Page 1 of 2 AS 13.26.420, .430 & AS 13.06.110, .115 PG-663 (6/18)(cs) NOTICE OF HEARING ON PETITION IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Protective Proceeding of ) ) ) ) , ) Minor ) CASE NO. Date of Birth: ) ) NOTICE OF HEARING ON PETITION (To Interested Persons) The court has been asked to appoint an adult custodian to receive insurance proceeds or other funds that belong to the above-named minor child. The court will hold a hearing on this matter on: Date and Time: Court Address: Courtroom: Judge or Master: A copy of the petition requesting this appointment is attached. This is a confidential matter. All information in the court records of this proceeding is confidential except the date the petition was filed, the names of the petitioner and the minor, the case number, the docket, and the final dispositional order. So you should not reveal other information from this notice or the attached petition to people who are not involved in the case. 1 Date Petitioner 1 Probate Rule 14(d) and AS 13.26.021. American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 AS 13.26.420, .430 & AS 13.06.110, .115 PG-663 (6/18)(cs) NOTICE OF HEARING ON PETITION Certificate of Service [Write names on the blank lines, and check the boxes that show how the notice and petition were delivered.] I certify that a copy of this notice and the petition in this case were given to: The minor, , on (date) by hand-delivery by , and the minor will attend the hearing. process server , , on (date) by certified mail * process server Mother waived notice. A notarized letter from her is attached (see instructions). , , on (date) by certified mail * process server Father waived notice. A notarized letter from him is attached (see instructions). The person who has physical custody of the minor (name): on (date) by hand delivery by first class mail Signature of Petitioner Mailing Address City State ZIP Daytime Telephone * File form PG-117 if you use certified mail. You will need to revise form PG-117 to add the name of this notice and the Note: If a parent is outside Alaska, you can send this notice to that parent by ordinary first-class mail instead of certified mail. AS 13.26.420(a). American LegalNet, Inc. www.FormsWorkFlow.com