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Form 6. Notice of Action

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 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
Current with amendments received through 08/15/19
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