ICWA-030(A) CASE NAME: CASE NUMBER: ATTACHMENT TO NOTICE OF CHILD CUSTODY PROCEEDING FOR INDIAN CHILD (This attachment may be used with form ICWA-030 to show additional tribes or bands served with the Notice) NAMES, ADDRESSES, AND TELEPHONE NUMBERS OF ALL PERSONS, TRIBES, OR AGENCIES TO WHOM NOTICE WAS MAILED (Continued) Tribe (Name): Addressee (Name): Title: Street address: Mailing address: City, state and zip code: Telephone number: Tribe (Name): Addressee (Name): Title: Street address: Mailing address: City, state and zip code: Telephone number: Tribe (Name): Addressee (Name): Title: Street address: Mailing address: City, state and zip code: Telephone number: Tribe (Name): Addressee (Name): Title: Street address: Mailing address: City, state and zip code: Telephone number: Tribe (Name): Addressee (Name): Title: Street address: Mailing address: City, state and zip code: Telephone number: Tribe (Name): Addressee (Name): Title: Street address: Mailing address: City, state and zip code: Telephone number: Tribe (Name): Addressee (Name): Title: Street address: Mailing address: City, state and zip code: Telephone number: Tribe (Name): Addressee (Name): Title: Street address: Mailing address: City, state and zip code: Telephone number: Page Form Approved for Optional Use Judicial Council of California ICWA-030(A) [New January 1, 2008] ATTACHMENT TO NOTICE OF CHILD CUSTODY PROCEEDING FOR INDIAN CHILD (Indian Child Welfare Act) 25 U.S.C. § 1901 et seq.; Family Code, § 180; Welfare and Institutions Code, §§ 224.2, 224.3; Probate Code, §§ 1449, 1459.5, 1460.2; Cal. Rules of Court, rules 5.480­5.487 and 7.1015 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com