IN THE SUPERIOR COURT OF THE STATE OF ARIZONA
__________ COUNTY
In re: | Involuntary Commitment | ) | No. __________ |
of (Patient's Name) | ) | ||
) | NOTICE OF FILING | ||
) | OF TRIBAL COURT | ||
) | INVOLUNTARY | ||
) | COMMITMENT | ||
) | ORDER |
YOU ARE HEREBY NOTIFIED that the Order of Involuntary Commitment issued by the __________ Tribal Court on __________, 20 ___, under which (patient's name) has been ordered to undergo treatment, was filed with the Clerk of the Court for __________ County on __________, 20 ___, Cause No. __________.
YOU ARE FURTHER NOTIFIED that you have 5 days from service of this notice to respond in writing to the Clerk of the Court for __________ County. If no response is filed within this time period pursuant to A.R.S. § 12-136 and Rule 3, Rules of Procedure for Enforcement of Tribal Court Involuntary Commitment Orders, the Order of Involuntary Commitment issued by the Tribal Court shall be recognized and shall be enforceable in the same manner as if issued by the Superior Court.
A copy of the tribal court order is attached hereto.
Name
Address
Instructions: When the notice is complete it must be filed with the clerk of the court and served on the Attorney General for the State of Arizona and the patient. It shall be served in the manner set forth in Rule 4.1, Ariz.R.Civ.P.
Ariz. R. P. Recog. Trib. Ct. Civ. Judg. Form I