Home Table of Contents

Form 1. Notice of Limited Scope Representation

Arizona Revised Statutes AnnotatedRules of Family Law ProcedureEffective: September 1, 2019

Arizona Revised Statutes Annotated
Rules of Family Law Procedure (Refs & Annos)
Forms
Effective: September 1, 2019
17B A.R.S. Rules Fam.Law Proc., Form 1
Form 1. Notice of Limited Scope Representation
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 __________
Case No.
 
 
Petitioner
ATLAS No.
 
 
NOTICE OF LIMITED SCOPE
Respondent
REPRESENTATION
The undersigned attorney enters a Notice of Limited Appearance for [ ] Petitioner [ ] Respondent __________, pursuant to Rule 9(e).
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 29 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; legal decision-making or parenting time enforcement or modification; or other)
 
[ ]
Enforcement of Decree or Order (specify, as follows):
[ ]
Child support
 
[ ]
Legal decision-making & parenting time
 
 
 
[ ]
Spousal maintenance
 
[ ]
Property/debt issues
 
[ ]
Other:
 
 
 
[ ]
Modification of Decree or Order (specify as follows):
[ ]
Child support
 
[ ]
Legal decision-making and/or parenting time
 
 
 
[ ]
Spousal maintenance
 
[ ]
Other:
 
 
 
[ ]
Emergency Petition (Post-Decree)
 
 
 
[ ]
Qualified Domestic Relations Order
 
 
 
[ ]
Filing of Foreign Decree
 
 
[ ]
Warrant to take Physical Custody
 
 
 
[ ]
Legal decision-making or Visitation 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 service of process on counsel shall be valid, to the extent permitted by statute and Rule 43(b) and (c), in all matters in the case but shall not extend the counsel's responsibility for representation of 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.
4.
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 9(e)(4).
5.
This accurately sets forth the terms of the written agreement between counsel and the party for limited scope legal representation.
_________________________
 
Date
Attorney
I have read and approve of this notice.
_________________________
 
Date
Client
ORIGINAL of the foregoing filed with the Clerk of the Superior Court;
COPIES of the foregoing mailed/delivered this ___ day of __________, __________, to:
The Honorable
 
By:
 
 
 
 
 
 
Attorney for
 

Credits

Added Oct. 19, 2005, effective Jan. 1, 2006. Amended Sept. 5, 2007, effective Jan. 1, 2008. Amended on an emergency basis Aug. 30, 2012, effective Jan. 1, 2013, amendment adopted on a permanent basis Dec. 10, 2012. Amended Sept. 2, 2016, effective Jan. 1, 2017; Sept. 28, 2018, effective Jan. 1, 2019.
17B A. R. S. Rules Fam. Law Proc., Form 1, AZ ST RFLP Form 1
Current with amendments received through 08/15/2020.
End of Document© 2020 Thomson Reuters. No claim to original U.S. Government Works.