Arizona > Local County > Pima > Superior Court > Family Law
Complaint For Paternity With Custody Parenting Time And Child Support - Arizona
| Complaint For Paternity With Custody Parenting Time And Child Support Form. This is a Arizona form and can be used in Family Law Superior Court Pima Local County . |
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Name: ___________________________________ Address: _________________________________ City, State, ZIP: ____________________________ Daytime Telephone No: ______________________ Representing Self, Without a Lawyer ARIZONA SUPERIOR COURT, PIMA COUNTY ______________________________________ Petitioner/Plaintiff and Case No. _________________ ______________________________________ Respondent/Defendant COMPLAINT FOR PATERNITY WITH CUSTODY, PARENTING TIME AND CHILD SUPPORT 1. GENERAL INFORMATION: INFORMATION ABOUT ME, THE PLAINTIFF Name: ______________________________________ Address: _____________________________________________________________________ County of residence: ________________________ Date of Birth: ___________________ Occupation: _______________________________ My relationship to child(ren) for whom I want the paternity order: I am the Mother I am the Father I am a court-appointed guardian for the child(ren) INFORMATION ABOUT THE OTHER PARTY, THE DEFENDANT Name: ______________________________________ Address: _____________________________________________________________________ County of residence: ________________________ Date of Birth: ___________________ Occupation: _______________________________ Defendant's relationship to the child(ren) for whom I want the paternity order: The Defendant is the Mother The Defendant is the Father The Defendant is a court-appointed guardian for the child(ren) The Defendant is __________________________________ 1 paternitycomplaint.form Revised 06.16.11 American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION ABOUT THE CHILD(REN) FOR WHOM I WANT THE PATERNITY ORDER: Name__________________________________ Name ____________________________________ Birthdate_______________________________ Birthdate__________________________________ Current Address:_________________________ Current Address:___________________________ ______________________________________ _________________________________________ County of residence: _____________________ County of residence: ________________________ Father:_________________________________ Father:___________________________________ Mother:________________________________ Mother:___________________________________ Name__________________________________ Birthdate_______________________________ Current Address:_________________________ ______________________________________ County of residence: _____________________ Father:_________________________________ Mother:________________________________ 2. JURISDICTION This Court has jurisdiction under A.R.S. § 25-623 to order the non-custodial party to pay child support because: That person is a resident of Arizona I believe I will personally serve that person in Arizona That person agrees to have the case heard here and will file written court papers in this case That person resided with the child in this state That person resided in this state and provided pre-birth expenses or support for the child The child resides in this state as the result of the acts or directives of that person That person had sexual intercourse in this state and the child may have been conceived by that act of intercourse That person signed a birth certificate that is filed in this state That person did other acts which substantially connect that person with this state This Court has jurisdiction to decide child custody matters under Arizona law, A.R.S. §§ 25-401, 25-801 and/or 25-1001 et seq. Name ____________________________________ Birthdate__________________________________ Current Address:___________________________ _________________________________________ County of residence: ________________________ Father:___________________________________ Mother:___________________________________ 2 paternitycomplaint.form Revised 06.16.11 American LegalNet, Inc. www.FormsWorkFlow.com 3. STATEMENTS ABOUT PATERNITY: WHY YOU THINK PLAINTIFF (Check all boxes which apply) DEFENDANT IS THE FATHER OF THE CHILD(REN): AFFIDAVIT: Plaintiff and Defendant signed an Affidavit of Paternity acknowledging that Plaintiff Defendant is the child(ren)'s natural father. (Attach a copy) BIRTH CERTIFICATE: ___________________________ is named as the natural father on the child(ren)'s birth certificate(s), which have been signed by both parties. (Attach a copy of each) DNA/BLOOD TEST: The parties had DNA (Deoxyribonucleic Acid) Testing administered and ______________________________ is shown to be the minor child(ren)'s natural father. (Attach a copy of the test results) PARTIES LIVING TOGETHER: Plaintiff and Defendant were not married to each other at any time during the ten months before birth of the child(ren). However, the parties lived together during the period(s) when the child(ren) could have been conceived. SEXUAL INTERCOURSE: Plaintiff and Defendant were not living together but had sexual intercourse at the probable date of conception of the child(ren). The mother of the children did not have sexual intercourse with anyone else during the period in which the child(ren) could have been conceived. OTHER (explain): ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ 4. ABOUT MARRIAGE AND HUSBAND (if applicable) -- check one box. Mother was not married at the time the child(ren) were born or conceived or at least 10 months before child(ren) were born or conceived, OR Mother was married when child(ren) were born or conceived or at least 10 months before child(ren) were born or conceived, but husband is not father of child(ren). Husband is a party to this court case because of marriage. 5. OTHER STATEMENTS MADE TO THE COURT: MEDICAL EXPENSES: THERE ARE THERE ARE NOT unreimbursed medical expenses incurred by the mother, resulting from the birth of the minor child(ren) . If there are, these costs and expenses should be awarded against PLAINTIFF DEFENDANT according to law, A.R.S. §25-809. 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. DOMESTIC VIOLENCE: (if you are asking for joint custody, this statement must be true) Domestic violence has not occurred between the parties. VENUE: This is the proper court to bring this lawsuit under Arizona law because it is the cou
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