In The Superior Court of the State Of Arizona

1 Page 1 of 2 Form #209 LRD 08/12 ALL RIGHTS RESERVED clerk of Superior Court of Arizona in Maricopa County In The Superior Court of the State Of Arizona In and For the County Of Maricopa LC APPEALS COVER SHEET PLEASE ENTER CAPTION IDENTICAL TO THE ACTION IN THE LOWER Court /ADMINISTRATIVE OFFICE. LC CASE NUMBER: Appellant s Name: _____ (Person who is appealing the action/list additional appellants on back page) VS Appellant s Address: Appellant s Phone Number: LOWER Court CASE NUMBER: (if applicable) NATURE OF ACTION Place an X next to the number which describes the nature of the case.

2 Please check ONE nature of action, and ONE ONLY. CIVIL/FAMILY Court APPEAL OR REVIEW _____142 CIVIL NON-TRAFFIC 144 NOTICE OF APPEAL pursuant to 12-904 (formerly Administrative Review) 145 SPECIAL ACTION 146 FORCIBLE DETAINER 147 INJUNCTION AGAINST HARASSMENT _____148 PROCEDURAL MOTION _____149 PETITION FOR REVIEW _____157 HABEAS CORPUS 635 PROTECTIVE ORDER Page 2 of 2 Form #209 LRD 08/12 ALL RIGHTS RESERVED clerk of Superior Court of Arizona in Maricopa County CRIMINAL/CIVIL APPEAL JP TRIAL DE NOVO CITY TRIAL DE NOVO 751 CIVIL TRAFFIC 771 CIVIL TRAFFIC 752 CRIMINAL TRAFFIC 772 CRIMINAL TRAFFIC 753 MISDEMEANOR 773 MISDEMEANOR 754 OTHER (CIVIL)

3 774 OTHER (CIVIL) 755 OTHER (CRIMINAL) 775 OTHER (CRIMINAL) JP ON THE RECORD CITY ON THE RECORD 761 CIVIL TRAFFIC 781 CIVIL TRAFFIC 762 CRIMINAL TRAFFIC 782 CRIMINAL TRAFFIC 763 MISDEMEANOR 783 MISDEMEANOR 764 OTHER (CIVIL) 784 OTHER (CIVIL) 765 OTHER (CRIMINAL) 785 OTHER (CRIMINAL) LIST ADDITIONAL APPELLANTS HERE: Name: Address: Phone: Name: Address: Phone: NOTICE Form used for Docketing and Auditing Purposes. Please do not include this form with cases that have already been filed.

4 Thank you for assisting us with our efforts to improve service.