Ar
izona Supreme Court Page 1 of 2 LJSC00009F-010120
Pinal County Justice Courts, State of Arizona
Name of Person Filing / Address / Phone /
Email
I am the [ ] Plaintiff [ ] Defendant
I am requesting a [ ] Telephonic Hearing [ ] Continuance [ ] Other____________________________
I would like the court to grant this request because (please attach additional pages if necessary):
For Clerk’s Use Only
REQUEST (Small Claims)
ARSCP 12
Case Number:
Plaintiff(s)
Name / Address / Phone
/ Email
Defendant(s)
Name / Address / Phone / Email
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Case Number:
Ari
zona Supreme Court Page 2 of 2 LJSC00009F-010120
[ ] Optional: I have attached supporting documentation for my request.
[ ] I am making a making a request for a telephonic hearing. If the court grants my request, I can be
reached at the following phone number on the date and time of the hearing: __________________
Date Signature
NOTICE: Requests to reschedule your hearing or have a telephonic hearing must be made at least 15
days before the hearing date. You must appear at your scheduled hearing unless the court orders
otherwise.
I certify that a copy of this document will be provided by
[ ] hand-delivery
[ ] first-class mail
[ ] electronic means on _______________________ to all other parties to the lawsuit.
Date Filing Party’s Signature