Fill and Sign the Arizona Acceptance Service Form

Name: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: Representing: Self or Attorney for Petitioner Respondent (If Attorney) State Bar No.: SUPERIOR COURT OF ARIZONA IN       COUNTY Case No : Name of Petitioner/Plaintiff FAMILY COURT Name of Respondent/Defendant ACCEPTANCE OF SERVICE A.R.F.L.P. Rule 40 Check the box to indicate each document you received. Do not check the box unless you received the document listed beside it. If your case is not one of the types listed, list the type of case and the documents you received from the other party under “Other Type Case” on the next page. 1. BY SIGNING THIS DOCUMENT, I STATE UNDER OATH OR AFFIRMATION THAT I HAVE RECEIVED AND ACCEPTED THE LEGAL PAPERS INDICATED (CHECKED) BELOW: DIVORCE (OR ANNULMENT) WITH CHILDREN Petition Summons Preliminary Injunction Health Insurance Notice Parent Info. Program Notice Notice to Creditors Affidavit Regarding Minor Children Sensitive Data Sheet DIVORCE (OR ANNULMENT) WITHOUT CHILDREN Petition Summons Preliminary Injunction Health Insurance Notice Notice to Creditors Sensitive Data Sheet PATERNITY (to establish) Petition Summons Parent Info. Program Notice Sensitive Data Sheet Temporary Orders Motion for Temporary Order Order to Appear Family Court Dept. Notices about: Returns/Conferences Temporary Orders Affidavit of Financial Info. (if for spousal maintenance) Parents Worksheet for Child Support (if for child support) Parenting Plan (if for custody/parenting time) Sensitive Data SheetLEGAL SEPARATION WITH CHILDREN Petition Summons Preliminary Injunction Notice to Creditors Health Insurance Notice Parent Info. Program Notice Affidavit Regarding Minor Children Sensitive Data Sheet LEGAL SEPARATION WITHOUT CHILDREN Petition Summons Preliminary Injunction Notice to Creditors Sensitive Data Sheet CHILD CUSTODY, PARENTING TIME, SUPPORT (to establish when paternity already legally established) Petition Summons Parents Worksheet for Child Support Parenting Plan Affidavit Regarding Minor Children Parent Info. Program Notice Sensitive Data Sheet CHILD SUPPORT (to establish when paternity already legally established) Petition Summons Parents Worksheet for Child Support Sensitive Data Sheet © Superior Court of Arizona For Clerk’s Use Only Case No. MODIFY CHILD SUPPORT 15% OR MORE (“Simplified Mod”) Petition to Modify Parents Worksheet for Child Support Order to Appear Blank Request for Hearing MODIFY SPOUSAL MAINTENANCE OR SPOUSAL AND CHILD SUPPORT (“Standard Mod”) Petition to Modify Support Order Parents Worksheet for Child Support Order to Appear Affidavit of Financial Information MODIFY CHILD SUPPORT (“Standard Mod”) Petition to Modify Child Support – Std. Process Parents Worksheet for Child Support Order to Appear MODIFY CUSTODY &/OR PARENTING TIME (Visitation) AND SUPPORT Petition to Modify Notice of Filing for Modification of Custody Affidavit Regarding Minor Children (if children not lived in County whole time since last custody order) STOP ORDER OF ASSIGNMENT Petition to Stop Order of Assignment Blank Request for Hearing MODIFY (Change) ORDER OF ASSIGNMENT Petition to Modify Order of Assignment Blank Request for Hearing OTHER TYPE CASE (List Type): (List Documents Below) 2. ACCEPT AND WAIVE FORMAL SERVICE. I waive formal service of process by a process server or sheriff. I understand accepting these papers is the same as if I were personally served under Arizona Law [A.R.F.L.P. Rule 40 (F)] 3. RESPONSE DEADLINE. I am aware that accepting service of these court papers and signing this paper does not affect my right or obligation to file a written Response or Answer to this action if I do not agree with any relief asked for in the Petition. I understand I must Respond or Answer within 20 days from the day I signed the original of this Acceptance of Service if I accepted service in Arizona, or 30 days if I received the papers somewhere other than in Arizona. 4. DEFAULT JUDGMENT, ORDER OR DECREE. I understand that if I do not appear and defend in this action in court, within the time allowed by law, that I may lose my right to be heard in this case. I understand that failure to Respond or Answer could result in the court giving the other party any and all things requested in his or her legal papers, through a Default Judgment, Order or Decree. 5. RESTORE NAME ( ONLY in Divorce Cases) . My complete married name is: (Optional. Complete ONLY if you want to change your name) I want my legal name restored to: (List complete maiden name or legal name before this marriage) © Superior Court of Arizona Case No. OATH OR AFFIRMATION The contents of this document are true and correct to the best of my knowledge and belief. (Date) Signature of Person Receiving Documents Signed and Sworn to or Affirmed before me this date: (Date) (Seal/My Commission Expires) Deputy Clerk or Notary Public © Superior Court of Arizona