Free IN THE SUPERIOR COURT FOR THE STATE OF ALASKA - Alaska

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ANCHORAGE ) ) ) ) ) ) ) )

CASE NO. 3AN-

CI

REQUEST TO WAIVE VIEWING OF VIDEO FOR Dissolution Divorce
(Print Name)

Custody

I, ___________________________________, request that the court waive the requirement that I view the video Listen To The Children. The reason for my request is:

Date Mailing Address

Requestor's Signature City State Zip

Daytime Phone ORDER Request GRANTED. Request DENIED.

Date Judge/Master/Approved Designee I certify that on this order was distributed as follows: Type or Print Name 1. Original to requestor (in dissolution cases) 2. Copy to custody investigator 3. Plaintiff and Defendant (in divorce and custody cases) Clerk: Instructions for dissolutions only: After the order is signed, the original order will be sent to you. You must then file the original with the court when you file your dissolution petition. If your request is denied, you must also file your Certificate of Completion showing that you viewed the video.
DR-257 ANCH (11/02)(cs) REQUEST/ORDER RE VIDEO P.J. Order 3AO-02-04