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 and effective through September 15, 2023. The Code of Judicial Administration is current with amendments received through September 15, 2023.
End of Document |