Pinal County, AZ · Pinal County
Hearing Office Notice of Appeal
The appealing party files this form with the Pinal County Civil Hearing Office to challenge a Hearing Officer’s decision and identify the issues on appeal.
At a glance
- Issued by
- City of Pinal County · Pinal County, Pinal County, Arizona
- Notarization
- Not required: file this form without a notary.
- Official source
- pinal.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The party appealing a Hearing Officer’s decision uses this form to state the issues being appealed and provide party and representative contact details. The form says it must reach the Hearing Office within 15 calendar days after the decision is served; when served by mail, service is complete five calendar days after mailing. It also includes a party verification and signature.
Who needs it
A party appealing a Hearing Officer’s decision completes and submits this form, with representative details if designating someone to receive future notices and mailings.
How to submit it
Submit the form to the Pinal County Civil Hearing Office within 15 calendar days after the decision is served. The form lists 85 N. Florence Street, PO Box 749, Florence, AZ 85132, and [email protected].
About notarization
This document is signed and dated without a notary; the party verifies the appeal, and no notarized attachment or sworn step is listed.
How to submit this form
- 1
Download the Form
Download the Hearing Office Notice of Appeal PDF.
- 2
Complete the Form
Enter the complaint and party details, decision date, issues on appeal, and any designated representative’s information.
- 3
Sign and Date
Complete the party verification with the party’s printed name, date, and signature.
- 4
Submit to the Hearing Office
Submit the form to the Pinal County Civil Hearing Office within 15 calendar days after the decision is served.
Frequently asked questions
- Who files the Hearing Office Notice of Appeal?
- The party appealing a Hearing Officer’s decision completes and submits the form, including the issues being appealed and the party’s contact information.
- How do I submit the Notice of Appeal?
- Submit it to the Pinal County Civil Hearing Office within 15 calendar days after the decision is served. The form lists a mailing address and email address.
- Do I need a notary for the Notice of Appeal?
- No. The party signs and dates the verification; the form lists no notarized attachment or sworn step.
- What information does the form request?
- It asks for the complaint number, respondent’s name, mailing and email addresses, decision date, issues on appeal, and party verification. It also provides space to designate a representative.