AS 25.30.430 Page 1 of 2 DR-482 ()(cs) REQUEST TO REGISTER CHILD CUSTODY ORDER OF ANOTHER STATE OR COUNTRY IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) ) ) Petitioner, ) vs. ) ) ) ) ) CASE NO. Respondent. ) ) REQUEST TO REGISTER CHILD CUSTODY ORDER OF ANOTHER STATE OR COUNTRY 1.I want the state court to register a child custody order from: another state. another country. 2.Two copies (one certified copy and one regular copy) of the child custody order areattached to this request.3.Information about the person seeking the registration:Name: Phone: Address: Email: 4.Information about parent(s) with custody:Name (Parent A): Phone: Address: Email: Name (Parent B): Phone: Address: Email: 5.I certify under penalty of perjury that the order I want registered has not been vacated,stayed, or modified. 1 I also certify under penalty of perjury that the order or any otherorder about the same child has not been has been registered here or somewhereelse. If this or another order has already been registered, write the name of the stateand state court case numbers here: 1 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 DR-482 (6/18)(cs) AS 25.30.430 REQUEST TO REGISTER CHILD CUSTODY ORDER OF ANOTHER STATE OR COUNTRY SIGNATURE AND NOTARY I certify under penalty of perjury that the information in this document is true. Signature (sign in front of the notary or court clerk) Subscribed and sworn to or affirmed before me at , Alaska on (SEAL) Clerk of Court, Notary Public or other person authorized to administer oaths. My commission expires CERTIFICATION (IF NO NOTARY AVAILABLE) I certify under penalty of perjury that the information in this document is true, and a notary or other official empowered to administer oaths is not available to administer an oath. Date Signature Place (city or village) Print Name Certificate of Distribution I certify that a copy of this request, a request for hearing form, the custody order, and all attachments were sent or given to the respondent as follows: by first class mail on by by documents delivered to a process server on I also certify that on the same date, a copy of this notice was sent by first class mail to the petitioner. By Clerk: American LegalNet, Inc. www.FormsWorkFlow.com