Free Notice of Limited Scope Representation Form - Arizona

Name: Mailing Address: City, State, Zip Code: Daytime Phone Number: Evening Phone Number: Representing: [ ] Self [ ] Petitioner [ ] Respondent State Bar Number: ARIZONA SUPERIOR COURT, COUNTY OF PINAL Case No. DO Petitioner/Plaintiff ATLAS No. NOTICE OF LIMITED SCOPE REPRESENTATION

Respondent/Defendant

COMES NOW the undersigned attorney and enters a Notice of Limited Appearance for [ ] Petitioner [ ] Respondent , pursuant to ARFLP 27. 1. Counsel's appearance in this matter shall be limited in scope to the following matter(s): (Select all that are applicable, and provide detailed description of services, including any scheduled appearances, as needed.) [ ] Protective Orders [ ] Order of Protection [ ] Injunction Against Harassment [ ] Injunction Against Workplace Harassment Voluntary acknowledgment of paternity Establishment of Child Support (IV-D) Rule 38(b) motion (specify) U.C.C.J.E.A. Hearing

[ ] [ ] [ ] [ ]

[ ]

Temporary Orders (Pre-Decree) (specify any limitations)

[ ] [ [ [ [ [ [ ] ] ] ] ] ]

Accelerated or Expedited Petition (Pre-Decree) Resolution Management Conference Arbitration Mediation Other ADR Process (specify) Settlement Conference Expedited Services Conference (specify type, e.g. child support establishment, enforcement, or modifications; custody or parenting time enforcement or modification; or other)
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Case No. _________________________ [ ] Enforcement of Decree or Order (specify, as follows): [ ] Child support [ ] Custody & parenting time

[ ] Spousal maintenance [ ] Property/debt issues [ ] Other:

[ ]

Modification of Decree or Order (specify as follows): [ ] Child support [ ] Custody & parenting time

[ ] Spousal maintenance [ ] Other:

[ ]

Emergency Petition (Post-Decree)

[ ]

Qualified Domestic Relations Order

[ ] [ ]

Filing of Foreign Decree Warrant to take Physical Custody

[ ]

Child Custody or Parenting Time by a Non-parent

[ ] [ ] [ ]

Other motion and hearing thereon, specifically: Attend Deposition(s) of (names) Conduct the following discovery:

[ ]

Other:

2. Counsel named above is attorney of record and available for service of process in accordance with Rule 27, ARFLP. Service on counsel shall be valid, to the extent permitted by statute and Rule 43(C), in all matters in the case but shall not extend the counsel's responsibility for representation of
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Case No. _________________________ the client beyond the specific matter for which the attorney has appeared. For service directly upon the party, the party's name, address and phone number are listed below. Name: Address: City, State Zip Code: Telephone: 3. The opposing party, or his/her counsel [ ] may [ ] may not directly contact the party represented by the undersigned attorney regarding matters outside the scope of this limited representation without first consulting the undersigned attorney. Counsel's representation of client will terminate at the conclusion of the hearing noted above, if shown, or at the conclusion of the matter noted above, upon the filing of a Notice of Withdrawal of Attorney, pursuant to Rule 27, ARFLP. This accurately sets forth the terms of the written agreement between counsel and the party for limited scope legal representation.

4.

5.

Date I have read and approve of this notice.

Attorney

Date

Client

ORIGINAL of the foregoing filed with the Clerk of the Superior Court; , COPIES of the foregoing mailed/delivered this day of The Honorable By:

, to:

Attorney for

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