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Form 7. Certification of Record on Appeal

Arizona Revised Statutes AnnotatedRules of Procedure for Judicial Review of Administrative Decisions

Arizona Revised Statutes Annotated
Rules of Procedure for Judicial Review of Administrative Decisions (Refs & Annos)
17C A.R.S. J. Review Admin. Dec., Form 7
Form 7. Certification of Record on Appeal
A.R.S. § 12-904(B)
Distribution:
Clerk of Superior Court--Original
Judge--1
Administrative Agency--1
Each party--1
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,
)
Case No. __________
)
vs.
)
CERTIFICATION OF
 
)
RECORD ON APPEAL
)
Appellee.
)
)
I am the agency head [name of agency] or duly authorized representative, and I certify that:
1. Attached to this Certification is an index of all materials contained in the record on appeal.
2. The materials included in the record on appeal are originals or accurate copies.
The information provided in this Certification is true and complete.
DATED this __________ day of ______________________________, 20_____
 
 
Signature of Agency Head or Duly-Authorized Representative
Copy of the foregoing [mailed/delivered]
this _____ day of __________, 20 ___, to:
[Attorney or Party Name]
by: ______________________________

Credits

Added Aug. 31, 2017, effective Jan. 1, 2018.
17C A. R. S. J. Review Admin. Dec., Form 7, AZ ST J REVIEW ADMIN DEC Form 7
Current with amendments received through 11/1/19
End of Document© 2019 Thomson Reuters. No claim to original U.S. Government Works.