IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT FAIRBANKS In the Matter of the Dissolution of the Marriage of and , Husband and Wife. ) ) ) ) ) ) ) ) ) )
CASE NO. REQUEST TO WAIVE VIEWING OF VIDEO
CI
I,
(Print Name)
, request that the court waive the requirement that I
view the video Listen To The Children. The reason for my request is:
Date
Requestor's Signature Mailing Address City Daytime Phone: ORDER State Zip
Request GRANTED.
Request DENIED.
Date I certify that on this order was distributed as follows: 1. Original to court file 2. Copy to requestor Clerk:
Judge/Master/Approved Designee Type or Print Name
Instructions to Requestor: After the order is signed, a copy of the order will be sent to you. If your request is denied, you must file your Certificate of Completion showing that you viewed the video before the scheduled hearing on your petition.
DR-257 FBKS (8/95)(st.2) REQUEST/ORDER RE VIDEO