Arizona > Local County > Maricopa > Superior Court > Family Law
Petition For Grandparent Visitation DRGV11f - Arizona
| Petition For Grandparent Visitation Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County . |
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Name(s) of Person(s) Filing: Address: City, State, ZIP: Daytime/Evening Telephone: / I am / We are parents or grandparents of the Petitioner or Respondent Atlas No. (If applicable): Representing Self (without attorney) Represented by Attorney (If Applicable) Attorney Name: Attorney Bar No. SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case No. PETITION FOR GRANDPARENT VISITATION In the Matter of: Petitioner in Original Case between Parents Name of Grandparent Requesting Visitation Respondent in Original Case between Parents ( If Applicable) Name of Other Grandparent Requesting Visitation General Information: ATLA (if applicable)S No. 1. Information about me (or us), the Grandparent(s): Name(s): Address: County of residence: Date(s) of Birth: Soc. Sec. No(s).: Occupation(s): My / Our relationship to child(ren) for whom I want the VISITATION ord er: Parent of Mother of child(ren) Grandparent of Mother of child(ren) Parent of Father of child(ren) Grandparent of Father of child(ren) Other: (explain): 2. Information about the mother of child(ren) Name: Address: County of residence: Date of Birth: Soc. Sec. No. Occupation: 3. Information about the father of child(ren) Superior Court of Arizona in Maricopa County DRGV11f October 14, 2004 Use only most current version ALL RIGHTS RESERVED Page 1 of 5 PTT <<<<<<<<<********>>>>>>>>>>>>> 2 Name: Address: County of residence: Date of Birth: Soc. Sec. No.: Occupation: 4. Information about other legal guardians of child(ren), if any: Name: Address: County of residence: Date of Birth: Soc. Sec. No.: Occupation: 5. Information about children for whom I / We want the visitation order: Name: Name: Social Security No.: Social Security No.: Birthdate: Birthdate: Current Address: Current Address: County of residence: County of residence: Father: Father: Mother: Mother: Name: Name: Social Security No.: Social Security No.: Birthdate: Birthdate: Current Address: Current Address: County of residence: County of residence: Father: Father: Mother: Mother: 6. Legal Reason why I/We should have visitation order : (check whichever applies) A. Parents of child(ren) have been divorced for at least 3 months: Date of Divorce: Court case number: Name of court: Court Location/address: B. Mother OR Father of child(ren) has been dead for at least 3 months: Date of Death: C. Mother OR Father of child(ren) has been missing for at least 3 months: Date parent discovered to be missing: Date reported to Law enforcement agency: Name, location of agency: D. Child(ren) born out of wedlock: Superior Court of Arizona in Maricopa County DRGV11f October 14, 2004 Use only most current version ALL RIGHTS RESERVED Page 2 of 5 PTT <<<<<<<<<********>>>>>>>>>>>>> 3 E. If you are asking for visitation rights as PATERNAL grandparent(s), th at is, you are the parent(s) or grandparent(s) of the father of the children, complete the informat ion below: PATERNITY WAS ESTABLISHED BY: (check one box) A Court Order for Paternity from this county or previously transferred to this county. (A.R.S. 25- 502(c)) Filing an Acknowledgment of Paternity through the Hospital Paternity Pr ogram or other means allowed by law on or after July 21, 1996 (A.R.S. 25-812-814, or 36-33 4). Child Support Order: An Order for Child Support has been issued which names my/our son/grandson as the father. (Supply information about the Order as requested b elow.) Marriage: Parties were legally married when child(ren) was (were) born, conceived or adopted. (Note: A copy of any documents mentioned above should already b e in the case file or attached.) 7. Statements about your relationship with the child(ren) for the last 6 months, and why you think it is best for the child(ren) that you have visitation with them: 8. Your plan for visitation for the good of the child(ren): (be specific ) TRANSPORTATION will be provided by (name): as follows: (explain) During WEEKENDS: (explain specifically) During the SUMMER MONTHS OR SCHOOL BREAKS: (explain specifically) FOR HOLIDAYS AND BIRTHDAYS: (explain specifically) FOR TELEPHONE CALLS: (explain specifically) OTHER: (explain specifically) Other information about the child(ren): 9. Where the child(ren) who is/are under 18 years of age have lived for the last 5 years. (Attach extra pages if necessary.) Superior Court of Arizona in Maricopa County DRGV11f October 14, 2004 Use only most current version ALL RIGHTS RESERVED Page 3 of 5 PTT <<<<<<<<<********>>>>>>>>>>>>> 4 Childs Name Dates: From To Lived with Relationship to child Street address City, State Childs Name Dates: From To Lived with Relationship to child Street address City, State Childs Name Dates: From To Lived with Relationship to child Street address City, State 10. Court cases NOT involving custody or visitation related to the child(ren) under 18 years old. (check one box) I HAVE I HAVE NOT been a party or a witness in court in this state or in any other state regarding issues OTHER THAN custody or visitation of any of the child(ren) named above (If so, explain below, using extra pages if necessary. IF NOT, G O ON.) Name of each child: Court state Court location Court case number Current status How the child is involved: Summary of any Court Order: 11. Custody or visitation cases related to child(ren) under 18 years old. (check one box) I DO HAVE I DO NOT HAVE information about a custody or visitation court case relating to any of the children named above that is pending in this state or in any other s tate (If so, explain below, using extra pages if necessary. IF NOT, GO ON). Name of each child: Court state Court location Court case number Current status Nature of the court proceeding: Summary of Court order: 12. Custody or visitation claims of any person. (check one box) I DO KNOW I DO NOT Superior Court of Arizona in Maricopa County DRGV11f October 14, 2004 Use only most current version ALL RIGHTS RESERVED Page 4 of 5 PTT <<<<<<<<<********>>>>>>>>>>>>> 5 KNOW a person other than the Petitioner or the Respondent who has physical custody or who claims custody or visitation rights to any of the 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: Address of person with the claim: Nature of the claim: Other Statements to the Court: 13. VENUE: This is the proper court to bring this lawsuit under Arizona law beca use it is the county of residence of the petitioner, or the respondent, or the child(ren). REQUEST
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