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Family Court Sensitive Data Coversheet With Children Confidential Record DRSDS10f - Arizona

Family Court Sensitive Data Coversheet With Children Confidential Record Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County .
 Fillable pdf Last Modified 1/8/2014
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Name: Representing: Self Petitioner Respondent (If Attorney) State Bar Number: SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY FOR CLERK'S USE ONLY 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 court forms. Access Confidential pursuant to ARFLP 43(G)(1). A. Personal Information: Name Gender Date of Birth (Month/Day/Year) Social Security Number Petitioner Male or Female Respondent Male or Female 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 Name 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 Dissolution (Divorce) Paternity *Legal Decision Maker Legal Separation (Custody)/Visitation Annulment *Child Support Order of Protection Other Interpreter Needed: Yes No If yes, what language? DO NOT COPY OR FILE THIS DOCUMENT. DO NOT SERVE THIS DOCUMENT TO THE OTHER PARTY. © Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED SDS DRSDS10f-C-041513 Page 1 of 1 American LegalNet, Inc.
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