DR-314 (2/19)(cs) INFORMATION SHEET Civ. R. 90.1(f)(1) Clerk: This form is CONFIDENTIAL and must be kept in a confidential envelope or file. Information Sheet Case Number: Court Location: I am not filling out the following three paragraphs because an Information Sheet providing all this information has already been filed in this case 1. Full Name of Party A/Parent A: Date of Birth: Social Security No.* 2. Full Name of Party B/Parent B: Date of Birth: Social Security No.* 3. Children Involved in This Case: Full Name of Child Date of Birth Social Security Number* I certify that the above information is correct. Date Signature of Party Print Name * Disclosure of social security numbers is mandatory under AS 25.24.210(f), AS 18.50.280(a) and 42 USC 666(a)(13). The numbers may be used to insure compliance with the child support order. American LegalNet, Inc. www.FormsWorkFlow.com