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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the matter of: ) ) ) ) ) CASE NO. A minor under 18 years of age. ) ) ORDER ABOUT DISCLOSURE OF Date of birth: ) IDENTIFYING INFORMATION IN ) REGISTERED TRIBAL COURT Tribal court case number: ICWA CUSTODY ORDER Date of registration: The person who requested registration of the tribal court ICWA custody order referenced above alleged under oath that the health, safety, or liberty of the child or person awarded custody or visitation would be jeopardized by disclosure of identifying information. A hearing was held not held. It is hereby ordered as follows: 1. No disclosure. It is ordered that identifying information about the following person(s) shall be made confidential sealed, and shall not be disclosed to the other interested persons named in paragraph 4 of the registration request. [no hearing required] 2. Yes disclosure. The court considered the health, safety, and liberty of the child or person awarded custody or visitation, and finds that disclosure of the identifying information is in the interest of justice. It is therefore ordered that the information shall be disclosed. [hearing required] Date Superior Court Judge Print Name Clerk222s Certificate of Distribution I certify that on a copy of this order and ( with redactions if ordered) were sent by 1st class mail to: by Clerk222s Instructions If box 1 is checked (no disclosure): redact per order before distribution. If box 2 is checked (yes disclosure): do not redact. Distribute to requestor and all interested persons listed in paragraph 4 of CN-600. CN-630 (3/15)(cs) CINA R. 24(c) ORDER ABOUT DISCLOSURE OF IDENTIFYING INFORMATION American LegalNet, Inc. www.FormsWorkFlow.com