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Request For Post-Decree Mediation DRADM91f - Arizona

Request For Post-Decree Mediation Form. This is a Arizona form and can be used in Family Law Superior Court Maricopa Local County .
 Fillable pdf Last Modified 4/27/2012
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(1)Person Filing: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: In this case I am: Petitioner or Attorney Name: Attorney Phone: Atlas Number: Respondent Represented by Attorney Bar No: Atty. Email: FOR CLERK'S USE ONLY SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY (2) Name of Petitioner Case Number: (3) (2) Name of Respondent REQUEST FOR POST-DECREE MEDIATION A controversy exists between the petitioner and respondent regarding issues of custody and/or parenting time. I am requesting mediation of the issues, based on the following: (4) Check one box only. We are divorced or legally separated from each other. OR An Order of Paternity has been entered by the court. OR OTHER (Describe): If your Decree or Parenting Plan requires you to participate in mediation before filing papers with the Court attach a copy of the Decree or Parenting Plan. (5) Describe the disagreement. Be brief and specific. (The disagreement must involve custody and/or parenting time of your minor children): (6) Check one box only. We have not participated in mediation OR We have participated in mediation in the past. When: Where: When: Where: Information about the other party: Name: Address: City, State, Zip Telephone #'s Attorney (if known) (8) Signature of Person Submitting Request (7) Date: (8) Signature of Attorney (if applicable) ©Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED DRADM91f-121911 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com PTT
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