Ariz. R. Fam. Law P. Form 1

As amended through December 6, 2023

Form 1 - Notice of Limited Scope Representation

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________________

Ariz. R. Fam. Law P. Form 1

Added Oct. 19, 2005, effective 1/1/2006. Amended Sept. 5, 2007, effective 1/1/2008. Amended on an emergency basis Aug. 30, 2012, effective 1/1/2013, amendment adopted on a permanent basis12/10/2012; 9/2/2016, effective 1/1/2017; Sept. 28, 2018, effective 1/1/2019.