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


File Size: 319.5 kB
Pages: 1
Date: February 21, 2007
File Format: PDF
State: Alaska
Category: Court Forms - State
Author: Hernandez
Word Count: 176 Words, 1,126 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.state.ak.us/courts/forms/med-100anc.pdf

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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ANCHORAGE
In the Matter of the Protective Proceeding of ) ) ) ) ) )

Respondent/Ward or Protected Person

CASE NO. 3AN -

REQUEST FOR COURT SPONSORED GUARDIANSHIP MEDIATION I am requesting a referral to the court sponsored guardianship mediation program. I am: Respondent/Ward (or attorney) Petitioner (or attorney) Court Visitor GAL Guardian or Conservator person is Other (family, domestic partner, etc.) and my relationship to the .

In order to make the best plan, I think the following people should participate in the mediation: NOTE: If you need to add more names, please attach an additional sheet. Name Relationship Phone(s) & E-mail Address

I think mediation should focus on the following areas or issues of concern:

Date I certify that on a copy of this request was sent to: Respondent's Atty. Petitioner`s Atty. Mediator Court Visitor GAL Dispute Resolution Coordinator, Karen Largent Other By:

Signature Type or Print Name Mailing Address City State ZIP

Contact Telephone Number(s)

MED-100 ANCH (11/06)(cs) REQUEST FOR COURT SPONSORED GUARDIANSHIP MEDIATION