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Form Shc-1500 - Motion And Affidavit To Modify Custody, Visitation And/or Child Support Page 9

You must use black ink to fill out this form.

CERTIFICATE OF SERVICE

Note: You must serve a copy of this request on the other parent (or their attorney if represented).

However, if you asked for a filing fee waiver, wait to serve this until the court grants the waiver or you

have paid the filing fee.

The court will not consider your motion until you (1) pay the filing fee or receive a fee waiver, AND (2)

provide everyone involved with the case with a copy of all papers filed. This gives everyone a chance

to respond and tell the court their side. Therefore, you are required to certify to the court that you

mailed or hand delivered a copy of the entire packet to the other parent or his/her attorney if

represented, and the Attorney General if you meet 2 requirements: (1) CSSD is collecting child support

in your case, and (2) you are asking to reduce or eliminate past-due child support debt.

I certify that on

, I

mailed by first class mail OR

hand delivered

date

a copy of this Motion and all documents listed above in Section E to the following:

The other parent at:

The other parent’s attorney at:

The Attorney General’s Office (send a copy if you meet 2 requirements: (1) CSSD is

you are asking to reduce or eliminate past-due

collecting child support currently and (2)

child support debt

Attorney General’s Office

Child Support Section

1031 West Fourth Ave., Ste. 200

Anchorage, AK 99501

Your Signature:

Date:

MOTION TO MODIFY

Page 9 of 9

Docket: DR705 or DR705UISFA

SHC-1500 (02/18)

Form Shc-1500 - Motion And Affidavit To Modify Custody, Visitation And/or Child Support Page 9