; OR
• The other party did any other acts that substantially connect the person with this state (see a lawyer to
help you decide).

©Superior Court of Arizona in Maricopa County DRCV11i-040612
ALL RIGHTS RESERVED
Page 2 of 6
DOMESTIC VIOLENCE
Domestic violence can be part of any relationship. Domestic violence includes physical violence such as
hitting, slapping, pushing or kicking, directed against you and/or your children AND/OR it can also include
regular verbal abuse and/or threats of physical violence made against you and/or your childr en, as a method
to control you.
Court documents request your address and phone number. If you are a victim of domestic violence, or if you
do not want your address known to protect yourself or your children from further violence, you must file a
“Petiti on for an Order of Protection” and ask that your address not be disclosed on court papers. W ith this
order, you do not need to put your address and phone number on your court papers. If possible, get a P.O.
Box or use another valid address on these papers. If you have no other address or phone number where you
can be reached, write "protected" on the forms where asked for this information. You must, as soon as
possible, tell the Clerk of the Court an address and phone number where you can be reached.
CASE NUMBER
Use the Case Number on all your court papers. This is the number you were given in the paternity or child
support case you had in Maricopa County. Or, if your paternity or child support case was from another county
or another state, use the number the Clerk of the Court gave you when you filed the certified copy of your
other court case in Maricopa County (see instructions above).
FAMILY COURT / SENSITIVE DATA COVER SHEET
(All Forms: TYPE OR PRINT IN BLACK INK)
• W rite in the information requested about petitioner, respondent, and any children under the age of 18.
• DO NOT INCLUDE MAILING ADDRESS ON THIS FORM IF REQUESTING ADDRESS PROTECTION.
• Case Type: Mark only one box that matches the legal procedure for which you are filing the documents in
this packet:
[x] Dissolution (Divorce).
• Interpreter: Check “yes” or “no” to indicate whether an interpreter is needed. If “yes”, write in what
language(s).
No additional copies needed. Do NOT serve this document on the other party.
L

ocation: If you are filing your documents in downtown Phoenix, check the Downtown Phoenix box; if you are filing
your documents in the Northeast facility, check the Northeast box. If you are filing your documents in Mesa, check the
Mesa box. If you are filing your papers in Surprise, check the Surprise box.
SUMMONS
Fill in the following information: Your name; address (if not protected); city, state and zip code; telephone
number; ATLAS NUMBER; name of Petitioner (your name); and name of Respondent (the opposing party's
name). You will have an ATLAS number ONLY if you receive or have received AFDC or other government
benefits for the child(ren) for whom you want to establish custody and/or parenting time.
PETITION
A. Mak

e sure your form states PETITI ON FOR CHILD CUSTODY, PARENTING TIME AND CHILD SUPPORT,
OR PETITION FOR CHILD CUSTODY AND PARENTING TIME in the upper right -hand part of the first page.
Decide what you want a court order for. Here are your choices:
1.CUS

TODY, PARENTING TIME, AND CHILD SUP PORT: Check this box if you have a court order for
paternity but not for custody, parenting time and child support, OR if you have a court order for chil
d
s

upport but need to change it because of what you are asking the court to do with custody.

©Superior Court of Arizona in Maricopa County DRCV11i-040612
ALL RIGHTS RESERVED
Page 3 of 6
2. CUS

TODY AND PARENTING TIME: Check this box if you have a court order for child support and do
not think your requested changes to custody and/or parenting time will change the child support order.
WARNING: The Judge may change the child support order even if you do not ask for this.
B. I

n the top left corner of the first page, fill out the following: YOUR name; address (if not protected); city, state
and zip code; telephone number; and your ATLAS number, if you are receiving or have received AFDC from
the Arizona Department of Economic Security.
C. F

ill in the space that says "Name of Petitioner" and “Name of Respondent.” You will be the PETITIONER if
your paternity or child support order was from another county or another state, and this is the first time you are
f iling a court case in Maricopa County. Otherwise, complete the caption the same way it was in the paternity
or child support case in Maricopa County.
WARNING: IF YOU HAVE AN EXISTING CASE IN MARICOPA COUNTY AGAINST THE SAME PARTY,
DO NOT GET A NEW DR/FC/FN CASE NUMBER WHEN FILING YOUR CASE! USE YOUR EXISTING
DR/FC/FN CASE NUMBER. IF YOU DO NOT KNOW YOUR EXISTING CASE NUMBER, ASK THE
CLERK FOR YOUR EXISTING NUMBER BEFORE YOU FILE YOUR COMPLAINT / PETITION.
D. G

eneral information:
1. F

ill in your name, address (if not protected) and date of birth. This is basic information about YOU,
the PETITIONER, and your relationship to the child(ren) for whom you want the custody and/or
parenting time order.
2. F

ill in the name of the other party, his or her address and date of birth. This is basic information about
the other party, the RESPONDENT.
3. D

ecide why you can pursue a court case against the Respondent in Arizona. Check the boxes that
apply.
4. F

ill in information about all the children for whom you want custody/parenting time. The sam
e
per

sons should be the mother and the father for all the children for whom you want this order. If y
ou
t

hink the children have different fathers or mothers, you need to sue that person.
E. S

tatements about paternity AND child support: Tell the court what your current situation is:
5.H

ow was paternity established in your case? Check the box that describes how paternity
was established. If none of these apply, or if only the last box applies (indicating the part ies
were married when the child(ren) was/were born, conceived or adopted, STOP! Do not
proceed with these forms unless advised to do so by an attorney. Paternity must already
be
es

tablished to use these forms; if the parties were married, custody and visitation c
an
gener

ally only be decided as part of an action for divorce or separation.
6.W

hat is your current situation as to child support? Check the box that describes your case.
O

RDER DOES NOT NEED TO BE CHANGED: Check here if you think that the child support order
you have does not need to be changed because of the custody order you want . WARNING: The
judge can decide whether to change the child support order even if you do not want this.
O

RDER NEEDS TO BE CHANGED: Check here if the child support order you have needs to
be
c

hanged.
NO CHILD SUPPORT ORDER: If you have a paternity order only, without a child support order, t he

©Superior Court of Arizona in Maricopa County DRCV11i-040612
ALL RIGHTS RESERVED
Page 4 of 6
judge will make an order on the issues of custody, parenting time, and child support.
F

. Other information about the child ren: If you are aware of court cases about the children, you need to tell
the court. Attach a copy of any order about custody, parenting time, or child support to the petition, unless the
order is from the Superior Court in Maricopa County.
7. F

ill ou t where the children in this case have been living for the past 5 years. If any children ar
e
under

age 5, simply put the information about where they have been living since birth. W rite eac
h
c

hild's name; the address where the child lived; the dates the child lived at each address; whom t
he
c

hild lived with; and, the relationship of that person to the child. W hile you may not remember exact
dates and address, fill this information out as completely as possible.
8. Y

ou must tell the court if you participated as a party or witness in any court case involving issues
OTHER THAN custody or parenting time of the child(ren). If your answer is “no,” check the first box
and GO ON. If there is another case, check the second box and give as much information as
possible. This information could affect you or your child(ren)’s rights.
9. T

he court MUST know if there have been other cases involving custody, parenting time or chil
d
s

upport of the child(ren) of this case, even if you were not a party. If there are no other custody or
parenting time cases, or you do not know of any, check the first box and GO ON. If you hav
e been
i

nvolved in any way with this type of court case, check the second box and give the request
ed
i

nformation. Tell the court what happened and what is going on in the other case(s).
10.I

f you do not know of another person OTHER THAN THE OTHER PARTY who has physical custody
of the child(ren) or is claiming custody or parenting time rights to any of the children, check the first
box and GO ON. If you know of such a person, put the child's name and the person who believes
they have custody or parenting time claim. You must also include the person as a respondent in this
court case.
G. O

ther statements to the court:
11. O

THER EXPENSES: This asks for a fair division of all expenses about the children.
12.DOMESTIC VIOLENCE: This tells the court if there was domestic violence in the relationship, and
r

elates to a request for joint custody. If you are not sure what this means, see the par agraph
on
D

OMESTIC VIOLENCE on the first page of these instructions. Check the box that best describes
your situation. If there has been no domestic violence, GO ON.
13.VEN

UE: This tells the court that one parent or the child(ren) lives in Maricopa County, so the court
can decide your case.
H. R

equests to the court for custody, parenting time and/or child support. This section of the
Complaint/Petition formally requests that the court make Orders relating to issues such as custody, parenting
time a nd support.
1.CUS

TODY OF CHILD(REN) AND PARENTING TIME.
A.SO

LE CUSTODY: If you want sole custody, check the boxes that apply, including the
parenting time you are asking for. Tell the court whether you want custody of the child(ren) to
go to you or the other party.
PA

RENTING TIME: Check only one box. You can ask that the non- custodial parent (the
parent having physical custody of the child(ren) less than 50% of the time) have one of the
following types of parenting time:

©Superior Court of Arizona in Maricopa County DRCV11i-040612
ALL RIGHTS RESERVED
Page 5 of 6
1. Reasonable Parenting t ime. This suggests an amount of parenting tim e
appr

opriate to the age of the child(ren). The court offers suggested amounts of
parenting time, but the amount can vary by agreement of both parents. If y
ou and
t

he other party agree, complete the Parenting Plan before you go to the judge for
your final order.
2. S

upervised or No Parenting time to the Non -Custodial Parent. You may request
supervised or no parenting time if the non- custodial parent cannot adequately car
e
f

or the child(ren) or cannot do so without another person present. You may request
this if the person not having custody abuses drugs or alcohol; is violent or abusive;
or, does not have the parenting skills to care for the child(ren) without another
person present. Remember, supervised or no parenting time is not intended t
o
puni

sh the parent, but to protect the child. You must tell the court in the spac
e
pr

ovided why you say the parenting time should be supervised or no parenting tim
e
al

lowed.
3.S

upervised Parenting time: Describe how you think supervised parenting tim
e
s

hould be handled.
4.N

o Parenting time to the Non -Custodial Parent. You should check this opti
on
onl

y if the non- custodial parent has seriously harmed, abused, or otherwise is
a
s

erious danger to the child(ren)’s physical and emotional health, or if there is
a
c

riminal Court Order stating there is to be no contact between the child(ren) and t
he
non

-custodial parent. This is used only as a last resort to protect the child(ren).
B. J

OINT CUSTODY: If you are asking for joint custody, you must file a Joint Custody
Agreement that is signed by both parents and approved by the court later in the process.
The Joint Custody Agreement is part of the Parenting Plan contained in packet 4, “The Court
Order.”
2. CHI

LD SUPPORT: Chec k which party should pay child support. (The box you check should matc
h
w

hat you asked for in the petition).
3. HE

ALTH, MEDICAL, DENTAL INSURANCE AND HEALTH CARE EXPENSES: Check which party
should be responsible for health, medical and dental insurance.
4. O

THER ORDERS: Check this box only if you have made other requests to the court. If you check
this box, write the additional orders you are requesting the court to make that were not cover
ed
el

sewhere in your Petition.
I.

DECLARATION OF PETITIONE R: Si gn the form. By doing so you are telling the court that everything
contained in your Petition is true under penalty of perjury.
NOTICE REGARDING THE PARENT INFORMATION PROGRAM
This is an important document. You and the other parent must attend and com plete a class in the Parent
Information Program. The purpose of the Parent Information Program is to give parents information about the
impact that divorce, the changes in the family unit, and/or court involvement have on children involved in a
divorce, paternity, or custody case. This Notice applies to all parents who file an action for dissolution of
marriage or legal separation, or any paternity proceeding, in which a party has requested that the court
determine custody or parenting time on or after January 1, 1997, and to all other domestic relations cases if
ordered by the court.

©Superior Court of Arizona in Maricopa County DRCV11i-040612
ALL RIGHTS RESERVED
Page 6 of 6
Make sure you read this notice, do what it says, and serve this notice on the other party.
OTHER IMPORTANT PAPERS IN THIS PACKET
Before you can get an order from the judge, you must complete the court papers on what you want the judge
to order about child custody, parenting time, and child support. The court papers you need, with guidelines
and/or instructions, are included in this packet. These court forms, and those pr epared by the other party, are
what the judge will use when it is time to sign the order about custody, parenting time, and support. You can
complete the papers about custody, parenting time and support now, and serve or provide copies to the other
party; OR, you can complete the papers before the final court hearing date and give or mail them to the other
party. The Family Support Center of the Clerk of the Court will help you with Child Support calculations for the
W orksheet.

© Superior Court of Arizona in Maricopa County DRSDS10f-C-041513
ALL RIGHTS RESERVED Page 1 of 1
SDS
Name:
Representing: Self Petitioner Respondent
(If Attorney) State Bar Number:
SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY
Case No .
Petitioner
ATLAS No.
Respondent FAMILY COURT / SENSITIVE DATA
COVERSHEET WITH CHILDREN
(CONFIDENTIAL RECORD)
Fill out. File with Clerk of Court. Social Security Numbers should appear on this form only and
should be omitted from other c ourt forms. Access Confidential pursuant to ARFLP 43(G)(1).
A. Personal Information: Petitioner Respondent
Name
Gender Male or Female Male or Female
Da te of Birth (Month/Day/Year)
Social Security Number
WARNING: DO NOT INCLUDE MAILING ADDRESS ON THIS FORM
IF REQUESTING ADDRESS PROTECTION
Mailing Address
City, State, Zip Code
Contact Phone
Email Address
Current Employer N ame
Employer Address
Employer City, State, Zip Code
Employer Telephone Number
Employer Fax Number
B. Child(ren) Information:
Child Name Gender Child Social Security Number Child Date of Birth
C. Type of Case being filed - Check only one category.
*Check only if no other category applies
Interpreter Needed:
Yes No
Dissolution (Divorce) Paternity If yes, what language?
Legal Separation *Legal Decision Maker
(Custody )/Visitation
Annulment *Child Support
Order of Protection Other
FOR CLERK’S USE ONLY
DO NOT COPY OR FILE THIS DOCUMENT. DO NOT SERVE THIS DOCUMENT TO THE OTHER PARTY.

SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY
Name of Petitioner
SUMMONS
And
Name of Respondent
WARNING: This is an official document from the court that affects your rights. Read this carefully.
If you do not understand it, contact a lawyer for help.
FROM THE STATE OF ARIZONA TO:
N ame of Respondent
1. A lawsuit has been filed against you. A copy of the lawsuit and other court papers are served on you
with this “Summons”.
2. If you do not want a judgment or order taken against you without your input, you must file an “Answer” or
a “Response” in writing with the court, and pay the filing fee . If you do not file an “Answer” o r
“

Response”
the other party may be given the relief requested in his/her Petition or Complaint. To file
your “Answer” or “Response” take, or send, the “Answer” or “Response” to the :
• O

ffice of the Clerk of the Superior Court, 201 West Jefferson Street, Phoenix, Arizona 85003 -
2205
OR
• O

ffice of the Clerk of the Superior Court, 18380 North 40
th Street, Phoenix, Arizona 85032 OR
• O
ffice of the Clerk of Superior Court, 222 East Javelina Avenue , Mesa, Arizona 85210-6201 OR
• Of
fice of the Clerk of Superior Court, 14264 West Tierra Buena Lane, Surprise, Arizona, 85374.
M

ail a copy of your “Response” or “Answer” to the other party at the address listed on the top of this
Summons.
For Clerk’s Use Only
Name of Person Filing:
Your Address:
Your City, State, Zip Code:
Your Telephone Number:
ATLAS Number (if applicable):
Attorney Bar Number (if applicable):
Representing: Self (W ithout an Attor ney)
Or Attorney for Petitioner Respondent
Case No.:
©Superior Court of Arizona in Maricopa County DR11f -090413
ALL RIGHTS RESERVED
Page 1 of 2

3. If this “Summons” and the other court pap ers were served on you by a registered process server or th e
Sheriff, within the State of Arizona, your “Response” or “Answer” must be filed within TWENTY (20 )
CALENDAR DAYS from the date you were served, not counting the day you were served. If this
“Sum mons” and the other papers were served on you by a registered process server or the Sheri ff
outside the State of Arizona, your Response must be filed within THIRTY (30) CALENDAR DAYS from the
date you were served, not counting the day you were served. Serv ice by a registered process server or
the Sheriff is complete when made. Service by Publication is complete thirty (30) days after the date o f
the first publication.
7.

Requests for an interpreter for persons with limited English proficiency must be made to the office of th
e
j

udge or commissioner assigned to the case at least ten (10) judicial days in advance of your scheduled
court date .
SIGNED AND SEALED this date
MICHAEL JEANES, CLERK OF COURT
By
Deputy Clerk
4. You can get a copy of the court papers filed in this case from the Petitioner at the address listed at the top
of the preceding page, from the Clerk of the Superior Court's Customer Service Center at:
•601 W

est Jackson, Phoenix, Arizona 85003
• 18380 North 40
th Street, Phoenix, Arizon a 85032
• 222 E

ast Javelina Avenue , Mesa, Arizon
a 85210
•14264 W

est Tierra Buena Lane, Surprise, Arizona, 85374.
5 If this is an action for dissolution (divorce), legal separation or annulment, either or both spouses may
file a Petition for Conciliation for the purpose of determining whether there is any mutu al interest in
preserving the marriage or for Mediation to attempt to settle disputes concerning legal decision -making
(custody) and parenting time issues regarding minor children.
6. Requests for reasonable accommodation for persons with disabilities must be made to the office of the
judge or commissioner assigned to the case, at least ten (10) judicial days before your scheduled cour t
date.
©Superior Court of Arizona in Maricopa County DR11f -090413
ALL RIGHTS RESERVED
Page 2 of 2

© Superior Court of Arizona in Maricopa County DRCV11f-012313
ALL RIGHTS RESERVED
PTT Page 1 of 6
Name of Person Filing:
In this case I am: Petitioner Respondent
In this case I am: Representing Myself (No Attorney), or
If Represented by Attorney: Attorney Bar Numb er:
My Address (if not protected) :
City, State, Zip Code:
Telephone Numbers:
ATLAS Number: (if applicable)
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Case Number:
Name of Petitioner
PETITION TO ESTABLISH (Check one box only)
LEGAL DECISION MAKING (CUSTODY),
PARENTING TIME, and CHILD SUPPORT, or
LEGAL DECISION MAKING (CUSTODY) AND
PARENTING TIME (ONLY)
Name of Respondent
STATEMENTS THE COURT
1. IN

FORMATION ABOUT ME, T HE PETITIONER:
Name:
Address :
Date of Birth :
Occupation:
Relationship to children for whom I want the Primary Residence , Legal Decision Making and
Parenting Time (or Parenting Time and Child Support) Order:
Mother
Father
Other. My relation to the children is:
2.I

NFORMATION ABOUT OTHER PARTY, THE RESPONDENT:
Name:
Address :
Date of Birth :
Occupation :
Relationship to children for whom I want the Primary Residence, Legal Decision Making and
Parenting Time (or Parenting Time and Child Support) Order:
Mother
Father
Other. My relation to the children is:
3. V

ENUE
: This is the proper court to bring this lawsuit under Ariz ona law because:
it is the county of residence of the petitioner, or the respondent, or the minor child(ren).
FOR CLERK’S USE ONLY

Page 2 of 6
4. JURISDICTION: WHY I AM FILING THIS COURT CASE AGAINST THE OTHER PERSON, THE
RESPONDENT, IN ARIZONA : (check all that apply)
The Respondent is a resident of Arizona.
I believe that I will personally serve the Respondent in Arizona (see “Service” packet).
The Respondent agrees to have the case heard here and will file writ ten papers in the court case.
The Respondent lived with the minor child(ren) in this state at some time.
The Respondent lived in this state and provided pre -birth expenses or support for the minor child(ren).
The minor child(ren) lives in this state as a result of the acts or directions of the Respondent .
The Respondent had sexual intercourse in this state as a result of which the minor child may have
been conceived in Arizona.
The Respondent signed an acknowledgment of paternity that is filed in this state.
The Respondent did any other acts that substantially connect the Respondent with this state (see a
lawyer to help you determine this).

5. STATEME NTS ABOUT PATERNITY AND CHILD SUPPORT :

A . PATERNITY WAS ESTABLISHED BY: (check one box).
(A copy of any Order or document referenced here should already be in the Court file or attached.)

A Court Order for Paternity from this county or previously transferred to this county stating that

is the natural father of the minor child(ren) included in this Petition. (A.R.S. § 25 -502(c))
Both parents signing an Acknowledgment of Paternity through the Hospital Paternity Pro gram or
other means provided by law
after July 18, 1996, and a birth certificate listing the name of the father was issued
as a result.
We do not have an order of paternity, but we do have a child support order. (See instructions)
Parties were legally married when minor child(ren) was (were) born, conceived or adopted.*

4. INFORMATION ABOUT MINOR CHILD(REN) FOR WHOM I WANT THE COURT
ORDER(S) :

B . INFORMATION ABOUT CHILD SUPPORT FOR MINOR CHILDREN: (check one box)

An Order for Child Support is dated from (name of court)
which states that child support is established and does not need to be changed. Note: if order is
from court other than Superior court in Maricopa County , see instructions)

An Order for Child Support is dated from (name of court)
which states that child support is established and does need to be changed. Note: if order is from
court other than Superior Court in Maricopa County, see instructions)

To my knowledge there is no child support order for the minor child(ren) and the court should order
child support in this case along with legal decision making (custody) and parenting time.

*NOTE: If married when minor child(ren) born, conceived or adopted, and no decree of Divorce or
Separation has been issued, STOP! Do not use these forms unless advised to do so by an attorney.
Requests for legal decision-making authority (custody) and parenting time must generally be filed as
part of a case for Separation or Divorce.

Page 3 of 6
Case No.
6. INFORMATION ABOUT MINOR CHILDREN, including past 5 years residence:
A. Child’s Name: Gender: Female Male
Place of Birth: Date of Birth:
Current Address:
How long at this address: County:
Lived w ith Mother Father Other (Name & Relation to Child):
(If less than 5 years, provide 5 years previous address information for each child.)
Previous Address:
How long at this address: Lived with Mother Father Other:
Previous Address:
How long at this address: Lived with Mother Father Other:
B. Child’s Name: Gender: Female Male
Place of Birth: Date of Birth:
Current Address:
How long at this address: County:
Lived with Mother Father Other (Name & Relation to Child):
(If less th an 5 years, provide 5 years previous address information for each child.)
Previous Address:
How long at this address: Lived with Mother Father Other:
Previous Address:
How long at this addr ess: Lived with Mother Father Other:
C. Child’s Name: Gender: Female Male
Place of Birth: Date of Birth:
Current Address:
How long at this address: County:
Lived with Mother Father Other (Name & Relation to Child):
(If less than 5 years, provide 5 years previous address information for each child.)
Previous Address:
How long at this addre ss: Lived with Mother Father Other:
Previous Address:
How long at this address: Lived with Mother Father Other:
D. Child’s Name: Gender: Female Male
Place of Birth: Date of Birth:
Current Address:
How long at this address: County:
Lived with Mother Father Other (Name & Relation to Chi ld):
(If less than 5 years, provide 5 years previous address information for each child.)
Previous Address:
How long at this address: Lived with Mother Father Other:
Previous Address:
How long at this address: Lived with Mother Father Other:
Continues on attached page(s) made part of this document by reference.

Page 4 of 6
Case No.
7. COURT CASES NOT INVOLVING PHYSICAL CUSTODY, LEGAL DECISION MAKING
(LEGAL CUSTODY ) OR PARENTING TIME RELATED TO THE CHILDREN UNDER 18
YEARS OLD: (check one box)
I HAVE I HAVE NOT been a party or a witness in court in this state or
any other state regarding the legal decision making ( custody) or parenting time of any of the minor children
named above (If so, explain below, using extra pages if necessary. IF NOT, GO ON.)

Name of each child:
Court State: Court location (county/city):
Court case number: Current case status:
How the minor children are involved:

Summary of any Court Order:

8. PHYSICAL CUSTODY, L EGAL DECISION MAKING ( LEGAL CUSTODY ) OR
PARENTING TIME CASES RELATED TO CHILDREN
UNDER 18 YEARS OLD: (Check one box)
I DO NOT HAVE I DO HAVE information about a legal decision making ( custody) or parenting time
court case relating to any of the minor children named above that is pending in this state or in any other state
(If so, explain below, using extra pages if necessary. IF NOT, GO ON ).

Name of each child:
Court State: Court location (county/city):
Court case number: Current case status:
Nature (type) of court proceeding:

Summary of any Court Order:

9. PHYSICAL CUSTODY, LEGAL DECISION MAKING ( LEGAL CUSTODY ) OR
PARENTING TIME CLAIMS OF ANY PERSON:

(check one box)
I DO NOT KNOW I DO KNOW a person other than the Petitioner or the Respondent who has
physical custody or who claims legal decision making authority ( custody) or parenting time rights to any of the
minor children named above. (If so, explain below, using extra pages if necessary. IF NOT, GO ON ).
Name of each child:
Name of Person with the claim:
Addres s of Person with the claim:
Nature of the Claim:

Page 5 of 6
Case No.
OTHER STATEMENTS TO THE COURT:

10. OTHER EXPENSES: The parties should be ordered to divide between them any uninsured medical,
dental, or health expenses, reasonably incurred for the minor child(ren), in proportion to their respective
incomes.

11. DOMESTIC VIOLENCE: ( If you are asking for joint legal decision making (joint custody ); this statement
must be true (ARS § 25- 403).
There is no history of significant d omestic violence between the parties .
1 2. The Parent Information Program (PIP ) is required for persons seeking legal decision making
authority (custody ) or parenting time.
I have I have not (check one box) already comp leted the Parenting Information Program.

REQUESTS TO THE COURT:

PRIMARY RESIDENTIAL PARENT, PARENTING TIME, AND AUTHORITY FOR LEGAL
DECISION MAKING
(LEGAL CUSTODY) :

1 . Declare which parent shall be “Primary Residential Parent” for each minor child as follows:
Declare Mother as primary residential parent for the following named children:

Declare Father as primary residential parent for the following named children:

Subject to parenting time, as follows:

2. PARENTING TIME: Award parenting time as follows:
Reasonable parenting time rights to the non- primary residential parent, OR
Supervised parenting time between the children and Mother OR Father, OR
No parenting time rights to the Mother OR Father.
Supervised or no parenting time is in the best interests of the child(ren) because: *

Explanation continues on attached pages made part of this document by reference.
a. Name this person to supervise:
b. Restrict parenting time as follows:

c.
Order cost of supervised parenting time (if applicable) to be paid by:
Mother
Father, OR
Shared equally by the parties.

Page 6 of 6
Case No.
3. AUTHORITY FOR LEGAL DECISION MAKING (LEGAL CUSTODY) :

Award legal authority to make decisions concerning the child(ren) as follows:

AWARD SOLE AUTHORITY FOR LEGAL DECISION- MAKING to: Mother Father
OR
AWARD JOINT LEGAL DECISION MAKING AUTHORITY to BOTH PARENTS.
Mother and Father will agree to act as joint legal decision makers concerning the minor child(ren) and will
submit a Parenting Plan and Joint Legal Decision Making Agreement signed by the both parties.
(For the court to order “joint” legal decision making, there must have been no “significant” domestic
violence according to Arizona law, A.R.S. § 25- 403.03)

(Check below if you are asking for a child support order or a chang e of child support in this case.)

4 . CHILD SUPPORT: Order that child support shall be paid by: (check one box)
me or other party in a reasonable amount as determined by the court under the Arizona Child Support
Guidelines. Support payments shall begin on the first day of the first month following the entry of support
order. These payments, plus a fee for handling, shall be paid through the Support Payments Clearinghouse
and collected by automatic i ncome withholding order .

5. MEDICAL, DENTAL, VISION CARE
Mother should be responsible for providing: medical dental vision care insurance.
Father should be responsible for providing: medical dental vision care insurance.
Non-Covered Expenses. Order Mother to pay %, AND order Father to pay % of all
reasonable uncovered and/or uninsured medical, dental, vision care, prescription and other health care
charges for the minor child(ren), including co- payments.

6. OTHER ORDERS I AM REQUESTING (explain request here):

DECLARAT ION UNDER PENALTY OF PERJURY

I declare that the contents of this document are true and correct under penalty of perjury.

Date Signature

Printed Name

SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY

Case Number
Name of Petitioner
ORDER AND NOTICE TO ATTEND PARENT INFORMATION PROGRAM CLASS

Name of Respondent

THIS IS AN OFFICIAL COURT ORDER. IF YOU FAIL TO OBEY THIS ORDER,
THE COURT MAY FIND YOU IN CONTEMPT OF COURT.

THE COURT FINDS:

This case involves minor child(ren) and is an action for:
Dissolution of Marriage;
Legal Separation, or
Paternity with a Request to Determine Legal Decision- Making Authority (Custody) or Parenting
Time or Child Support;
Request to Determine Legal Decision- Making Authority (Custody) or Parenting time or Support.
THE COURT ORDERS pursuant to ARS §25- 352:
1. ATTEND CLASS . You must attend and complete the Parent Information Program Class, or if not in
Arizona, its equivalent in your state of residence.

2. WITHIN 45 DAYS . Both the Petitioner and the Respondent must complete this class within 45 days from
the date the Respondent is served w ith, or accepts service of, the Petition/Complaint. The Respondent
must register for and complete the course whether or not a “ Response” or “Answer ” to the
Petition/Complaint is filed.

3. PAY THE CLASS FEE. Each party must pay the class fee to the Program Provider.
4. FILE CERTIFICATE OF COMPLETION . Both the Petitioner and the Respondent must each file a
“ Certificate of Completion ” with the Clerk of the Court immediately after completing the class and prior to
receiving the final judgment/order/decree in the case.

5. FAILURE TO ATTEND CLASS . If you file a Petition/Complaint or “Response” or “Answer” and do not
complete the Parent Information Program Class, the judge may not sign your papers and you may not get
the things you asked the court to give you. You ma y also be denied the right to seek modification and/or
enforcement of the decree/judgment/order until completion of the class. If you are the party required to file
a Response/Answer and choose not to file a “ Response” or “Answer”, and do not complete the Parent
Information Program Class, you may be denied the right to seek modification and/or enforcement of the
decree/judgment/order until completion of the class.

Case No: _____________________

PARENT INFORMATION PROGRAM NOTICE

ATTEND ANCE IS REQUIRED (A.R.S. §25 -352 and Administrative Order No. 2013- 020). You and the
other parent must attend and complete a class in the PARENT INFORMATION PROGRAM. As a precaution
against any type of abuse or harassment, you and the other parent must a ttend separate classes. You may
each take the class from the same agency, but not at the same time. This is not a parenting skills class. The
purpose of the program is to give parents information about how children are affected by matters that involve
family courts: divorce, paternity, or legal decision making (custody) matters and parenting time. This Notice
applies to all parents who file any of the following actions .

● Dissolution of marriage or legal separation that involves a natural or adopted minor, un-
emancipated child common to the parties, or

● Paternity with a request that the court determine legal decision- making authority (custody),
parenting time or child s upport, or

● Any other domestic relations/family court cases if attendance is ordered by the court.

IF YOU DO NOT ATTEND THE PARENT INFORMATION CLASS, THE JUDGE MAY NOT SIGN YOUR
PAPERS AND YOU MAY NOT GET THE THINGS YOU ASKED THE COURT TO DO. THE JUDGE MAY
ALSO FIND YOU IN CONTEMPT OF COURT.

NOTICE TO THE OTHER PARENT . After you file your court papers, you must serve this document on the
other parent. If you have questions on how to serve the other parent, the Superior Court Self -Service Center
locat ions have forms and instructions available.

• ......................................................Downtown Phoenix 1
st floor East Court Building, 101 W Jefferson Street

• ......................................................Northeast Phoenix 18380 North 40
th Street,

• ......................................................Southeast Complex 222 E Javelina Avenue, Mesa

• ......................................................Northwest Valley 14264 West Tierra Buena Lane, Surprise

• ........................................................ Self Service Web -Site
• ........................................................ http://www.superiorcourt.maricopa.gov/SuperiorCourt/Self -ServiceCenter/

APPROVED PARENT INFORMATION CLASSES IN MARICOPA COUNTY. You may choose which class
you want to attend. The court will not assign you to attend a specific class. Court -approved provider classes
are available in both English and Spanish. Y ou can register for your class by calling one of the providers listed
below or on- line at:
http://www.superiorcourt.maricopa.gov/SuperiorCourt/FamilyCourt/Services/ConciliationServices/ParentInformation
Program/providersList.asp
Page 1 of 2
© Superior Court of Arizona in Maricopa County DR12F 072913
All Rights Reserved
ONA

The providers listed offer classes that meet the requirements of the Parent Information Program. You may
also choose to attend a different class that is comparable to the cl asses listed. However, you will have to tell
the judge why that class is like the classes on the list of approved classes and you may have to provide all the
class materials and information to show it is comparable. T he judge to decide if that class meet s the Parent
Information Program requirements.

COST. ● You are required to pay the provider of the class the fee of $50.00 (effective 9/1/08). You must
bring your case number and a picture I.D. to the class.
● If you choose to attend a class that is not listed, you will be required to pay the class provider of the
charge d fee. Please note that the charged amount is at the discretion of the provider .

SPECIAL NEEDS OR ACCOMMODATIONS. If, due to a disability, language problem, or other special need and
you have difficulty finding a Parent Information Class that can accommodate you, please contact Family Court
Administration at 602-506-1561 for assistance.

CLASS PROCEDURES .
● Arrive a few minute early
● Bring picture Identification
● Bring your case number
● Do not bring children
● You must check in to the class and check out. Failure to check in and out of
the class may result in your attendance not being counted.
● A “Certificate of Completion” will be given to you at the end of the class. You
must file a copy of this certificate with the Clerk of the Court.

Page 2 of 2

Center for Families in Transition
480- 855- 0075 or 480- 946-9680
Español 480- 206-3885
http://www.cen ter4families.com

AZ Priority Education and Counseling
602-485- 1200 for English/ Español
http://www.azpec.com

Phoenix Interfaith Counseling
602- 971- 8207 for English
Español 602 -451 -4046
http://www.phx -interfaith.org

SELF-SERVICE CENTER

PROCEDURES: WHAT TO DO AFTER COMPLETING ALL FORMS
TO ESTABLISH CHILD CUSTODY, PARENTING TIME AND CHILD SUPPORT
WHEN PATERNITY HAS ALREADY BEEN ESTABLISHED

STEP 1: Complete the “Family Court Cover Sheet” and the “Sensitive Data Shee t”.
(Do not copy these 2 documents.)

Make 2 copies of the following documents after you have filled them out:
• “Summons”
• “Petition to Establish Child Custody, Parenting Time and Child Support”
• “Order and Notice for the Parent Information Program ”

STEP 2: SEPARATE YOUR DOCUMENTS INTO THREE (3) SETS: (4 if DES or DCSE is involved)

SET 1 – ORIGINALS FOR CLERK OF COURT:
• “Family Court Cover Sheet”
• “Sensitive Data Sheet”
• “Summons”
• “Petition to Establish Child Custody,
Parenting Time and Child Support”
• “Order and Notice for Parent Information
Program”

SET 2 -- COPIES FOR OTHER PARTY:
• “Summons”
• “Petition to Establish Child Custody,
Parenting Time and Child Support”
• “Order and Notice for Parent Information
Program”

SET 3 – COPIE S FOR YOU:
• “Summons”
• “Petition to Establish Child Custody, Parenting Time and Child Support”
• “Order and Notice for Parent Information Program”

SET 4 – TO SERVE ON THE STATE IF DES OR DCSE IS INVOLVED:
• “Petition to Establish Child Custody, Parenting Tim e and Child Support” (copy)
• “Acceptance of Service” (original) (See Step 4 on next page for more information about serving
the State

STEP 3: FILE THE PAPERS AT THE COURT:

GO: GO TO THE COURT TO FILE YOUR PAPERS: The court is open from 8am -5pm, Monday -
Friday. You should go to the court at least two hours before it closes . You may file your court
papers at the Clerk of court Filing Counter at the following Superior Court locations:

The Clerk of the Superior Court The Clerk of the Superior Court
Central Court Building Southeast Court Complex
201 W est Jefferson, 1st floor 222 East Javelina Drive, 1st floor
Phoenix, Arizona 85003 Mesa, Arizona 85210

The Clerk of the Superior Court The Clerk of the Superior Court
Northwest Court Complex Northeast Regional Court Center
14264 W est Tierra Buena Lane 18380 North 40
th Street
Surprise, Arizona 85374 Phoenix, Arizona 85032

FEES: Ther e are fees for filing petitions, responses, requests, motions, objections, and various forms
with the Court. Cash, VISA/MasterCard debit or credit cards, money order, or personal in- state check
made payable to the “Clerk of Superior Court” are acceptable forms of payment.

Go online to http://clerkofcourt.maricopa.gov/fees.asp or the Self -Service Center for a list of current fees .

If you cannot afford the filing fee and/or the fee for having the papers served by the Sheriff or by publication,
you may request a deferral (payment plan) when you file your papers with the Clerk of the Court. Deferral
Applications are available at no charge from the Self -Service Center.

PAPERS: Hand all three (3) sets of your court papers to the Clerk along with along with the correct filing
fee.

MAKE SURE YOU GET THE FOLLOWING BACK FROM THE CLERK:
• Your Set of Copies
• The Other Party’s Set of Copies

STEP 4: SERVE THE PAPERS ON THE OTHER PART Y. Read the packet at the Self-Service Center called
“Service of Court Papers” that applies to your situation. This will explain how to serve the other party.
Remember to file your Affidavit, W aiver or Acceptance of Service as soon as the Respondent is served.

Note: A party who is served with the papers in Arizona, whether a person or the S tate of Arizona
(the AG / DCSE), has 20 days from the date of service to file a request for a hearing. A party
who is served with the papers outside Arizona has 30 days from the date of service to file a
request for hearing.

The State of Arizona may be involved if any party received public assistance for the children or used
the services of the State in establishing or collecting child support. If either party already has a case with
the State (DCSE or DES) involvi ng the same children as in this case, notice of this action must also be
given to the Attorney General’s Office.

SERVING PAPERS ON THE STATE:
(if required). The Office of the Attorney General (the “ AG”) will
accept service by signing an “ Acceptance of Service” form and returning the form for you to file with the
Court . There are no court fees for serving the State with an Acceptance, as described below:

(a) You may mail or personally deliver to the Office of the “AG” assigned to your case:
• a copy of t he “Petition to Establish Child Custody, Parenting Time and Child Support”
• original “Acceptance of Service” AND
• a self -addressed, stamped envelope (addressed back to you).
A list of addresses for the AG’s offices is available from the Self -Service Cente r or from the
Internet at: www.superiorcourt.maricopa.gov/sscDocs/pdf/gniv -d.pdf
(b) There may also be a “drop -box” in the Clerk of Court’s filing counter area at which you may
leave the above listed documents and the envelope for the AG. Ask the clerk at the filing counter, or

(c) You may mail all listed documents and the envelope to:
Office of the Attorney General
Child Support Enforcement Section
P.O. Box 6123 – Site C ode 775C
Phoenix, AZ 85005
Note: The State is not considered served
until the AG’s signed Acceptance of Service
is filed with the Court!

STEP 5: WAIT. Depending on HOW and W HERE you served the papers on the other party (in- state, out of state,
by publication, etc.), he or she has a certain number of days to file a R ESPONSE to tell the Court that he
or she disagrees with your facts, OR objects to the Orders you want the Court to make. You should
receive a copy of the Response and a notice about when and where you must appear for any Court
procedure or hearing.

If NO RESPONSE is filed, you must file papers to tell the Court the other party DEFAULTED - that is, the
other party agrees with your request - or at least did not file papers to disagree, so the Court should move
forward. See the Self -Service Center’s “Default” (or “Default W ithout Children”) packet and follow the
timetable and procedures there to apply for your default court order.

Relevant article from our knowledge database

The plan must concentrate on what exactly the little one needs. Each parenting program ought to be tailored to the demands of each family. As a joint parenting program is arranged, you are going to want to seek advice from your child custody attorney.
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The plan should incorporate details about where the kid will live, once the kid will go to the other parent, where the kid will spend holidays, the way the parents will share legal duty of the kid, etc.. The parenting program may also have agreements concerning extra-curricular activities, education, faith and wellness. The parenting program is created to provide for the requirements of the youngster, and the basic requirements of the youngster are these material requirements. A suitable Custodial Parenting program is critical to set a good foundation for a healthy, cooperative exchange of the children.

A parenting program ought to be consistent and detailed. It cannot cover every aspect of life and cannot anticipate how real life will change over the years. It is the same thing as a custody agreement and it contains all of the information about how the parents will continue to handle their parenting responsibilities. You're able to contain in your parenting plan an overall statement that you fully grasp these issues might develop in the future and the way you mean to address them when they do.

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Arizona Parenting Plan For Custody Form

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