Ariz. R. Civ. App. P. Form 5

As amended through December 3, 2024

Form 5 - Consent for Electronic Distribution by the Appellate Clerk

Party Name

Mailing Address

City, State, Zip Code

Telephone Number

ARIZONA COURT OF APPEALS

DIVISION _______________

	)	Appellate case number_________________
	)
Appellants	)	Superior Court case number_________________
	)
v.	)	Consent to Electronic Distribution
	)	by the Appellate Clerk
	)
Appellees	)

The undersigned self-represented party to this appeal, pursuant to Rule 4.2(h) of the Arizona Rules of Civil Appellate Procedure, consents to electronic distribution of court documents by the appellate clerk. The appellate clerk may distribute court documents to the undersigned at the following electronic mailing address: __________. The undersigned is responsible for maintaining this email address, and for checking it on a regular basis.

This consent is effective when it is filed with the appellate clerk. The undersigned understands that this consent is voluntary and that it remains in effect until the undersigned files a written withdrawal of consent with the appellate clerk. This consent form does not constitute consent to electronic service on the undersigned by another party.

Dated this __________ day of __________, 20 ___

Printed Name of Self-Represented Party

Signature of Self-Represented Party

Ariz. R. Civ. App. P. Form 5

Added Sept. 2, 2014, effective 1/1/2015.

APPLICATION