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 through April 1, 2024. The Code of Judicial Administration is current with amendments received through April 1, 2024.
End of Document |