Form 7. Certification of Record on Appeal
Arizona Revised Statutes AnnotatedRules of Procedure for Judicial Review of Administrative Decisions
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:
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
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 |