Release Of Information - Alaska
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2STATE OF ALASKA
DEPARTMENT OF REVENUE
CHILD SUPPORT SERVICES DIVISION
RELEASE OF INFORMATION
The Child Support Services Division may be required to release information about you or your
children to other parties or agencies. Information that may be released may include names,
addresses, social security numbers, and birth dates. This information will be released only as
authorized by law and only as needed to take action in your case. We will not release information to
the general public. However, if your case is filed with the court, information in the court case may
be available to the public.
If you or your children have been victims of domestic violence, including harassment, threats,
mental and emotional abuse, physical violence including sexual assault or incest, and parental
kidnapping, you may ask that information about your address and location be kept
confidential.
You must complete the “Affidavit and Request for Address Confidentiality,” sign it before a notary
or a witness, and return it within 30 days. Attach any documents you have (such as police reports,
protective orders, restraining orders, or medical records) to show why you believe the release of
information about your address or your location would threaten your well being. CSSD will review
your request and get back to you in writing. Please contact CSSD if you have questions.
If we don’t hear from you in 30 days, your address and other information may be released.
KIDSLINE: (907) 269-6900
KIDSLINE Toll Free (in Alaska): 1-800-478-3300
TDD machine: (907) 269-6894
TDD machine Toll Free (in Alaska): 1-800-370-6894
Statewide – Main Office
Fairbanks
Mat-Su
th
th
550 W 7
Ave Suite 310
675 7
Ave Station J2
845 W Commercial Drive
Anchorage AK 99501-6699
Fairbanks AK 99701-4526
Wasilla AK 99654-6937
(907) 269-6900
(907) 451-2830
(907) 357-3550
Southeast
Kenai
410 Willoughby Ave Suite 107
11312 Kenai Spur Hwy Suite 2
Juneau AK 99801-1724
Kenai AK 99611-9106
(907) 465-5887
(907) 283-2957
Ref: Alaska Statute 25.27.275
CSSD 04-0500b (Rev. 12/04) (1 p.)
Release of Information (family violence) – DPA version
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