Exempt From VRA Certif. IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT STATE OF ALASKA Plaintiff, vs. ) ) ) ) ) ) ) ) ) ) ) CASE NO. WAIVER OF TRIAL BY JURY CR Defendant. I, the above-named defendant, am charged with (statute or ordinance) (offense) I have been advised of my right to trial by jury. I waive trial by jury and request that I be tried by the court. Date Signature of Defendant Signature of Counsel for Defendant CONSENTED TO: Signature of Prosecuting Attorney APPROVED Date I certify that on a copy of this order was sent to: Clerk: CR-312 (12/05) (st.3) WAIVER OF TRIAL BY JURY Judge Type or Print Judge's Name Crim. R. 23 American LegalNet, Inc. www.USCourtForms.com