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Fill and Sign the 43 101 Children Eligible for Adoption 1 Except as Otherwise Form

Fill and Sign the 43 101 Children Eligible for Adoption 1 Except as Otherwise Form

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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of (use child’s initials only): ) ) ) CASE NO. A minor under 18 years of age. ) ) REQUEST FOR REVIEW HEARING Date of Birth: ) ON VISITATION I am a parent, an adult family member, or the guardian of the minor child named above. The Office of Children’s Services has denied me reasonable visitation with the child. As an interested person, I ask the court for a review hearing on this matter. I understand that I am not eligible for publicly appointed legal counsel. Date Signature I certify that on I Type or Print Name sent copies of this request to: Mailing Address City State & ZIP Clerk: Daytime Phone Number ORDER IT IS ORDERED that the request for review hearing is DENIED. Good cause for a review hearing has not been demonstrated. GRANTED. A review hearing will be held on at a.m./p.m., at Date Judge I certify that on I Type or Print Name sent copies of this order to: Clerk : CN-365 (1/06)(cs) AS 47.10.080(p) REQUEST FOR REVIEW HEAR ING ON VISITATION

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