Form 1. Notice of Appeal of Administrative Decision
Arizona Revised Statutes AnnotatedRules of Procedure for Judicial Review of Administrative Decisions
17C A.R.S. J. Review Admin. Dec., Form 1
Form 1. Notice of Appeal of Administrative Decision
A.R.S. §§ 12-901(2), 12-904, 12-906, 12-909(A), | |
12-914, JRAD Rule 4 | |
Distribution: |
Clerk of Superior Court--Original | ||
Each Appellee--1 (served as provided | ||
in Rule 4, Ariz. R. Civ. P.) |
Time to File: Within 35 days from the date when a | |
copy of the final administrative decision, as defined | |
in A.R.S. § 12-901(2), sought to be reviewed is | |
served upon the party affected. |
Attorney or Party Name | |
State Bar No. (if any) | |
Law Firm Name (if any) | |
Complete Mailing Address | |
Telephone Number | |
Email Address | |
Attorney for __________ (party name) |
SUPERIOR COURT OF ARIZONA
____________________ COUNTY
) | |||
Appellant(s), | ) | Case No. __________ | |
) |
vs. | ) | NOTICE OF APPEAL FOR |
) | JUDICIAL REVIEW OF | ||
) | ADMINISTRATIVE DECISION | ||
Appellee(s). | ) | (Administrative Review) |
) |
Pursuant to A.R.S. § 12-904, [name of Appellant(s)] appeals from the final administrative decision [name of final decision] issued by [name of agency] on [date] in cause no. __________ [agency docket number or case number].
Pursuant to JRAD Rule 4, the following items are included in this Notice of Appeal:
5. The issues presented for review are as follows:
.
[Appellant requests an award of attorney's fees incurred pursuant to (specify substantive authority that authorizes the fee award).]
DATED this day of ______________________________, 20 _____
Signature of Attorney or
Self-Represented Party
The following parties appeared before the agency:
Credits
Added Aug. 31, 2017, effective Jan. 1, 2018.
17C A. R. S. J. Review Admin. Dec., Form 1, AZ ST J REVIEW ADMIN DEC Form 1
State Court Rules are current with amendments received through April 1, 2024. The Code of Judicial Administration is current with amendments received through April 1, 2024.
End of Document |