Parties & Case Info

a. General Information

Fill in your Maricopa County Superior Court case number Write the case number printed on your court papers. This is how the court tracks your case. Information about the Petitioner/Party A Enter the name and contact details for Petitioner/Party A. If you started the original case, this is your information. Information about the Respondent/Party B Enter the name and contact details for Respondent/Party B. This is usually the other parent in the case. Information about other court cases to change this court order involving the Petitioner/Party A and the Respondent/Party B. Check each box if true Check this if there are other court cases about changing or enforcing this support order. complete the information about the case(s) Give the details of any other cases, such as the case number and court. This shows the judge what else is happening. Department of Economic Security - yes Check this if you or the other party get services from the Child Support Enforcement Administration. Department of Economic Security - no Check this if neither party gets services from the Child Support Enforcement Administration. Department of Economic Security - unknown Check this if you are not sure whether anyone gets Child Support Enforcement services. Person Filing: (A) Write the full name of the person turning in this form. This is usually you. Address (if not protected): Enter your street address where you get mail. Leave blank if your address is protected for safety. City, State, Zip Code: Write the city, state, and ZIP code that go with your address. Telephone: Enter a phone number where the court can reach you. Email Address: Enter your email address so the court can contact you. ATLAS Number: Write your ATLAS number if you have one. This is a case tracking number for child support. Leave blank if you don't have one. Lawyer's Bar Number: If a lawyer is helping you, write their State Bar number here. Leave blank if you do not have a lawyer. Self, without a Lawyer Check this box if you are handling your own case without a lawyer. Attorney for Check this box if you are a lawyer filing for one of the parties. Petitioner Check this box if you (or the lawyer) represent the Petitioner, who is Party A. Respondent Check this box if you (or the lawyer) represent the Respondent, who is Party B. Name of Petitioner / Party A Write the full name of the Petitioner, also called Party A. This is the person starting this request. Name of Respondent / Party B Write the full name of the Respondent, also called Party B. This is the other person in the case. Case No. Write your case number. You can find it on earlier court papers for this case. ATLAS No. Write the ATLAS number for this case if there is one. Leave blank if you don't have it. Name: Write the full name of Party A, the Petitioner. Address: Enter Party A's street address. City, State, Zip Code: Write the city, state, and ZIP code for Party A's address. County of Residence: Write the county where Party A lives.

b. Children's Basic Information

Date of Birth: Enter Party A's birth date. Job Title: Write Party A's job title or the kind of work they do. Name: Write the full name of Party B, the Respondent. Address: Enter Party B's street address. City, State, Zip Code: Write the city, state, and ZIP code for Party B's address. County of Residence: Write the county where Party B lives. Date of Birth: Enter Party B's birth date. Job Title: Write Party B's job title or the kind of work they do. Case No. Write the case number from your court papers. It is at the top of the form. Case No. Write the case number printed on your court papers. This helps the court match your form to the right case. Person Filing: Type your full name as the person turning in this form. Address (if not protected): Write your street address where you can get mail. Leave blank if your address is protected for safety. City, State, Zip Code: Write the city, state, and ZIP code for your mailing address. Telephone: Enter a phone number where the court can reach you. Email Address: Enter an email address where you can receive messages about your case. ATLAS Number: Write your ATLAS number if you have one. This is a number used for child support cases. Leave blank if you do not have one. Lawyer's Bar Number: If a lawyer is helping you, write their State Bar number here. Leave blank if you have no lawyer. Self, without a Lawyer Check this box if you are handling your case on your own without a lawyer. Attorney for Check this box if you are a lawyer filling out this form for someone else. Petitioner Check this box if you are the person who started the case (Party A). Respondent Check this box if you are the person responding to the case (Party B). Case No. Write the case number the court gave you. You can find it on your other court papers. Petitioner / Party A Write the full name of the person who started the case. ATLAS No. Write the ATLAS number for this case if there is one. Leave blank if you do not have one. Respondent / Party B Write the full name of the other person in the case. Affidavit of (Name of Person Whose Information is on this Affidavit) Write the full name of the person whose money and financial details are listed in this form. Case No. Write the case number given by the court. Leave blank if you do not have one yet. A. Name: Write your full legal name, first and last. Date of Birth: Write the month, day, and year you were born. B. Current Address: Write the address where you live now, including street, city, state, and zip. Case No. Write the case number from your court papers. Leave blank if you don't have one yet. Case No. Write the case number from your court papers. If you don't have one yet, leave it blank. Case No. Write the case number the court gave you. You can find it on papers you already filed. Case No. Write the case number the court gave you. You can find it on papers you already filed or got from the court. Case No. Write the case number given by the court. You can find it on papers you already filed or received. Case No. Write the case number the court gave you. You can find it on papers you already filed or received. Case No. Write the case number the court gave you. You can find it on papers you already filed. Case No. Write the case number the court gave you. You can find it on papers you already filed. Case No. Write the case number the court gave you. You can find it on papers you already filed. Case No. Write the case number the court gave you. Look at papers you already filed to find it. Person Filing: Write your full name here. This is the person turning in this form. Address (if not protected): Write your street address. You can leave this blank if your address is protected for safety. City, State, Zip Code: Write the city, state, and ZIP code that go with your address. Telephone: Write a phone number where the court can reach you. Email Address: Write an email address where you can get messages about your case. ATLAS Number: Write your ATLAS number if you have a child support case. Leave blank if you don't have one. Lawyer's Bar Number: If a lawyer is filling this out, write their state bar number. Leave blank if you have no lawyer. Self, without a Lawyer Check this box if you are filing for yourself and do not have a lawyer. Attorney for Check this box if you are a lawyer filing for someone else. Petitioner Check this box if this form is for the person who started the case. Respondent Check this box if this form is for the person who is responding to the case. Case No. Write the case number from your court papers. Leave blank if you don't have one yet. Petitioner / Party A Write the full name of the person who started the case. ATLAS No. Write your ATLAS number again if you have one. Leave blank if you don't. Respondent / Party B Write the full name of the other person in the case. Affidavit of (Name of Person Whose Information is on this Affidavit) Write the name of the person whose money and financial details are listed in this form. I listed all sources of my income. Check this box to confirm you wrote down every place where you get money. Mark NO and explain on a separate page if you did not. I attached copies of my two (2) most recent pay stubs. Check this box if you attached your two most recent pay stubs. Mark NO and explain if you did not include them. I attached copies of my federal income tax return for the last three (3) years, and I attached my W-2 and 1099 forms from all sources of income. Check this box if you attached your federal tax returns for the last three years plus your W-2 and 1099 forms. Mark NO and explain if you did not. A. Name: Write your full legal name, first and last. Date of Birth: Enter the day you were born using month, day, and year. B. Current Address: Write the full street address where you live now, including city, state, and zip. Case No. Write the case number given by the court. You can find it on papers you already filed. Case No. Write the case number given by the court. You can find it on papers you already filed or received. Case No. Write the case number given by the court. If your case is new and you don't have one yet, leave this blank. Case No. Write the case number the court gave you. You can find it on papers you already filed or received. Case No. Write the case number the court gave you. You can find it on your other court papers. Case No. Write the case number the court gave your case. You can find it on papers you already filed. Case No. Write the case number the court gave you. You can find it on papers you already filed. Case No. Write the case number the court gave you. You can find it on papers you already filed. Case No. Write the case number the court gave you. You can find it on papers you already filed. Case No. Write the case number the court gave you. You can find it on papers you already filed. CASE NUMBER: Write the case number from your court papers. It is usually at the top of the page. ATLAS NUMBER: Write the ATLAS number if you have one. This is a number used by the support office. Leave blank if you do not have it. NAME OF PERSON ORDERED TO MAKE PAYMENTS: Write the full name of the person who is ordered to pay support.