Form 6. Notice of Action
Arizona Revised Statutes AnnotatedRules of Procedure for Judicial Review of Administrative Decisions
17C A.R.S. J. Review Admin. Dec., Form 6
Form 6. Notice of Action
A.R.S. § 12-904(B), JRAD Rule 4(f) | |
Distribution: |
Clerk of Superior Court--Original | ||
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) |
OFFICE OF ADMINISTRATIVE HEARINGS OR
NAME OF AGENCY
) | |||
Appellant, | ) | Case No. __________ | |
) |
vs. | ) | NOTICE OF ACTION |
) | (COMMENCEMENT OF THE APPEAL) | ||
) | |||
Appellee. | ) |
) |
[Appellant] gives notice pursuant to A.R.S. § 12-904(B) that Appellant has filed an action pursuant to the Judicial Review of Administrative Decisions Act, A.R.S. §§ 12-901 to--914 to appeal the decision of [name of agency] dated [date entered].
DATED this ___ day of __________, 20 ___
Signature of Attorney or Self-Represented Party
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 6, AZ ST J REVIEW ADMIN DEC Form 6
State Court Rules are current with amendments received and effective through March 15, 2023. The Code of Judicial Administration is current with amendments received through March 15, 2023.
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