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

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

, Minor Date of Birth:

CASE NO. NOTICE OF HEARING ON PETITION TO RECEIVE MINOR'S FUNDS (To Interested Persons)

The court has been asked to appoint an adult custodian to receive insurance proceeds that belong to the above-named minor child. The court will hold a hearing on this matter on: Date and Time: Court Address: Courtroom: Judge or Master:

A copy of the petition requesting this appointment is attached. This is a confidential matter. All information in the court records of this proceeding is confidential except the date the petition was filed, the names of the petitioner and the minor, the case number, the docket, and the final dispositional order. So you should not reveal other information from this notice or the attached petition to people who are not involved in the case. 1

Date

Petitioner

1

Probate Rule 14(d) and AS 13.26.013.
AS 13.26.185,.195 & AS 13.06.110, .115

Page 1 of 2 PG-663 (9/07)(cs) NOTICE OF HEARING (To Interested Persons)

Certificate of Service
[Write names on the blank lines, and check the boxes that show how the notice and petition were delivered.] I certify that a copy of this notice and the petition in this case were given to: The minor, hand-delivery by process server. , on (date) by

, and the minor will attend the hearing.

Minor's mother, by certified mail * process server

, on (date)

Mother waived notice. A notarized letter from her is attached. (See instructions.)

Minor's father, by certified mail * process server

, on (date)

Father waived notice. A notarized letter from him is attached. (See instructions.)

The person who has physical custody of the minor (name): on (date) by first class mail hand delivery by

Signature of Petitioner Mailing Address City State Daytime Telephone ZIP

* File form PG-117 if you use certified mail. You will need to revise form PG-117 to add the name of this notice and the title of the person to whom you are mailing the notice (e.g., "Minor's Mother"). Note: If a parent is outside Alaska, you can send this notice to that parent by ordinary first-class mail instead of certified mail. AS 13.26.185 (a).

Page 2 of 2 PG-663 (9/07)(cs) NOTICE OF HEARING (To Interested Persons)

AS 13.26.185,.195 & AS 13.06.110, .115