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© Superior Court of Arizona in Maricopa County
ALL RIGHTS RESERVED
DRDA1 – 5012 - 043021
DIVORCE
WITHOUT MINOR
CHILDREN
1
To File for Divorce in a Non-Covenant Marriage
Without Minor Children
Part 1: Forms and Instructions
Online Workshops
Online Workshops
Divorce/Legal Separation Process
Establish Paternity/Legal Decision-
Making Process
superiorcourt.maricopa.gov/llrc
superiorcourt.maricopa.gov/llrc
To register, visit the Law Library Events Calendar at:
To register, visit the Law Library Events Calendar at:
Talleres en línea
Talleres en línea
Divorcio y separación legal
Proceso para establecer la paternidad
y la toma de decisiones legales
Para inscribirse, visite el calendario de la Biblioteca de Derecho en:
Para inscribirse, visite el calendario de la Biblioteca de Derecho en:
Check the Law Library Calendar
for more workshops
Consulte el calendario de la Biblioteca
de Derecho para más talleres
DR17f 072720
Law Library Resource Center
PETITION AND PAPERS FOR “DISSOLUTION OF MARRIAGE
- (DIVORCE) WITHOUT MINOR CHILDREN”
CHECKLIST
Use the forms and instructions in this packet ONLY if the following factors apply to
your situation:
You want to file a petition for divorce AND,
You do not have a “covenant” marriage, or since you were married you have not agreed to
change your marriage to a “covenant” marriage (These papers will not work for a covenant
marriage).*
*What is a “Covenant Marriage”? As of August 21, 1998, the Arizona Legislature created a new type of
marriage called “covenant” marriage. To have a covenant marriage, both husband and wife would have
had to:
1. sign papers requesting to have a covenant marriage;
2. attend pre-marital counseling; AND
3. your marriage license would say “Covenant Marriage.”
If you were married before August 21, 1998 and have not signed papers to convert your marriage to a
covenant marriage, you do not have a covenant marriage.
If you still have questions about whether you have a covenant marriage, see a lawyer for help.
You and your spouse have no minor children with each other, AND
You or your spouse have lived in Arizona at least 90 days before you file the Petition, or one
of you is a member of the armed forces and has been stationed in Arizona at least 90 days
before you file, AND
You believe that the marriage is irretrievably broken (you and your spouse cannot make the
marriage work) AND
You or your spouse has either tried to resolve your problems through Conciliation
Court, or there is no point in trying to resolve your problems because the marriage is
irretrievably broken.
READ ME: Consulting a lawyer before filing documents with the court may help prevent
unexpected results. A list of lawyers you may hire to advise you on handling your own case or to
perform specific tasks, as well as a list of court-approved mediators can be found on the Law
Library Resource Center website.
© Superior Court of Arizona in Maricopa County DRDA1k 080318
ALL RIGHTS RESERVED Page 1 of 1
© Superior Court of Arizona in Maricopa County Page 1 of 1 DRDA1t 043021
ALL RIGHTS RESERVED Use current version
Law Library Resource Center
Divorce without minor children
Part 1 - Petition and first court papers
This packet contains court forms and instructions to file for Dissolution of Marriage (divorce)
without minor children. Items in bold are forms that you will need to file with the Court. Non-
bold items are instructions or procedures. Do not copy or file those pages!
Order
File Number
Title
1
DR17f
Workshop Flyer
2
DRDA1k
Checklist: You may use these forms if . . .
3
DRDA1t
Table of Contents (this page)
4
DRDA10i
Instructions: How to fill out the forms
5
DRDA10p
Procedures: How to File Divorce papers with the
Court
6
DRSDS10f-A
Family Department / Sensitive Data Coversheet
Without Children (*no copies necessary)
7
DR11f
Summons
8
DR14f
Preliminary Injunction
9
DRDA10f
Petition for Dissolution of a Non-Covenant
Marriage (Divorce) -- Without Minor Children
10
DRD16f
Notice of Right to Convert Health Insurance
11
DR16f
Notice Regarding Creditors
*No copies required. File original only. Do not serve on other party.
The documents you have received are copyrighted by the Superior Court of Arizona in
Maricopa County. You have permission to use them for any lawful purpose. These forms shall
not be used to engage in the unauthorized practice of law. The Court assumes no responsibility
and accepts no liability for actions taken by users of these documents, including reliance on
their contents. The documents are under continual revision and are current only for the day
they were received. It is strongly recommended that you verify on a regular basis that you have
the most current documents.
LAW LIBRARY RESOURCE CENTER
INSTRUCTIONS: HOW TO FILL OUT
“PETITION FOR DISSOLUTION of MARRIAGE (DIVORCE) –
WITHOUT MINOR CHILDREN” PAPERS
DOMESTIC VIOLENCE:
Domestic violence can be part of any marriage. Domestic violence includes physical violence, such as hitting,
slapping, pushing or kicking, OR threats of physical violence, directed against you and/or your child(ren). Domestic
violence also includes verbal abuse used to control you and/or your child(ren).
Court
documents request your address and phone number. If you are a victim of domestic violence, and you do not
want your address to be known in order to protect yourself or your children from further violence, you must file a
“Request for Protected Address” and ask that your address not be disclosed on court papers. With that Order,
you do not need to put your address and phone number on your divorce papers, just write "protected" in the
space where the Court asks you for this information. You must tell the Clerk of Superior Court your address and
phone number as soon as possible.
GENERAL INFORMATION:
IN ORDER TO BE ALLOWED TO FILE FOR DIVORCE IN ARIZONA, THE FOLLOWING STATEMENTS
MUST BE TRUE:
• you do not have a “covenant” marriage.
• your marriage is irretrievably broken.
• you have been to Conciliation Services – or that it would not help.
• you OR your spouse have lived in Arizona, or been stationed in Arizona while in the Armed Forces,
for at least 90 (ninety) days prior to the day you filed the “Petition for Dissolution of Marriage (Divorce)
Without Children”
NOTE: To have a “Covenant Marriage”, both husband and wife would have had to:
1. sign papers requesting to have a covenant marriage or to convert to a covenant marriage,
2. attend pre-marital counseling (unless converting an existing marriage to a covenant marriage, AND
3. Your marriage license would say “Covenant Marriage”.
If you still have questions about whether you have a “covenant” marriage, contact a lawyer for help.
“Irretrievably broken” means that your marriage is broken beyond repair and there is no chance of getting back
together with your spouse.
INFORMATION ABOUT PROPERTY AND DEBT
• Community property is generally any property you and your spouse purchased during your marriage or paid
for during the marriage, no matter WHO uses the property or WHO paid the money. Unless property was a
gift or an inheritance, or acquired after the Petition for Dissolution was served on your spouse, generally
all property acquired during the marriage is community property, and both you and your spouse are entitled
to roughly an equal share of this property.
• Com
munity debts or bills are generally any debt you and your spouse acquired during your marriage, no
matter WHO spent the money.
© Superior Court of Arizona in Maricopa County DRDA10i-080318
ALL RIGHTS RESERVED
Page 1 of 3
• Separate property and/or separate debt is generally any property you had, or brought into the marriage.
HOWEVER, there are exceptions to these statements. Some property acquired during the marriage is still
considered separate property. For example, if you were involved in an automobile accident, and received
damages for pain and/or suffering or will receive damages for pain and suffering, the money you received, or
will receive, for pain and suffering is your separate property.
• If y
ou have questions, or have a lot of community property or debt, you should speak with an attorney
BEFORE filing your Petition or other papers.
DESCRIPTIONS OF TYPES OF PROPERTY:
Real Property (property (land) or home). You can ask the Court to give you the property (land/home), to
give the property (land/home) to your spouse, or to sell the property (land/home) and divide the proceeds.
You should write the complete address of the property under "Real Estate Located at.” Most property has a
legal description such as "LOT 77, PINE TREE ACRES, according to Book 111 of Maps,” which appears on
your deed papers. You should use this legal description. A cemetery plot is considered real property.
Household furniture. This includes sofas, beds, tables, and so forth
Household furnishings. This includes things in the house other than furniture, for example: dishes, small
appliances, rugs, and so forth.
Pension/retirement fund/profit sharing/stock plans/401K. You and your spouse each generally have a
right to a one-half interest in the other spouse's plan, based upon the length of your marriage. The longer the
marriage, the greater your financial interest in your spouse's plan. (Your interest, usually, includes up to
50 percent of the benefits/plan if you have been married the whole time the plan has existed.) You must see
an attorney about a document called a Qualified Domestic Relations Order or QDRO in order to split the
retirement plan. A QDRO is a very specialized legal document that requires professional assistance
to prepare. The Law Library Resource Cent
er and the Court do not have Qualified Domestic Relations Order
forms.
INFORMATION ABOUT SPOUSAL MAINTENANCE/SUPPORT (ALIMONY):
Spousal Maintenance/Support (Alimony) is the term used to describe money paid from one spouse to the
other spouse as part of a divorce settlement. You may know the term as alimony or spousal maintenance.
Spousal Maintenance/Support is designed as a safety net for a spouse who cannot provide for his/her needs
or who meets other requirements listed on the Petition under paragraph 8.
The idea behind spousal maintenance/support is that accomplishments during your marriage, including
increases in earning potential and living standards, are shared, and earned, by BOTH parties to a marriage.
***(All Forms: TYPE OR PRINT IN BLACK INK)***
“PETITION FOR DISSOLUTION OF MARRIAGE
(DIVORCE) WITHOUT MINOR CHILDREN”
A. Use t
his form ONLY if you are getting a divorce and there are no children under the age of 18, common to
you and your spouse, whether by birth or adoption, AND you do not have a “covenant” marriage. Make sure
your form is titled “PETITION FOR DISSOLUTION OF MARRIAGE (DIVORCE) WITHOUT CHILDREN.”
B. In the top left corner of the first page, fill out the following: your name (if you are the person filling out the
petition and filing the petition with the court); your address (if not protected); your city, state and zip code;
your telephone number; Attorney Bar Number, if represented by a lawyer; then check the box to say whether
you are representing yourself or not.
© Superior Court of Arizona in Maricopa County DRDA10i-080318
ALL RIGHTS RESERVED
Page 2 of 3
C. Fill in your name in the space that says "Name of Petitioner/Party A." Remember, you will be the
PETITIONER/Party A throughout the entire case. (This includes any emergency petitions, temporary
petitions, and post-divorce decree petitions.) In the space that says "Name of Respondent/Party B," fill in
the name of your spouse. Your spouse will be the RESPONDENT/PARTY B for throughout the entire
case. (This includes any emergency petitions, temporary petitions, and post-divorce decree petitions.)
D. Leave l
ine blank for Case Number. When you file your papers, you will receive a case number from the
Clerk of Superior Court.
E. WAI
T TO SIGN THIS FORM UNTIL YOU ARE IN FRONT OF A NOTARY OR CLERK OF SUPERIOR
COURT
FAMILY DEPARTMENT/ SENSITIVE DATA COVER SHEET
• Write in the information requested about the Petitioner/Party A and the Respondent/Party B.
• DO NOT INCLUDE MAILING ADDRESS ON THIS FORM IF REQUESTING ADDRESS PROTECTION.
• Case Type: Mark only one box that matches the legal procedure for which you are filing the documents in
this packet:
[x] Dissolution (Divorce).
• Interpreter: Check “yes” or “no” to indicate whether an interpreter is needed. If “yes”, write in what
language(s).
• No additional copies needed. Do NOT serve this document on the other party.
SUMMONS AND PRELIMINARY INJUNCTION:
Fil
l in the following information: Your name; street address (if not protected); city, state and zip code; telephone
number; leave the ATLAS number blank; Attorney Bar Number if you are represented by an attorney; then check the
box to say whether you are representing yourself or not. Then print the name of Petitioner / Party A (your name);
name of Respondent/Party B (your spouse's name). DO NOT fill out the rest of the form, except on Page 2 of
the “Preliminary Injunction” where you must provide a description of the other party. The Clerk of Superior Court
will complete it later.
NOTICE OF RIGHT TO CONVERT HEALTH INSURANCE:
This is an important document that explains what to do about health care coverage for yourself. Read it carefully, and
be sure a copy is served with the other divorce papers on your spouse.
NOTICE REGARDING CREDITORS:
This is an important document that tells you and your spouse that you are both responsible for community debts to
creditors even though the court order or decree says that only one of you (either you or your spouse)
are responsible. This notice must be served on your spouse. In addition, read this notice to find out how to
obtain i
nformation from your creditors about account balances.
© Superior Court of Arizona in Maricopa County DRDA10i-080318
ALL RIGHTS RESERVED
Page 3 of 3
LAW LIBRARY RESOURCE CENTER
PROCEDURES: HOW TO FILE DIVORCE PAPERS WITH THE COURT
STEP 1: Fill out all of the documents in this packet.
STEP 2: MAKE 2 COPIES OF THE FOLLOWING FILLED OUT DOCUMENTS:
• “Summons”
• “Preliminary Injunction”
• “Petition for Dissolution of Marriage (Divorce) Without Minor Children” (Petition)
• “Notice of Right to Convert Health Insurance”
• “Notice Regarding Creditors”
STEP 3: SEPARATE YOUR DOCUMENTS INTO THREE (3) SETS:
SET 1 – ORIGINALS (For the Clerk):
• “Family Department Cover Sheet”
• “Summons”
• “Preliminary Injunction”
• “Petition”
• “Notice of Right to Convert Health
Insurance”
• “Notice Regarding Creditors
”
SET 2 – COPIES (For Spouse):
• “Summons”
• “Preliminary Injunction”
• “Petition”
• “Notice of Right to Convert Health
Insurance”
• “Notice Regarding Creditors”
SET 3 – COPIES (For You):
• “Summons”
• “Preliminary Injunction” ● “Petition”
• “Notice Regarding Creditors”
● “Notice of Right to Convert Health Insurance”
STEP 4: FILE THE PAPERS AT THE COURT:
FILE YOUR PAPERS at the Clerk of Superior Court filing counters at one of the following
locations: The Court is open from 8 a.m.-5 p.m., Monday-Friday. You should go to the court at
least two hours before it closes.
Clerk of Superior Court Clerk of Superior Court
CENTRAL COURT BUILDING SOUTHEAST COURT COMPLEX
201 West Jefferson, 1st floor 222 East Javelina Avenue, 1st floor
Phoenix, Arizona 85003 Mesa, Arizona 85210
Clerk of Superior Court Clerk of Superior Court
NORTHEAST COURT COMPLEX NORTHWEST COURT COMPLEX
18380 North 40
th
Street 14264 West Tierra Buena Lane
Phoenix, Arizona 85032 Surprise, Arizona 85374
FEES: A list of current fees is available from the Law Library Resource Center and from the Clerk of
Superior Court’s website.
If y
ou cannot afford the filing fee and/or the fee for having the papers served by the Sheriff or by
publication, you may request a deferral (payment plan) when you file your papers with the Clerk of
Superior Court. Deferral Applications are available at no charge from the Law Library Resource Center.
Hand all three (3) sets of your court papers to the Clerk along with along with the filing fee.
MAKE S
URE YOU GET BACK THE FOLLOWING FROM THE CLERK:
* Your Set of Copies * Your Spouse's Set of Copies
STEP 5: SERVE THE OTHER PARTY: Read the packet called “Service of Court Papers” that applies to
your situation at the Law Library Resource Center to find out how to serve the other party.
© Superior Court of Arizona in Maricopa County
ALL RIGHTS RESERVED Page 1 of 1
DRDA10p-080318
Use current form
© Superior Court of Arizona in Maricopa County DRSDS10f_Ann 071519
ALL RIGHTS RESERVED Page 1 of 1
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Case No.
Petitioner / Party A
ATLAS No.
Respondent / Party B
FAMILY DEPARTMENT SENSITIVE DATA
COVERSHEET WITHOUT CHILDREN
(CONFIDENTIAL RECORD)
Fill out. File with Clerk of Superior Court. Social Security Numbers should appear on this form only
and should be omitted from other court forms. Access Confidential pursuant to ARFLP 43.1(f).
A. Personal Information:
Petitioner / Party A Respondent / Party B
Name
Gender
Male or Female
Male or Female
Date of Birth (Month/Day/Year)
Social Security Number
WARNING: DO NOT INCLUDE MAILING ADDRESS ON THIS FORM
IF REQUESTING ADDRESS PROTECTION
Mailing Address
City, State, Zip Code
Contact Phone
Receive texts from Court to
contact phone number above?
Yes No texts
Yes No texts
Email Address
Current Employer Name
Employer Address
Employer City, State, Zip Code
Employer Telephone Number
Employer Fax Number
B. Type of Case being filed - Mark only one category. (
*
) Mark this box only if no other case type applies
Dissolution (Divorce)
Annulment
Other*
Legal Separation
Order Protection
C. Do you need interpreter?
No Yes If Yes,
What language? _________________
DO NOT COPY THIS DOCUMENT. DO NOT SERVE THIS DOCUMENT TO THE OTHER PARTY.
FOR CLERK’S USE ONLY
© Superior Court of Arizona in Maricopa County Page 1 of 2 DR11f – 010119
ALL RIGHTS RESERVED
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Name of Petitioner / Party A
SUMMONS
And
Name of Respondent / Party B
WARNING: This is an official document from the court that affects your rights. Read this carefully.
If you do not understand it, contact a lawyer for help.
FROM THE STATE OF ARIZONA TO:
Name of Opposing Party
1. A lawsuit has been filed against you. A copy of the lawsuit and other court papers are served on you
with this “Summons.”
2. If you do not want a judgment or order entered against you without your input, you must file a written
“Answer” or a “Response” with the court, and pay the filing fee. Also, the other party may be granted
their request by the Court if you do not file an “Answer” or “Response”, or show up in court. To file
your “Answer” or “Response” take, or send, it to the:
Office of the Clerk of Superior Court, 201 West Jefferson Street, Phoenix, Arizona 85003-2205 OR
Office of the Clerk of Superior Court, 18380 North 40
th
Street, Phoenix, Arizona 85032 OR
Office of the Clerk of Superior Court, 222 East Javelina Avenue, Mesa, Arizona 85210-6201 OR
Office of the Clerk of Superior Court, 14264 West Tierra Buena Lane, Surprise, Arizona 85374.
After filing, mail a copy of your “Response” or “Answer” to the other party at their current address.
For Clerk’s Use Only
Case No.:
Case No.
© Superior Court of Arizona in Maricopa County Page 2 of 2 DR11f – 010119
ALL RIGHTS RESERVED
3. If this “Summons” and the other court papers were served on you by a registered process server
or the Sheriff within the State of Arizona, your “Response” or “Answer” must be filed within
TWENTY (20) CALENDAR DAYS from the date you were served, not counting the day you were
served. If you were served by “Acceptance of Service” within the State of Arizona, your “Response”
or “Answer” must be filed within TWENTY (20) CALENDAR DAYS from the date that the “Acceptance
of Service was filed with the Clerk of Superior Court. If this “Summons” and the other papers were
served on you by a registered process server or the Sheriff outside the State of Arizona, your
Response must be filed within THIRTY (30) CALENDAR DAYS from the date you were served, not
counting the day you were served. If you were served by “Acceptance of Service” outside the State
of Arizona, your “Response” or “Answer” must be filed within THIRTY (30) CALENDAR DAYS from
the date that the “Acceptance of Service was filed with the Clerk of Superior Court. Service by a
registered process server or the Sheriff is complete when made. Service by Publication is complete
thirty (30) days after the date of the first publication.
4. You can get a copy of the court papers filed in this case from the Petitioner at the address listed at
the top of the preceding page, or from the Clerk of Superior Court's Customer Service Center at:
601 West Jackson, Phoenix, Arizona 85003
18380 North 40
th
Street, Phoenix, Arizona 85032
222 East Javelina Avenue, Mesa, Arizona 85210
14264 West Tierra Buena Lane, Surprise, Arizona 85374.
5. If this is an action for dissolution (divorce), legal separation or annulment, either or both spouses
may file a Petition for Conciliation for the purpose of determining whether there is any mutual
interest in preserving the marriage or for Mediation to attempt to settle disputes concerning legal
decision-making (legal custody) and parenting time issues regarding minor children.
6. Requests for reasonable accommodation for persons with disabilities must be made to the division
assigned to the case by the party needing accommodation or his/her counsel at least three (3)
judicial days in advance of a scheduled proceeding.
7. Requests for an interpreter for persons with limited English proficiency must be made to the division
assigned to the case by the party needing the interpreter and/or translator or his/her counsel at least
ten (10) judicial days in advance of a scheduled court proceeding.
SIGNED AND SEALED this date
CLERK OF SUPERIOR COURT
By
Deputy Clerk of Superior Court
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Case Number:
Name of Petitioner / Party A
PRELIMINARY INJUNCTION
AND
Name of Respondent / Party B
WARNING: This is an official Order from the court. It affects your rights. Read this Order
immediately and carefully. If you do not understand it, contact a lawyer for help.
Your spouse has filed a “Petition for Dissolution” (Divorce) or “Petition for Annulment” or “Petition for Legal
Separation” with the court. This Order is made at the direction of the Presiding Judge of the Superior Court of
Arizona in Maricopa County. This Order has the same force and effect as any order signed by the judge. You and
your spouse must obey this Order. This Order may be enforced by any remedy available under the law,
including an “Order of Contempt of Court.” To help you understand this Order, we have provided this
explanation. Read the explanation and then read the statute itself. If you have any questions, you
should contact a lawyer for help.
EXPLANATION: (What does this Order mean to you?)
1. ACTIONS FORBIDDEN BY THIS ORDER: From the time the “Petition for Dissolution” (Divorce) or
“Petition for Annulment” or “Petition for Legal Separation” is filed with the court, until the
judge signs the Decree, or until further order of the court, both the Petitioner and the Respondent
shall not do any of the following things:
FOR CLERK’S USE ONLY
© Superior Court of Arizona in Maricopa County DR14f-010119
ALL RIGHTS RESERVED Page 1 of 3 Use only most current version
Case No.
You may not hide earnings or community property from your spouse, AND
You may not take out a loan on the community property, AND
You may not sell the community property or give it away to someone, UNLESS you have
the written permission of your spouse or written permission from the court. The law allows for
situations in which you may need to transfer joint or community property as part of the
everyday running of a business, or if the sale of community property is necessary to meet
necessities of life, such as food, shelter, or clothing, or court fees and attorney fees
associated with this action. If this applies to you, you should see a lawyer for help, AND
Do not harass or bother your spouse or the children, AND
Do not physically abuse or threaten your spouse or the children, AND
Do not take the minor children, common to your marriage, out of the State of Arizona for any
reasons, without a written agreement between you and your spouse or a Court Order, before
you take the minor children out of the State.
Do not remove, or cause to be removed, the other party or the minor children of the parties
from any existing insurance coverage, including medical, hospital, dental, automobile and
disability insurance. Both parties shall maintain all insurance coverage in full force and effect.
STATUTORY REQUIREMENTS: Arizona Law, A.R.S. §25-315(A) provides:
1(a). RESTRICTIONS ON PROPERTY OF THE MARRIAGE: That both parties are enjoined from
transferring, encumbering, concealing, selling, or otherwise disposing of any of the joint, common or
community property of the parties, except if related to the usual course of business, the necessities
of life, or court fees and reasonable attorney fees associated with an action filed under this article,
without the written consent of the parties or the permission of the court.
1(b). REQUIREMENTS OF BEHAVIOR: That both parties are enjoined from molesting, harassing,
disturbing the peace, or committing an assault or battery on, the person of the other party or any
natural or adopted child of the parties.
1(c). RESTRICTIONS ABOUT YOUR MINOR CHILDREN: That both parties are enjoined from removing
any natural or adopted minor child(ren) of the parties, then residing in Arizona, from the jurisdiction
of the court without the prior written consent of the parties or the permission of the court.
1(d). RESTRICTIONS ABOUT INSURANCE: That both parties are enjoined from removing, or causing to be
removed, the other party or the minor children of the parties from any existing insurance coverage,
including medical, hospital, dental, automobile and disability insurance. Both parties shall maintain all
insurance coverage in full force and effect.
2. EFFECTIVE DATE OF THIS ORDER: This Order is effective against the person who filed for divorce,
annulment, or legal separation (the Petitioner) when the Petition was filed with the court. It is effective
against the other party (the Respondent) when it is served on the other party, or on actual notice
of the Order, whichever is sooner. This Order shall remain in effect until further order of the court,
or the entry of a Decree of Dissolution, Annulment, or Legal Separation.
© Superior Court of Arizona in Maricopa County DR14f-010119
ALL RIGHTS RESERVED Page 2 of 3 Use only most current version
Case No.
3. ORDER TO PETITIONER: You must serve a copy of this Order upon the Respondent, along with a copy
of the Petition for Dissolution, Annulment or Legal Separation, the Summons, and other required court
papers.
4. WARNING: This is an official Court Order. If you disobey this Order, the court may find you in contempt of
court. You may also be arrested and prosecuted for the crime of interfering with judicial proceedings
and any other crime you may have committed by disobeying this Order.
5. LAW ENFORCEMENT: You or your spouse may file a certified copy of this Order with your local
law enforcement agency. You may obtain a certified copy from the Clerk of the Court that issues this
Order. If any changes are made to this Order and you have filed a certified copy of this Order with your
local law enforcement agency, you must notify them of the changes.
6. DESCRIPTION OF THE PARTIES:
Petitioner:
Name: Gender: Male Female
Height: Weight:
Driver’s License (last 4 nos.)
Date of Birth:
Respondent:
Name: Gender: Male Female
Height: Weight:
Driver’s License (last 4 nos.)
Date of Birth:
GIVEN UNDER MY HAND AND THE SEAL OF THE COURT this day of , .
CLERK OF SUPERIOR COURT
By: , Deputy Clerk
© Superior Court of Arizona in Maricopa County DR14f-010119
ALL RIGHTS RESERVED Page 3 of 3 Use only most current version
© Superior Court of Arizona in Maricopa County DRDA10f-011619
ALL RIGHTS RESERVED
Use current version
Page 1 of 7
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Case Number:
Name of Petitioner / Party A PETITION FOR DISSOLUTION OF
MARRIAGE (DIVORCE)
AND WITHOUT MINOR CHILDREN
Name of Respondent / Party B
STATEMENTS TO THE COURT, UNDER OATH OR AFFIRMATION
1. INFORMATION ABOUT ME:
Name:
Address:
Date of Birth:
Job Title:
Starting with today, number of months/years in a row you, have lived in Arizona.
2. INFORMATION ABOUT MY SPOUSE:
Name:
Address:
Date of Birth:
Job Title:
Starting with today, number of months/years in a row your spouse has lived in Arizona._____________
For Clerk’s Use Only
Case No.
© Superior Court of Arizona in Maricopa County Page 2 of 7 DRDA10f-011619
ALL RIGHTS RESERVED Use current version
3. INFORMATION ABOUT MY MARRIAGE:
Date of Marriage:
City and state or country where we were married:
The following statements MUST BE TRUE for you to use this document and to qualify for divorce in
Arizona AND you must check the boxes to indicate that the statements are true or your case may not
proceed.
We do not have a covenant marriage (If not sure, refer to the INSTRUCTIONS for information).
Our marriage is broken beyond repair (“irretrievably broken”) and there is no hope of
reconciliation.
We have tried to resolve our problems through Conciliation Services or going to Conciliation
Services would not work.
4. 90 DAY REQUIREMENT:
I OR my spouse have lived, or have been stationed while a member of the Armed Forces,
in Arizona for at least 90 days before I filed this action. (WARNING: If this statement is not true,
you cannot file for a divorce until it becomes true.)
5.a. COMMUNITY PROPERTY: (Check one box)
My spouse and I did not acquire any community property during the marriage, OR
My spouse and I did acquire community property during our marriage, and we should divide it as
follows:
Real estate located at: Party A Party B Value
$
Legal Description:
Real estate located at: Party A Party B Value
$
Legal Description:
Case No.
© Superior Court of Arizona in Maricopa County Page 3 of 7 DRDA10f-011619
ALL RIGHTS RESERVED Use current version
Household furniture and appliances: Party A Party B Value
$
$
$
$
$
$
Household furnishings: Party A Party B Value
$
$
$
$
$
Other items: Party A Party B Value
$
$
$
$
Pension/Retirement fund/profit sharing/stock plan/401K:
Party A Party B Value
$
$
$
Party A Party B Value
Motor vehicles:
Make: Year: $
Model:
VIN:
Lien Holder:
Party A Party B Value
Make: Year: $
Model:
VIN:
Lien Holder:
Case No.
© Superior Court of Arizona in Maricopa County Page 4 of 7 DRDA10f-011619
ALL RIGHTS RESERVED Use current version
5.b. SEPARATE PROPERTY: (Check all boxes that apply.)
I do not have any property, or separate property, that I brought into the marriage.
My spouse, Party B, does not have any property, or separate property, that he/she brought into
the marriage.
I do have property, or separate property, that I brought into the marriage. I want this property
awarded to me as described below.
My spouse, Party B, does have property, or separate property, that he/she brought into the
marriage. I want this property awarded to my spouse as described below.
Separate Property: (List the property and the value of the property, and check the box to tell the
Court who should get the property.)
Description of Separate Property Party A Party B Value
$
$
$
6.a. COMMUNITY DEBTS: (check one box)
My spouse and I did not incur any community debts during the marriage, OR
My spouse and I did incur community debts during the marriage and we should divide the
responsibility for these debts as follows:
DESCRIPTION OF DEBT Party A Party B Amount Owed
$
$
$
$
$
6.b. SEPARATE DEBTS: (Check all boxes that apply.)
My spouse and I do not have any debt, or separate debt, that were incurred prior to the marriage.
I do have debt, or separate debt that I incurred prior to the marriage, that should be paid by me as
described below.
My spouse, Party B, does have debt, or separate debt that he/she incurred prior to the marriage,
that should be paid by my spouse as described below.
DESCRIPTION OF DEBT Party A Party B Amount Owed
$
$
$
Case No.
© Superior Court of Arizona in Maricopa County Page 5 of 7 DRDA10f-011619
ALL RIGHTS RESERVED
Use current version
7. TAX RETURNS: (Check the boxes that you want)
After the Judge or Commissioner signs the Decree of Dissolution of Marriage (Divorce), we will,
subject to IRS Rules and Regulations, pay federal and state taxes as follows: For the calendar
year (the year that the Decree is signed) and all future calendar years, each party will, subject
to IRS Rules and Regulations, file separate federal and state income tax returns. Each party
will give the other party all necessary documentation to do so.
For previous years (the years we were married, not including the year the Decree was signed),
(check one box)
The parties will file joint federal and state income tax returns. For previous calendar years,
both parties will pay, and hold the other harmless from, 1/2 of all additional income taxes if any
and other costs and each will share equally in any refunds. OR
The parties will file separate federal and state income tax returns. For previous calendar years,
each party will pay and hold the other harmless from any income taxes and/or incurred as a
result of the filing of that party’s tax return and each party will be awarded 100% of any refund
received as a result of the filing of that party’s tax return.
8. SPOUSAL MAINTENANCE/SUPPORT (ALIMONY): (Check the box that applies to
you):
Neither party is entitled to spousal maintenance/support (alimony), OR
Party A OR Party B is entitled to spousal maintenance/support because: (Check one or
more of the box(es) below that apply. At least one reason must apply to get spousal maintenance/
support.)
Person lacks sufficient property to provide for his/her reasonable needs;
Person is unable to support himself/herself through appropriate employment;
Person is the custodian of a child(ren) whose age or condition is such that the person
should not be required to seek employment outside the home;
Person lacks earning ability in the labor market adequate to support himself/herself;
Person made a significant financial or other contribution to the education, training,
vocational skills, career, or earning ability of the other spouse;
Person had a marriage of long duration, and is now of an age that precludes the possibility
of gaining employment adequate to be self-sufficient; and/or
Person has significantly reduced their income or career opportunities for the benefit of the
other spouse.
Case No.
© Superior Court of Arizona in Maricopa County Page 6 of 7 DRDA10f-011619
ALL RIGHTS RESERVED Use current version
9. PREGNANCY:
Party A IS NOT pregnant, OR Party B IS NOT pregnant, OR
Party A IS pregnant, OR Party B IS pregnant
The baby is due on (date), (and, check one box below):
Party A and Party B ARE the parents of the child, OR
Party A or Party B IS NOT the parent of the child
10. WRITTEN AGREEMENT. CHECK ONLY IF TRUE:
Party A and Party B have a written agreement signed by both of us about the maintenance of a
spouse, division of property/debt, where the children will live, authority for legal decision-
making concerning the children (legal custody), parenting time, and child support, and I have
attached a copy of the written agreement.
Party A and Party B DO NOT have a written agreement signed by both of us about the
maintenance of a spouse, division of property/debt, where the children will live, authority for legal
decision-making concerning the children (legal custody), parenting time, and child support.
REQUESTS TO THE COURT:
A. DISSOLUTION (DIVORCE):
Dissolve our marriage and return each party to the status of a single person.
B. NAMES: My complete married name is: (Optional. Complete ONLY if you want to change your name)
I want my legal name restored to: (List complete maiden name or legal name before this marriage)
C. SPOUSAL MAINTENANCE/SUPPORT (ALIMONY):
Order spousal maintenance/support to be paid by Party A, or Party B through the Support
Payment Clearinghouse in the amount of $ per month, plus the statutory fee, beginning
with the first day of the month after the judge or commissioner signs the Decree of Dissolution and
continuing until the person receiving spousal maintenance/support is remarried or deceased, or for a period
of months.
Case No.
© Superior Court of Arizona in Maricopa County Page 7 of 7 DRDA10f-011619
ALL RIGHTS RESERVED Use current version
D. COMMUNITY PROPERTY:
Make a fair division of all community property as requested in this Petition.
E. COMMUNITY DEBTS:
Order each party to pay community debts as requested in the Petition, and to personally pay any other
community debts unknown to the other party. Order each party to pay, and hold the other party
harmless from, debts incurred by him/her since the parties’ separation on (date)
or from the date Party B was served with the Petition for Dissolution.
F. SEPARATE PROPERTY and SEPARATE DEBT: Award each party his/her separate
property and order each party to pay his or her separate debt.
G. OTHER ORDERS I AM REQUESTING: (Explain request here):
OATH OR AFFIRMATION AND VERIFICATION
I swear or affirm that the information on this document is true and correct under penalty of
perjury.
Signature Date
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this: by
(date)
.
(Notary seal) Deputy Clerk or Notary Public
Approved by Arizona Department of Insurance DRD16f 043021
ALL RIGHTS RESERVED Page 1 of 2
NOTICE OF YOUR RIGHTS ABOUT HEALTH INSURANCE COVERAGE WHEN
A PETITION FOR DISSOLUTION (DIVORCE) IS FILED
(A.R.S. §20-1377 and §20-1408)
Petitioner/Party A: Case #:
Respondent/Party B:
Warning: This is an important legal notice. Your rights to health insurance coverage could
be affected after your divorce is final. Read this notice carefully. If you do not understand
this notice, you should call an attorney for advice about your legal rights and obligations.
IMPORTANT INFORMATION IF YOU ARE ON YOUR SPOUSE'S INSURANCE
PLAN: When a Petition for Dissolution of Marriage (papers for a divorce decree) is filed,
you and/or your children may continue to be covered under your spouse's health insurance
policy. Arizona law allows the dependent spouse and/or children to continue to be covered,
but you must take some steps to protect your rights.
WHAT INSURANCE COVERAGE APPLIES TO YOU, AND HOW TO GET IT: If you
are covered by your spouse's health insurance, and you want to continue to be covered after
the divorce is final, you must contact the insurance company as soon as possible, and you
must start to pay the monthly insurance premium within 31 days of the date the insurance
would otherwise stop.
If you decide you want to be covered, the insurer can choose whether to continue coverage
under the current policy, or to change the policy to your name. If the policy is changed to
your name, it is called a "converted"; policy. If the policy is converted by the insurer, the
insurer must provide you the same or the most similar level of coverage available, unless
you ask for a lower level of coverage.
WHAT COVERAGE APPLIES TO YOUR CHILDREN: If you choose to continue
coverage as a dependent spouse, you can also choose to continue coverage for your
dependent children if you are responsible for their care or support.
For Clerk’s Use Only
Approved by Arizona Department of Insurance DRD16f 043021
ALL RIGHTS RESERVED Page 2 of 2
PREEXISTING CONDITIONS OR EXCLUSIONS FROM INSURANCE COVERAGE:
Whether the insurance is continued or converted, the insurance must be provided to you
without proof of insurability and without exclusions for coverage other than what was
previously excluded before the insurance was continued or converted.
LIMITS ON RIGHTS TO INSURANCE COVERAGE FOR YOU AND YOUR
CHILDREN: You may not be entitled to continued or converted coverage if you are eligible
for Medicare or for coverage by other similar types of insurance which together with the
continued coverage would make you over-insured. However, dependent children of a person
who is eligible for Medicare may be covered by a continuance or a conversion. If you have
questions about coverage, check with the insurer and/or the spouse's employer.
OTHER OPTIONS FOR COVERAGE: Divorce is considered to be a life changing event
that, under the federal
Consolidated Omnibus Budget Reconciliation Act ("COBRA"), may
qualify you and/or your dependents with the
right to continue health coverage under the
spouse's group plan, if the employer has 20 or more employees. To
find out more about
your COBRA rights, you can visit the United States Department of Labor ("USDOL")
website
at https://www.dol.gov/ and search for COBRA, or you can call the USDOL at 1-
866-487-2365. Divorce is also
a life-changing event under the federal Affordable Care
Act, which qualifies you and/or your dependents for a
special enrollment period to obtain
an individual health insurance policy regardless of any health conditions.
Additional
information is available at https://www.healthcare.gov/ or by calling 1-800-318-2596.
Warning to the spouse filing the petition for dissolution (Divorce): This Notice must be
served on your spouse together with the Petition for Dissolution, the Summons, and the
Preliminary Injunction.
ARIZONA LAW REQUIRES all actions for DIVORCE or LEGAL SEPARATION to
include this NOTICE and for the person filing for Divorce or Legal Separation
to SERVE this NOTICE on the other party. (ARS §25-318(F)).
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Case Number:
Name of Petitioner / Party A
NOTICE REGARDING CREDITORS
Name of Respondent / Party B
YOU AND YOUR SPOUSE ARE RESPONSIBLE FOR COMMUNITY DEBTS. The court
usually requires/orders one spouse or the other to pay certain community debts in, or through, the Decree of
Dissolution or Legal Separation. A court order that does this is binding on the spouses only, not the creditors.
You and your spouse are legally responsible for these community debts whether you are married, divorced, or
legally separated. These debts are matters of contract between both of you and your creditors (such as
banks, credit unions, credit card companies, utility companies, medical providers and retailers). On request, the
court may impose a lien against the separate property of a spouse to secure payment of certain community
debts.
CONTACT CREDITORS: You may want to contact your creditors to discuss the debts and the effects of
your divorce/legal separation on your debts. To assist you in identifying your creditors, you may obtain a copy
of your spouse's credit report by making a written request to the court for an order requiring a credit reporting
agency to release the report to you. The credit report will help you identify accounts, account numbers and
account balances. In addition, within thirty (30) days after receipt of a request from a spouse who is party to a
divorce or legal separation, which includes the court and cause number of the action, creditors are required,
by law, to provide information as to the balance and account status of any debts for which you or your spouse
may be liable to the creditor.
WARNING: If you do not understand this notice, you should contact an attorney for advice about your
legal rights and obligations.
The following page contains a sample form you may choose to mail to creditors to
get information about debts owed by you or your spouse. It is not a required form.
DO NOT FILE THE NEXT PAGE WITH THE COURT.
For Clerk’s Use Only
© Superior Court of Arizona in Maricopa County DR16f-041017
ALL RIGHTS RESERVED
Case No.
REQUEST FOR ACCOUNT INFORMATION FROM CREDITORS
You may use this form to request information about debt owed by you or your spouse.
If so, send to the creditor. DO NOT FILE THIS PAGE WITH THE COURT.
DATE:
CREDITOR’S NAME:
CREDITOR’S ADDRESS:
Regarding: Superior Court of Arizona in Maricopa County
Case Name:
Case Number:
Pursuant to Arizona State Law (ARS §25-318), this letter requests the balance and account status of any debt for
which the following individuals may be liable to you. (Arizona law requires that you provide this information
within thirty (30) days of receipt of this letter.)
INFORMATION ABOUT DEBTORS/SPOUSES:
Your Name:
Your Address:
Your Phone Number:
Your Spouse’s Name:
Your Spouse’s Address:
INFORMATION ABOUT THE ACCOUNT:
Account Number(s):
If you have any questions or if I can be of further assistance, please feel free to contact me.
Sincerely,
Your name:
Your signature:
© Superior Court of Arizona in Maricopa County DR16f-041017
ALL RIGHTS RESERVED
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Completed 31 July 2021

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