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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the matter of: ) ) ) ) ) ) ) ) ) ) A minor under 18 years of age. Date of birth: Tribal court case number: Date of registration: , CASE NO. REQUEST FOR HEARING ABOUT REGISTERED TRIBAL COURT ICWA CUSTODY ORDER Instructions: To request a hearing, complete the information below and return this page to the court at: I request a hearing to dispute the validity of the registered tribal court order referenced above. I believe the registered order is not valid because (check all that apply): The tribal court that made the order did not have jurisdiction over the parties or the child custody ICWA proceeding;1 or The tribal court ICWA custody order was vacated, stayed, or modified by a court that had the authority to do that;2 or I was entitled to be notified of the tribal court proceeding, but the notice did not reach me and the notice was not given in a way that was reasonably likely to reach me. Or even if notice was given, I was not given an opportunity to be heard by the court. Date Phone Email Signature Printed Name Mailing Address 1 2 "Jurisdiction" means authority. "Vacated" means cancelled. "Stayed" means postponed. "Modified" means changed. CINA R. 24 American LegalNet, Inc. www.FormsWorkFlow.com CN-610 (3/15)(cs) REQUEST FOR HEARING ABOUT REGISTERED TRIBAL COURT ICWA CUSTODY ORDER