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 September 15, 2023. The Code of Judicial Administration is current with amendments received through September 15, 2023.
End of Document |