Page 1 of 3 DR-336 (11/17)(cs) Civil Rule 90.5 PETITION FOR EXPEDITED AS 25.27.246(i) IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ) , ) Petitioner ) ) vs. ) ) Child Support Services Division (CSSD), ) Respondent. ) ) PETITION FOR EXPEDITED RELIEF FROM DRIVER'S LICENSE ACTION (date license will be suspended) 1.Basis for Judicial Relief. I am entitled to judicial relief under AS 25.27.246(i) because:(Check at least one box.) there is no child support order or a payment schedule on arrearages currently in effect against me. I am not the obligor covered by the support order that CSSD seeks to enforce. the total amount that I owe ($ ) is less than four times my monthly obligation ($ ). I am making the best efforts possible under the circumstances to pay my arrearages. I have made the following efforts: [Attach extra pages if necessary.] I understand that I can file this petition only if I object to CSSD's action for one of these a written explanation of my position (not to exceed 5 pages) supporting documents that I intend to present at the court hearing a list of any witnesses I intend to ask to testify at the court hearing a copy of the child support order or payment schedule that CSSD seeks to enforce Date Signature For Court Use Only I certify that on , a copy of Mailing Address this petition and its attachments was sent to the Collections and Support Section of the City State ZIP Department of Law in Anchorage Fairbanks Juneau Daytime Telephone Clerk: American LegalNet, Inc. www.Fo Page 2 of 3 DR-336 (11/17)(cs) Civil Rule 90.5 PETITION FOR EXPEDITED AS 25.27.246(i) Instructions for Requesting Judicial Relief from CSSD's Decision To request relief, you must do the following within 30 days after you receive CSSD's decision: 1. Fill out and sign the attached petition form (DR-336, page 1). a. On the "AT" line at the top, put the location (city) of the court where you are filing the petition. See page 3 for a list of court locations. Fill in your name on the line labeled "Petitioner." Do not write anything on the "CASE NO." line. In you are using the petition form that CSSD sent you, this date may already be filled in.) b. In paragraph 1, check the box or boxes that state the reason you are entitled to relief. If you check the fourth box, you must describe the efforts you have made to pay your arrearages. c. In paragraph 2, check the boxes next to the items you are attaching. If possible, you should attach all these items. 2. Attach to the petition all the documents you have checked in paragraph 2 of the petition. Note: If you do not provide a list of the witnesses you plan to call, the judge may not allow your witnesses to testify at the hearing. 3. Bring (or mail) the following to the clerk's office at the court: a. original petition with attachments, b. photocopy of the petition and attachments, and c. filing fee in the amount specified in Administrative Rule 9(b)(1). Your check or money order should be made out to "Alaska Court System." Do not mail cash. 4. Keep a copy of the petition and all attachments for yourself. 5. The court will send you notice of the judge and/or master assigned to your case and the time of your hearing. If it will be difficult for you to attend the hearing in person, contact the court to ask if you can participate by telephone. (Note: You may have to pay the cost of the call if you participate by telephone.) Under the law, you are entitled to expedited review of CSSD's decision only if you object to the decision for one of the four reasons listed in paragraph 1 of the petition. If you object to the decision for other reasons, you must file an administrative appeal. Forms and instructions for administrative appeals are available at all court locations. (Ask for the AP-210 booklet.) Additional Information For more information about the laws that govern this case, you can read the court rule and decisions interpreting the rules and statutes. Currently, the only decision is State v. Beans, 965 P.2d 725 (Alaska 1998). For more information about child support, you can read Civil Rule 90.3 (the child support materials available at the court are: How to Calculate Child Support (booklet DR-310); and a packet of forms for requesting changes in child custody, support or visitation (the DR-700 Motion Packet). American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 3 DR-336 (11/17)(cs) Civil Rule 90.5 AS 25.27.246(i) WHERE TO FILE File your petition at one of the following court locations: Anchorage Clerk of Court 825 West 4th Avenue Anchorage, AK 99501-2004 Phone: 264-0514 Bethel Clerk of Court Box 130 Bethel, AK 99559-0130 Phone: 543-1105 Cordova Clerk of Court P.O. Box 898 Cordova, AK 99574 Phone: 424-3378 Dillingham Clerk of Court Box 909 Dillingham, AK 99576-0909 Phone: 842-5215 Fairbanks Clerk of Court 101 Lacey Street Fairbanks, AK 99701-4761 Phone: 452-9274 Glennallen Clerk of Court P.O. Box 86 Glennallen, AK 99588-0086 Phone: 822-3405 Homer Clerk of Court 3670 Lake Street, Suite 400 Homer, AK 99603 Phone: 235-8171 Juneau Clerk of Court Box 114100 Juneau, AK 99811-4100 Phone: 463-4701 Kenai Clerk of Court 125 Trading Bay Dr., Suite 100 Kenai, AK 99611-7717 Phone: 283-8502 Ketchikan Clerk of Court 415 Main Street Room 400 Ketchikan, AK 99901-6399 Phone: 228-8701 Kodiak Clerk of Court 204 Mission Road Room 124 Kodiak, AK 99615-7312 Phone: 486-1600 Kotzebue Clerk of Court Box 317 Kotzebue, AK 99752-0317 Phone: 442-3208 Naknek Clerk of Court P. O. Box 229 Naknek, AK 99633 Phone: 246-4240 Nome Clerk of Court Box 1110 Nome, AK 99762-1110 Phone: 443-5216 Palmer Clerk of Court 435 South Denali Palmer, AK 99645-7759 Phone: 746-8122 Petersburg Clerk of Court Box 1009 Petersburg, AK 99833-1009 Phone: 772-3824 Seward Clerk of Court Box 1929 Seward, AK 99664 Phone: 224-3075 Sitka Clerk of Court 304 Lake Street Room 203 Sitka, AK 99835-7759 Phone: 747-3291 Unalaska Clerk of Court P.O. Box 245 Unalaska, AK 99685 Phone: 581-1266 Clerk of Court Box 270 -0270 Phone: 852-4800 Valdez Clerk of Court P.O. Box 127 Valdez, AK 99686 Phone: 835-2266 Wrangell Clerk of Court Box 869 Wrangell, AK 99929-0869 Phone: 874-2311 American LegalNet, Inc. www.FormsWorkFlow.com