Case Number: _____________
© Superior Court of Arizona in Maricopa County GNF18f - 050119
ALL RIGHTS RESERVED Page 3 of 3 Use current version
Fees for service by publication.
Filing fees and photocopy fees for the preparation of the record on appeal.
Court reporter or transcriber fees if employed by the court for the preparation of the transcript.
RIGHT TO JUDICIAL REVIEW. If the application is denied or a payment schedule is set by a special
commissioner, you may request the decision be reviewed by a judicial officer. The request must be made
within twenty (20) days of the day the order was mailed or delivered to you. If a schedule of payments has
been established, payments shall be suspended until a decision is made after judicial review. Judicial review
shall be held as soon as reasonably possible.
NOTICE REGARDING CONSENT JUDGMENT. Unless any of the following applies, a consent judgment
may be entered against the applicant for all fees and costs that are deferred and remain unpaid thirty (30)
days after entry of final judgment:
A. Fees and costs are taxed to another party;
B. The applicant has an established schedule of payments in effect and is current with those payments;
C. The applicant filed a supplemental application for waiver or further deferral of fees and costs and a
decision by the court is pending;
D. In response to a supplemental application, the court orders that the fees and costs be waived or
further deferred; or
E. Within twenty (20) days of the date the court denies the supplemental application, the applicant
1. Pays the fees and costs; or,
2. Requests a hearing on the court’s order denying further deferral or waiver. If the applicant
requests a hearing, the court cannot enter the consent judgment unless a hearing is held,
further deferral or waiver is denied, and payment has not been made within the time
prescribed by the court.
If an appeal is taken, a consent judgment for deferred fees and costs that remain unpaid in the lower court
shall not be entered until thirty (30) days after the appeals process is concluded. The procedures for
notice of court fees and costs and for entry of a consent judgment continue to apply. If a consent judgment is
signed and the applicant pays the fees and costs in full, the court is required to comply with the provisions of
A.R.S. § 33-964(C).
DUTY TO REPORT CHANGE IN FINANCIAL CIRCUMSTANCES. An applicant who is granted a
deferral or waiver shall promptly notify the court of any change in financial circumstances during the
pendency of the case that would affect the applicant’s ability to pay court fees and costs. Any time the
applicant appears before the court on this case, the court may inquire as to the applicant’s financial
Judicial Officer Special Commissioner
I CERTIFY that I mailed/delivered/provided a copy of this document to:
Applicant at the above address in court
Applicant’s attorney at the above address in court