IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Protective Proceeding of , ) ) ) ) ) ) ) Minor DOB: CASE NO. ORDER APPOINTING GUARDIAN OF A MINOR A hearing in this matter was held on before Judge/Master Present were: Minor Minor was not present for the reason stated on the record. Minor's Attorney Guardian Ad Litem Petitioner Others: The court finds that: 1. 2. FINDINGS Jurisdiction and Venue. The court has jurisdiction over this matter and venue is proper in this court. AS 13.26.137. Indian Child. The minor is is not an Indian child within the meaning of the Indian Child Welfare Act. 25 USC � 1903. The minor's tribe or native village is Notice of the Hearing. Notice of the hearing was given as required by AS 13.26.147 and Probate Rule 15(b), or notice has been waived. Parental Rights. As required by AS 13.26.132, the minor is not married and all parental rights of custody have been terminated or suspended by circumstances or prior court order as follows: 3. 4. 5. Consideration of Minor's Preference. AS 13.26.143 a. The minor is under age 14. b. The minor is age 14 or over, but has not nominated a guardian. c. The minor is age 14 or over and has nominated a guardian, and the court is appointing the person nominated by the minor. not appointing the person nominated by the minor because the court finds the appointment contrary to the best interests of the minor. Page 1 of 3 PG-625 (2/17)(cs) ORDER APPOINTING GUARDIAN OF A MINOR American LegalNet, Inc. www.FormsWorkFlow.com Probate Rule 15 AS 13.26.132 -.171 6. Consideration of Indian Child Welfare Act Preferences. 25 USC � 1915(b) Appointment of the guardian(s) named below is consistent with the preferences stated in � 1915(b) of the Indian Child Welfare Act, or there is good cause to deviate from those preferences because 7. 8. 9. Qualification of Guardian. qualified to be appointed guardian of the minor. is/are Minor's Welfare. The welfare and best interests of the minor will be served by this appointment. AS 13.26.147(b). Other Findings: IT IS ORDERED: 1. 2. ORDER is/are appointed to be minor's guardian(s), with the powers and duties set forth in AS 13.26.167. Reporting Requirements. The guardian(s) must file an Annual Report with the court each year until the guardianship ends. (Probate Rule 15(d) and AS 13.26.167(4)) Unless specific dates are set below, the report must cover the 12-month period beginning the 1st of the month in which this appointment order is signed and ending 12 months later. The report is due 30 days after the end of the reporting period. [For example, if the order is signed anytime in January, the reporting period will be January 1 to December 31; and a report will be due each January 31.] Specific Dates. Reporting Period: From Report is due on: period) To each year. (30 days after end of reporting 3. and court addresses on the court system website: www.state.ak.us/courts ) Page 2 of 3 PG-625 (2/17)(cs) ORDER APPOINTING GUARDIAN OF A MINOR If the minor or the guardian changes his/her address, the guardian must immediately provide written notice to the court, the minor's parents (unless parental rights have been terminated) and other parties as ordered by the court. (Include your case number. You can find a "Change of Address" form (PG-195) American LegalNet, Inc. www.FormsWorkFlow.com Probate Rule 15 AS 13.26.132 -.171 4. 5. 6. The guardian must immediately notify the court if the guardian is unable to continue to perform guardianship duties. (Form PG-190 Petition for Review may be used.) Term of Guardianship. The guardianship will end when the minor turns age 18 unless it is terminated earlier by court order. AS 13.26.171 The appointment of a guardian ad litem and any court-appointed attorney(s) terminate: on the date this order is signed. Additional Orders. 7. 8. Persons Who Must Be Served With Documents. The following persons must be served with copies of all notices of hearing and all petitions, requests and responses filed with the court until further court order: The guardian(s) The minor's parents (unless parental rights have been terminated) Others: Name Mailing Address Daytime Phone Recommended for Approval on By Standing Master Superior Court Judge Type Judge's Name Clerk's Certificate of Distribution I certify that on a copy of this order was sent to: petitioner guardian(s) minor's attorney Clerk: , Date Page 3 of 3 PG-625 (2/17)(cs) ORDER APPOINTING GUARDIAN OF A MINOR American LegalNet, Inc. www.FormsWorkFlow.com Probate Rule 15 AS 13.26.132 -.171