Request To Enforce Support

(1) Name of Person Filing: Street Address: City, State, Zip Code: Telephone Number: Email Address: ATLAS Number (if applicable) Representing Self (No Attorney) If Attorney, Bar Number: or Represented by Attorney SUPERIOR COURT OF ARIZONA PINAL COUNTY Regarding the Matter of: (3) (5) CASE NUMBER: Name of Petitioner (4) Name of Respondent REQUEST TO ENFORCE SUPPORT: (6) Child Support Spousal Support Medical / Dental / Vision Expenses Other HONORABLE: THIS FORM IS NOT TO BE USED TO REQUEST A CHANGE IN THE TERMS OF EXISTING ORDER, BUT RATHER TO ENFORCE THOSE EXISTING TERMS. 1. On (7) By (9) as follows: (10) , (8) was ordered of this court to pay support OR provide 2. (12) The total amount of support past due is (11) $ to for the time period of: Page 1 of 2 DO_RES_COSCPinal_08.17.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com 3. I request that the Court take any or all of the following actions: A. Order the Obligor to bring to court at the time of the hearing all those items set forth on the Order to Appear. B. Enter judgment for past-due support, court costs and interest. C. Enter an assignment for payment on current support, past-due support, clerk's fees and interest. D. Find the other party in contempt of court, which includes, but is not limited to, incarceration. E. Issue an arrest warrant if the other party fails to appear and/or enter a default judgment. F. Other: (13) G. Such other relief as deemed just and proper by the court. OATH OR AFFIRMATION AND VERIFICATION I swear or affirm that the information on this document is true and correct under penalty of perjury. (14) Date State of Arizona County of ) ) ) Signature SUBSCRIBED AND SWORN TO before me this day of , 20 by Name of Signer Commission Expires Notary Public Page 2 of 2 DO_RES_COSCPinal_08.17.12 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com