Form CIV-714 "Petition for Order Authorizing Disposition of Unclaimed Body (Under as 12.65.100)" - Alaska

What Is Form CIV-714?

This is a legal form that was released by the Alaska Court System - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the Alaska Court System;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CIV-714 by clicking the link below or browse more documents and templates provided by the Alaska Court System.

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Download Form CIV-714 "Petition for Order Authorizing Disposition of Unclaimed Body (Under as 12.65.100)" - Alaska

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IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of:
)
)
)
)
CASE NO.
)
Deceased Person
)
PETITION FOR ORDER AUTHORIZING
Date of Birth:
)
DISPOSITION OF UNCLAIMED BODY
Date of Death:
)
(UNDER AS 12.65.100)
)
I, the undersigned, swear or affirm under penalty of perjury that the following is true to the
best of my knowledge and belief following diligent inquiry:
1.
a.
The death of the above-named person
was
was not reported to the
office of the State Medical Examiner (SME) under AS 12.65.005.
SME Case No.
b.
The office of the SME does not need the body for further examination.
c.
The death is not being investigated by police or prosecutors.
The death is being investigated by the police, but the body is no longer
needed and
(name and title)
of the
(law enforcement or prosecutor’s office)
has no objection to burial or cremation.
2.
I reviewed the attached affidavit(s) in support of this petition.
3.
The following items relating to the death investigation are attached:
Copy of the death certificate (mandatory)
Reports from law enforcement
Other:
4.
I request a court order authorizing the Department of Health and Social Services to
arrange for the
Plain and decent burial of the body of the above-named person.
Cremation of the body and the decent interment of the remains. The reason for
cremation is
Page 1 of 2
CIV-714 (8/17)(cs)
PETITION FOR ORDER AUTHORIZING DISPOSITION OF UNCLAIMED BODY
AS 12.65.100 & 110
IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of:
)
)
)
)
CASE NO.
)
Deceased Person
)
PETITION FOR ORDER AUTHORIZING
Date of Birth:
)
DISPOSITION OF UNCLAIMED BODY
Date of Death:
)
(UNDER AS 12.65.100)
)
I, the undersigned, swear or affirm under penalty of perjury that the following is true to the
best of my knowledge and belief following diligent inquiry:
1.
a.
The death of the above-named person
was
was not reported to the
office of the State Medical Examiner (SME) under AS 12.65.005.
SME Case No.
b.
The office of the SME does not need the body for further examination.
c.
The death is not being investigated by police or prosecutors.
The death is being investigated by the police, but the body is no longer
needed and
(name and title)
of the
(law enforcement or prosecutor’s office)
has no objection to burial or cremation.
2.
I reviewed the attached affidavit(s) in support of this petition.
3.
The following items relating to the death investigation are attached:
Copy of the death certificate (mandatory)
Reports from law enforcement
Other:
4.
I request a court order authorizing the Department of Health and Social Services to
arrange for the
Plain and decent burial of the body of the above-named person.
Cremation of the body and the decent interment of the remains. The reason for
cremation is
Page 1 of 2
CIV-714 (8/17)(cs)
PETITION FOR ORDER AUTHORIZING DISPOSITION OF UNCLAIMED BODY
AS 12.65.100 & 110
5.
Property.
In addition to the property described on the supporting affidavit(s), the following
property belonging to the deceased
is located at
6.
Other information relevant to this petition:
Date
State Medical Examiner / Deputy Medical Examiner
Print or Type Name
Telephone Number
Fax Number
Subscribed and sworn to or affirmed before me at
,
Alaska, on
.
(date)
(SEAL)
Clerk of Court, Notary Public, or other
person authorized to administer oaths.
My commission expires
Page 2 of 2
CIV-714 (8/17)(cs)
PETITION FOR ORDER AUTHORIZING DISPOSITION OF UNCLAIMED BODY
AS 12.65.100 & 110
Page of 2