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Dependency Petition JVD11f - Arizona

Dependency Petition Form. This is a Arizona form and can be used in Juvenile Superior Court Maricopa Local County .
 Fillable pdf Last Modified 5/13/2010
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SELF SERVICE CENTER INSTRUCTIONS: HOW TO FILL OUT THE DEPENDENCY PETITION AND OTHER COURT PAPERS Use these instructions to fill out the Family Court Cover Sheet, Dependency Petition, and the Notice of Initial Dependency Hearing. FAMILY COURT COVERSHEET: Print or type in black ink. Case Type: Check only one box that matches the legal procedure for which you are filing the documents in this packet. Information About the Petitioner: Write in your name, address, home telephone number, work telephone number, cell phone/pager number, title at work if applicable, e-mail address, and the Petitioners relationship to the child or children involved in this case. If a lawyer represents the Petitioner, you must also write in the lawyers name and bar number. Information About the Minor Children Involved in this Case: List the names, dates of birth, and social security numbers for any minor children involved in this specific case. Information About the Mother of the Child(ren) Involved in this Case: Write in the mothers name, address, home telephone number, work telephone number, cell phone/pager number, date of birth, social security number, and e-mail address in the space provided. Information About the Father of the Child(ren) Involved in this Case: Write in the fathers name, address, home telephone number, work telephone number, cell phone/pager number, date of birth, social security number, and e-mail address in the space provided. Also write i n the name(s) of the child(ren) involved in this case who are connected with this father. If there is m ore than one father involved in this case, go to page three (3) of this Family Court Cover Sheet and list t hem in the space provided. Please make sure you show which children are connected to each father. Other Minor Children: If there are any other children who are brothers or sisters of the child ren listed earlier, please list their names, dates of birth, and social security numbers on the lines provided. Other Adults: If there are any adults over the age of 18 who live in the same home as any children listed on this Family Court Cover Sheet, please list their names, dates of birth, and social security numbers on the lines provided. Other court cases: Check the appropriate box to tell this Court if either you or your spous e have been involved in any other cases, except a minor traffic offense, in any other court. If you check the Yes box, please describe the case, including case numbers and court location. Domestic Violence Section: Answer the questions listed regarding domestic violence. This informat ion will help court staff determine if this issue is relevant to this case. Childrens Issues Section: Answer the questions regarding the children you listed on the Family Cou rt Cover Sheet. This information will help court staff determine if these issues are relevant to this case, and/or whether a case exists in this Court already regarding any child you listed. Superior Court of Maricopa County - Juvenile Division JVD11i August 10, 2004 Use current form ALL RIGHTS RESERVED 1 of 3 <<<<<<<<<********>>>>>>>>>>>>> 2Tribal Information: If any of the parents listed on this Family Court Cover Sheet are Nativ e American, please check the Yes box and list which tribe the person belongs to and a contact name and phone number. Location: If you are filing your documents in Mesa, check the Mesa box. If you are filing your documents in Phoenix, check the Durango box. DEPENDENCY PETITION: Case Caption: If you are the person filing the Dependency Petition, write in your name , your address, your city, state, zip code, and telephone number. If an attorn ey represents you, write in your attorneys bar number. Then, write in the name of each child under the age of 18 that you belie ve is dependent and is the reason you are filing the Dependency Petition. Leave the Case Number blank. The Clerk of the Court will stamp in the case number when you file the documents with the Court. Paragraph 1: INFORMATION ABOUT ME: Write in your name, your address, your telephone number (include your work, home and message telephone number if you hav e one). Then, write in your relationship to the child(ren). If you do not believe you are a fit and proper person to care for the child(ren), you should see a lawyer for help. Paragraph 2: Write in the name of each child that INFORMATION ABOUT THE CHILD(REN): you want to include in the Dependency Petition, his or her birth date, s ex and address. The names should be the same as the child(ren)s name in the Case Caption. Paragraph 3: INFORMATION ABOUT THE PARENTS OR CURRENT LEGAL GUARDIANS OF THE CHILD(REN): Write in the name of the child(ren)s parents or current legal guardians, write in the relationship to each child, and the addres s of the parent or guardian. Paragraph 4: CHILDS CURRENT LIVING ARRANGEMENT. Write in the name of the person the child is currently living with, the relationship to the child, and t he address of the person. Write in how long the child(ren) has/have been living the re. Then, check the box yes or no as to whether the child(ren) is living in the State of Arizona, Maricopa County. If you checked the no box, you should see a lawyer for help before filing the Dependency Petition. Paragraph 5: CHILD IS DEPENDENT. You must tell the court why you are filing the Dependency Petition. It is important to give the Court specific, factual and recent information. You must show that the actions or inactions of both the mother and father have a harmful effect on the child(ren). Give a brief history of the child(ren)s life and your involvement with the child(ren). Give professional opinions, if possible. Include drug and alcohol use if relevant. If the child(ren) have different fathers, you must show that each child is dependent as to his or her own father. If the father is unknown, you must state that. Paragraph 6: PERSONS WITH KNOWLEDGE ABOUT THE ALLEGATIONS. Write in the name, address, telephone, and relationship of any individuals who have information about this matter. Superior Court of Maricopa County - Juvenile Division JVD11i August 10, 2004 Use current form ALL RIGHTS RESERVED 2 of 3 <<<<<<<<<********>>>>>>>>>>>>> 3Paragraph 7: DOCUMENTS. Attach copies of any documents that support your statement and list the documents in the space provided. Examples of documents include : criminal records, police reports, drug tests, medical records, teachers reports, and affidavits. RELIEF REQUESTED: This tel
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