Exempt from VRA Certif. CR-300 (1/18)(cs) AS 12.30.006 INMATE APPLICATION FOR BAIL REVIEW HEARING Alaska Constitution art. I, sec. 24 IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT STATE OF ALASKA ) ) CASE NO. Plaintiff, ) ) APPLICATION FOR BAIL REVIEW HEARING vs. ) (Inmate With No Attorney) ) ) 1.This case alleges that there is a crime victim: Yes No 2.I am in custody at (location) . I have been in custody in this case since (date) . 3.I notified the prosecutor of this application on (date) at mail fax in person phone email. 4. There is a surety who posted my bond (name) . I gave the surety written notice of my application on (date) . 5.I request the following changes in my bail: Bail modification from: to: Delete third party custodian requirement. New proposed third party custodian: Name: Address: Phone: DOB: AK DL/ID#: Custody arrangement: 24 hour Monitoring by: Other: 6.This application is for: my first bail review hearing. [AS 12.30.006(c)] my second (or subsequent) bail review hearing. [AS 12.30.006(d)] My last bail review hearing was on . You must explain the following: a.New information not considered at previous bail review hearings (b.I did not present this new information at previous hearings because: Date Signature of Defendant Printed Name of Defendant Hearing date set : at am/pm before Judge Ctrm I certify that on a copy of this notice of hearing was sent to: [ ] PD [ ] DA [ ] Defendant Clerk: am pm American LegalNet, Inc. www.FormsWorkFlow.com