IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of:
)
)
)
)
A minor under 18 years of age
)
CASE NO.
)
Date of birth:
)
REQUEST TO CHANGE JURISDICTION TO A NEW COURT LOCATION
The Division of Juvenile Justice at the Department of Health and Social Services requests an
order changing the court location in this matter to
The minor now resides in
with
Date
Probation Officer
Type or Print Name
Approved by
Probation Supervisor
I certify that on
a copy of this document was sent to:
DA
Parent or Guardian
Minor’s Attorney
Other:
By:
ORDER
The above Request to Change Jurisdiction to a New Court Location is:
DENIED. Good cause for a change in jurisdiction to a new court location has not been
demonstrated.
GRANTED. Jurisdiction is changed to
Recommended on
Effective Date:
(date)
Superior Court Master
Superior Court Judge
Type or Print Name
I certify that on
a copy of this order was sent to:
Clerk:
DL-168 (4/11)(cs)
REQUEST TO CHANGE JURISDICTION TO A NEW COURT LOCATION
IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the Matter of:
)
)
)
)
A minor under 18 years of age
)
CASE NO.
)
Date of birth:
)
REQUEST TO CHANGE JURISDICTION TO A NEW COURT LOCATION
The Division of Juvenile Justice at the Department of Health and Social Services requests an
order changing the court location in this matter to
The minor now resides in
with
Date
Probation Officer
Type or Print Name
Approved by
Probation Supervisor
I certify that on
a copy of this document was sent to:
DA
Parent or Guardian
Minor’s Attorney
Other:
By:
ORDER
The above Request to Change Jurisdiction to a New Court Location is:
DENIED. Good cause for a change in jurisdiction to a new court location has not been
demonstrated.
GRANTED. Jurisdiction is changed to
Recommended on
Effective Date:
(date)
Superior Court Master
Superior Court Judge
Type or Print Name
I certify that on
a copy of this order was sent to:
Clerk:
DL-168 (4/11)(cs)
REQUEST TO CHANGE JURISDICTION TO A NEW COURT LOCATION
ADVERTISEMENT