Page 1 of 3 CN-336 (3/19)(cs) 25 USC 247247 1901-1963 PETITION TO TRANSFER ICWA CINA CASE TO TRIBAL COURT CINA R. 23 IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the matter of: ) ) ) , ) A minor under 18 years of age. ) CASE NO. ) Date of birth: ) PETITION TO TRANSFER ICWA ) CINA CASE TO TRIBAL COURT PETITION TO TRANSFER This is a petition to transfer jurisdiction of this Child in Need of Aid (CINA) case to tribal court as authorized by the Indian Child Welfare Act of 1978 (ICWA), 25 U.S.C. 247 1911(b), and CINA Rule 23. 1. PETITIONER Parent Indian custodian Tribe (that intervened). Pis as follows: Name: Address: Phone: Email: 2. PARENT A Name: Address: Phone: Email: 3. PARENT B Name: Address: Phone: Email: 4. INDIAN CUSTODIAN(S) Name: Address: Phone: Email: 5. Name: Address: Phone: Email: 6. TRIBAL COURT OF Name: Address: Phone: Email: American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 3 CN-336 (3/19)(cs) 25 USC 247247 1901-1963 PETITION TO TRANSFER ICWA CINA CASE TO TRIBAL COURT CINA R. 23 7. OTHER Name: Address: Phone: Email: 8. OTHER Name: Address: Phone: Email: 9. OTHER Name: Address: Phone: Email: 10. OTHER Name: Address: Phone: Email: 11. I believe the tribal court will accept jurisdiction. I believe the tribal court will decline jurisdiction. this case. NOTICE TO ALL PARTIES A. The parties must file and serve any response they wish to make to this petition within 20 days after being served. B. If either parent opposes the transfer of jurisdiction from state court to tribal court the petition will not be granted under 25 U.S.C. 247 1911(b), unless the parental rights of the parent have already been terminated by a court of competent jurisdiction. C. If the tribal court declines jurisdiction at any time before an order granting the petition is signed, the petition will not be granted. D. If a party to the state court proceeding demonstrates good cause why jurisdiction should not be transferred, the petition will not be granted. E. If jurisdiction is transferred to tribal court and the tribal court exercises jurisdiction, any state court appointments of counsel for parents or Indian custodians, or of Guardians ad Litem or counsel for the child, will terminate. F. A tribal court may find a copy of the sample order to file with the state court to accept or decline jurisdiction, and a parent or Indian custodian may find a copy of a sample form to website at www.courts.alaska.gov. Date: Printed Name: American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 CN-336 (3/19)(cs) 25 USC 247247 1901-1963 PETITION TO TRANSFER ICWA CINA CASE TO TRIBAL COURT CINA R. 23 IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the matter of: ) ) ) , ) A minor under 18 years of age. ) CASE NO. ) Date of birth: ) CERTIFICATE OF SERVICE ) FOR PETITION TO TRANSFER ICWA CINA CASE TO TRIBAL COURT [MUST BE COMPLETED] I certify that I delivered a copy of the petition for adjudication in state court, the petition to transfer ICWA CINA case to tribal court with notices required by CINA Rule 23(c), and this certificate of service on the following as indicated: Name Date served Served by Registered Mail (restricted delivery with return receipt requested) Served by Certified Mail (restricted delivery with return receipt requested) Parent or Other Parent or Indian custodian(s) Tribal Court Tribe Other potential tribe Other Other Other Other Other Date: Signature: Phone: Print Name: American LegalNet, Inc. www.FormsWorkFlow.com