Proof Of Mailing
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Proof Of Mailing Form. This is a Washington form and can be use in Domestic Relations Statewide.
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Tags: Proof Of Mailing, CU 01.0255, Washington Statewide, Domestic Relations
Superior Court of Washington
County of
In re the Custody of:
No.
Child(ren),
Proof of Mailing
(AFML)
Petitioner(s),
and
Clerk’s action required:
Access is Restricted Per GR
22(c)(3) and 25 C.F.R. § 23.11(e)(7)
Respondent(s).
I certify under the penalty of perjury under the laws of the state of Washington that I am 18 years
of age or older and I am not the Petitioner, and that on
(date) I
deposited one copy of the following documents:
Nonparental Custody Petition
Other:
Indian Child Welfare Act Notice 25 U.S.C. § 1912(a)
in the U.S. mail, postage prepaid, certified (return receipt requested), addressed to the following persons
at their last known mailing addresses:
Name ______________________________________, mailing address: ________________________
___________________________________________________________________________________
Name ______________________________________, mailing address: ________________________
___________________________________________________________________________________
Name ______________________________________, mailing address: ________________________
___________________________________________________________________________________
Signed at _______________________, [City ]___________ [State], on ____________________ [Date].
Signature
Address
Print Name
Proof of Mailing (AFML) – Page 1 of 1
WPF CU 01.0255 (6/2006) – RCW 26.10.034(1)(b), GR 22(c)(3), 25 C.F.R. § 23.11(e)(7)
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