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Name of Person Filing: Street Address: City, State, Zip Code: Telephone Number: Email Address: ATLAS Number (if applicable) Representing Self (No Attorney) If Attorney, Bar Number: or Represented by Attorney SUPERIOR COURT OF ARIZONA PINAL COUNTY Regarding the Matter of: CASE NUMBER: DO2 Name of Petitioner PETITION TO ESTABLISH (Check One Box Only) LEGAL DECISION-MAKING AND PARENTING TIME (ONLY) LEGAL DECISION-MAKING, PARENTING TIME AND CHILD SUPPORT Name of Respondent HONORABLE: GENERAL INFORMATION: 1. INFORMATION ABOUT THE PERSON FILING THIS PETITION TO ESTABLISH LEGAL DECISION-MAKING Name: Address: County of Residence: Date of Birth: Occupation: Relationship to children for whom I want the LEGAL DECISION-MAKING / PARENTING TIME order: Mother Father Other: (explain): 2. INFORMATION ABOUT THE OTHER PARTY: Name: Address: County of Residence: Date of Birth: Occupation: Page 1 of 4 DO_PCCPTCS_COSCPinal_11.26.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Relationship to children for whom I want the LEGAL DECISION-MAKING / PARENTING TIME order: Mother Father Other: (explain): 3. JURISDICTION: WHY I AM FILING THIS COURT CASE IN ARIZONA AGAINST THE OTHER PERSON: (check all that apply) The person is a resident of Arizona. I believe that I will personally serve the person in Arizona (see "Service" packet for information). The person agrees to have the case heard here and will file a written papers in the court case. The person lived with the minor child(ren) in this state at some time. The minor child(ren) lives in this state as a result of the acts or directions of the person. The person had sexual intercourse in this state as a result of which the minor child may have been conceived in Arizona. The person signed an acknowledgment of paternity that is filed in this state. The person did any other acts that substantially connect the person with this state (see a lawyer to help you determine this). INFORMATION ABOUT CHILD(REN) FOR WHOM I WANT THE LEGAL DECISION-MAKING AND PARENTING TIME ORDER: Name: Birth Date: Current Address: County of Residence: Name: Birth Date: Current Address: County of Residence: Name: Birth Date: Current Address: County of Residence: Name: Birth Date: Current Address: County of Residence: 4. STATEMENT ABOUT PATERNITY AND CHILD SUPPORT 5. PATERNITY WAS ESTABLISHED BY: (Check one box). (A copy of any Order or document referenced here should be attached if not already in court file.) A Court Order for Paternity from this county or previously transferred to this county stating that _________________________________ is the natural father of the child(ren). (A.R.S. §25-502 (c)). Both parents signing an Acknowledgment of Paternity through the Hospital Program 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. Parties were legally married when child(ren) was (were) born, conceived or adopted.* *Note: If married when child(ren) born, conceived or adopted, and no Decree of Divorce or Separation has been issued, STOP!! Do not use these forms. Request for legal decision-making and visitation (parenting time) must generally be filed as part of a case for Separation or Divorce. 6. INFORMATION ABOUT CHILD SUPPORT FOR CHILDREN: (Check one box). A Child Support Order was entered on (date) _____________________ from (name of court) _____________________, case no. ________________________which states that child support established and does not need to be changed. Page 2 of 4 DO_PCCPTCS_COSCPinal_11.26.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Order that child support shall be paid by Petitioner, _____________________________________ or Respondent, ___________________________________in a reasonable amount as determined by the court under the Arizona Child Support Guidelines as described in the submitted Parent's Worksheet. Support payments shall begin on the first day of the first month following the entry of Legal decision-making / Parenting Time Order. OTHER STATEMENTS TO THE COURT: 7. OTHER EXPENSES: The parties should be ordered to divide between then any uninsured medical, dental, or health expenses, reasonably incurred for the minor child(ren), in proportion to their respective incomes. DOMESTIC VIOLENCE: (check if you are asking for joint legal decision-making; this statement must be true about you) Domestic violence has not occurred between the parties. VENUE: This is the proper court to bring this lawsuit under Arizona law because the petitioner, or the respondent, or the minor child(ren). it is the county of residence of 8. 9. REQUEST I MAKE TO THE COURT IN THIS LAWSUIT: 1. LEGAL DECISION-MAKING OF MINOR CHILDREN: (check and complete A or B). A. SOLE LEGAL DECISION-MAKING: Sole legal decision-making of the minor child(ren) awarded to Mother ____________________________ or Father, ____________________________ and the other parent subject to reasonable parenting time as follows: a. b. Reasonable parenting time rights to the parent not having legal decision-making described in the Parenting Plan submitted. Check and explain ONLY if you want the other parent to have Supervised Parenting time or NO Parenting time: Supervised Parenting Time between the children and Mother or NO Parenting Time between the children and Mother or Father Father OR It is in the best interest of the children, pursuant to A.R.S. Section 25-337 and 25-338, because: (explain here reasons for supervised or no parenting time). Person to supervise: Request restrictions on parenting time: (explain here) The cost of supervised parent/child access shall be paid by: The parent being supervised; The parent having legal decision-making; Shared equally by the parties. B. JOINT LEGAL DECISION-MAKING: Joint Legal Decision-Making. Petitioner and Respondent agree to act as joint custodians of the minor child(ren), as set forth in the Joint Legal Decision-Making Agreement contained in the Parenting Plan, signed and agreed upon by both parties, if the Court adopts the terms of the Agreement. There have been no significant acts of Domestic Violence under A.R.S. 13-3601, by either parent. Page 3 of 4 DO_PCCPTCS_COSCPinal_11.26.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Check Below If You Are Asking For A Child Support Order Or Change Of Child Support In This Case: 2. CHILD SUPPORT Mother Father should pay child support to the other par