Request Order Granting Denying Legal Decision Making Hearing

(A) Name: Mailing Address: Daytime Telephone: ATLAS#: Representing Self, Without a Lawyer IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY Regarding the Matter of: (C) DO (B) Petitioner and (B) Respondent REQUEST FOR ORDER GRANTING OR DENYING CHILD CUSTODY HEARING IMPORTANT! DO NOT USE THIS FORM UNLESS YOU ARE REQUESTING A MODIFICATION OF CHILD CUSTODY OR THE PETITION TO RELOCATE OR PREVENT RELOCATION OF MINOR CHILD(REN) ALSO REQUESTS A CHANGE OF LEGAL CUSTODY. Pursuant to Rule 91(D)(5), Arizona Rules of Family Law Procedure, a [ ] Petition for Modification of Child Custody OR [ ] Petition to Relocate Minor Child(ren) involving a custody change OR [ ] Petition to Prevent Relocation of Minor Child(ren) involving a custody change was filed. Twenty (20) days have passed since the Petition and Notice were served. Proof of service was filed with the Clerk of the Superior Court. A Response [ ] was OR [ ] was not filed. It is requested that the Court issue its Order Granting or Denying a Custody Hearing. I declare under penalty of perjury that the forgoing is true and correct to the best of my belief, information and knowledge. Date Petitioner/Respondent Copy [ ] mailed Name Address Fax by [ ] hand-delivered [ ] faxed to the opposing party or counsel if represented on date Superior Court of Arizona in Yavapai County Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com