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Form 17. Good Faith Consultation Certificate

Arizona Revised Statutes AnnotatedRules of Family Law ProcedureEffective: January 1, 2021

Arizona Revised Statutes Annotated
Rules of Family Law Procedure (Refs & Annos)
Forms
Effective: January 1, 2021
17B A.R.S. Rules Fam.Law Proc., Form 17
Form 17. Good Faith Consultation Certificate
Name:
 
Mailing Address (unless protected):
 
City, State, Zip Code:
 
Daytime Phone Number:
 
Evening Phone Number:
 
Email Address:
 
Representing:
[ ] Self
[ ] Petitioner
[ ] Respondent
State Bar Number:
 
ARIZONA SUPERIOR COURT, COUNTY OF _________________________
 
Case No.
 
Petitioner
GOOD FAITH CONSULTATION CERTIFICATE
 
Respondent
Name of Judge/Commissioner
 
Pursuant to Rule 9(c) of the Arizona Rules of Family Law Procedure, the ___ Petitioner OR ___ Respondent submits this Good Faith Consultation Certificate and states either:
(a) [ ]
A good-faith attempt to resolve the issue was made with the opposing party, or counsel if represented, and the consultation or attempted consultation was made in person or by telephone and not merely by letter or email.
OR
(b) [ ]
There is a current court order prohibiting contact between the parties and neither party is represented by counsel, or a history of domestic violence between self-represented parties, so the parties are not required to personally meet or contact each other.
VERIFICATION
Under penalty of perjury, I state to the Court that the contents of this document are true and correct.
 
 
Date
Signature of Person Filing Document
CERTIFICATE OF SERVICE
[ ]
I filed the original of the attached document with the Clerk of the Superior Court in the county listed above on ____________________.
Month
Date
Year
[ ]
I mailed or delivered a copy of the attached document to the judicial officer (judge or commissioner) assigned to this case on ____________________.
Month
Date
Year
[ ]
I mailed or delivered a copy of the attached document to the Office of the Attorney General for the State of Arizona (if applicable) on ____________________.
Month
Date
Year
[ ]
I mailed or delivered a copy of the attached document to the opposing party or the opposing party's attorney, if represented by counsel, on ____________________.
Month
Date
Year
 
 
Name of Opposing Party
Name of Opposing Party's Attorney
 
 
Address of Opposing Party
Address of Opposing Party's Attorney
 
 
City, State, Zip Code
City, State, Zip Code
 
 
Date
Signature

Credits

Added Aug. 26, 2020, effective Jan. 1, 2021.
17B A. R. S. Rules Fam. Law Proc., Form 17, AZ ST RFLP Form 17
State Court Rules are current with amendments received and effective through 4/1/22. The Code of Judicial Administration is current with amendments received through 4/1/22.
End of Document