Name:

Mailing Address:

City, State, Zip Code:

Daytime Phone Number:

Evening Phone Number:

Representing:

[ ] Self [ ] Petitioner [ ] Respondent

State Bar Number:

ARIZONA SUPERIOR COURT, COUNTY OF __________

Case No.___________________________

_________________________________

Petitioner

ATLAS No._________________________

_________________________________

NOTICE OF LIMITED SCOPE

Respondent

REPRESENTATION

The undersigned attorney enters a Notice of Limited Appearance for [ ] Petitioner [ ] Respondent __________, pursuant to Rule 9(B).

1.

Counsel’s appearance in this matter shall be limited in scope to the following matter(s): (Select all that are applicable, and provide detailed description of services, including any scheduled appearances, as needed.)

[ ]

Protective Orders

[ ]

Order of Protection

[ ]

Injunction Against Harassment

[ ]

Injunction Against Workplace Harassment

[ ]

Voluntary acknowledgment of paternity

[ ]

Establishment of Child Support (IV-D)

[ ]

Rule 32 motion (specify)_______________________________________________________

_______________________________________________________

_______________________________________________________

[ ]

U.C.C.J.E.A. Hearing

_______________________________________________________

_______________________________________________________

_______________________________________________________

[ ]

Temporary Orders (Pre-Decree) (specify any limitations)

_______________________________________________________

_______________________________________________________

[ ]

Accelerated or Expedited Petition (Pre-Decree)______________

_______________________________________________________

[ ]

Resolution Management Conference

[ ]

Arbitration

[ ]

Mediation

[ ]

Other ADR Process (specify)_____________________________________

Settlement Conference

[ ]

[ ]

[ ]

Expedited Services Conference (specify type, e.g. child support establishment, enforcement, or modifications; legal decision-making or parenting time enforcement or modification; or other)____________________________________________________

Enforcement of Decree or Order (specify, as follows):

[ ]

Child support _________________________________________

Legal decision-making & parenting time_____________________________________

[ ]

_______________________________________________________

_______________________________________________________

[ ]

Spousal maintenance_________________________

Property/debt issues__________________________

[ ]

[ ]

Other:

_______________________________________________________

_______________________________________________________

[ ]

Modification of Decree or Order (specify as follows):

[ ]

Child support_______________________

[ ]

Legal decision-making and/or parenting time__________________________________

_______________________________________________________

_______________________________________________________

[ ]

Spousal maintenance_________________________________

Other:_________________________________

[ ]

_______________________________________________________

_______________________________________________________

[ ]

Emergency Petition (Post-Decree)

_______________________________________________________

_______________________________________________________

[ ]

Qualified Domestic Relations Order

_______________________________________________________

_______________________________________________________

[ ]

Filing of Foreign Decree_________________________

_______________________________________________________

[ ]

Warrant to take Physical Custody___________________________________________

_______________________________________________________

_______________________________________________________

[ ]

Legal decision-making or Visitation by a Non-parent_____________________________________________

_______________________________________________________

_______________________________________________________

[ ]

Other motion and hearing thereon, specifically:_________________________________________

_______________________________________________________

[ ]

Attend Deposition(s) of (names)__________________________________________________

[ ]

Conduct the following discovery:__________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

[ ]

Other:__________________________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

2.

Counsel named above is attorney of record and service of process on counsel shall be valid, to the extent permitted by statute and Rule 43(b) and (c), in all matters in the case but shall not extend the counsel’s responsibility for representation of the client beyond the specific matter for which the attorney has appeared. For service directly upon the party, the party’s name, address and phone number are listed below.

Name:

_______________________________________________________

Address:

_______________________________________________________

City, State Zip Code:

_______________________________________________________

Telephone:

_______________________________________________________

3.

The opposing party, or his/her counsel [ ] may [ ] may not directly contact the party represented by the undersigned attorney regarding matters outside the scope of this limited representation without first consulting the undersigned attorney.

4.

Counsel’s representation of client will terminate at the conclusion of the hearing noted above, if shown, or at the conclusion of the matter noted above, upon the filing of a Notice of Withdrawal of Attorney, pursuant to Rule 9(e)(4).

5.

This accurately sets forth the terms of the written agreement between counsel and the party for limited scope legal representation.

_________________________

_________________________

Date

Attorney

I have read and approve of this notice.

_________________________

_________________________

Date

Client

ORIGINAL of the foregoing filed with the Clerk of the Superior Court;

COPIES of the foregoing mailed/delivered this ___ day of __________, __________, to:

The Honorable_________________________________

By:_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

Attorney for________________