MC-400 (11/17)(cs) AS 47.30.700-715; .870; .915(5) NOTICE OF RESPONDENT'S ARRIVAL AT EVALUATION FACILITY IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Necessity ) for the Hospitalization of: ) ) , ) Case No. Respondent. ) ) NOTICE OF RESPONDENT'S ARRIVAL AT EVALUATION FACILITY [Instructions to Facility: Upon arrival of the respondent at your facility, you must fill out this notice and fax it to (1) the court where the MC-305 Order was issued; and (2) the court nearest your facility; and (3) the Public Defender Agency nearest your facility. If the respondent arrives between 9:00 am and 3:00 pm, fax this notice no later than 3:30 pm on the same business day. If the respondent arrives between 3:00 pm and 9:00 am, or at any time during the weekend or on a holiday, fax this notice no later than 9:30 am on the first business day after arrival.] 1. TO CLERK OF COURT: Anchorage at 264-0598 Glennallen at 822-3601 Palmer at 746-4151 Angoon at 788-3108 Haines at 766-3148 Petersburg at 772-3018 Aniak at 675-4278 Homer at 235-4257 -2819 Bethel at 543-4419 Hoonah at 945-3637 Seward at 224-7192 Chevak at 858-7230 Juneau at 463-3788 Sitka at 747-6690 Cordova at 424-7581 Kake at 785-3152 Skagway at 983-3801 Craig at 826-3904 Kenai at 283-8535 Tok at 883-4367 Delta Junc. at 895-4204 Ketchikan at 225-7849 Unalakleet at 624-3118 Dillingham at 842-5746 Kodiak at 486-1660 Unalaska at 581-2809 Emmonak at 949-1535 Kotzebue at 442-3974 at 852-4804 Fairbanks at 452-9216 Naknek at 246-7418 Valdez at 835-3764 Fort Yukon at 662-2824 Nenana at 832-5841 Wrangell at 874-3509 Galena at 656-1546 Nome at 443-2192 Yakutat at 784-3257 2. TO PUBLIC DEFENDER: Anchorage at 868-2588 Ketchikan at 225-1382 Juneau at 465-3247 Bethel at 543-2153 Fairbanks at 458-6802 3. PLEASE TAKE NOTICE THAT THE RESPONDENT ARRIVED AT: Alaska Psychiatric Institute PeaceHealth Ketchikan Medical Center Bartlett Regional Hospital Yukon-Kuskokwim Health Corporation Fairbanks Memorial Hospital Other Date and time of arrival Date and time of this fax Date Signature Printed Name and Title American LegalNet, Inc. www.FormsWorkFlow.com