Information Sheet
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1Clerk: This form is CONFIDENTIAL and must be kept in a confidential envelope or file.
Information Sheet
Case Number:
Court Location:
I am not filling out the following three paragraphs because an Information Sheet
providing all this information has already been filed in this case
st
1.
Full Name of Plaintiff or 1
Petitioner:
Date of Birth:
Social Security No.*
nd
2.
Full Name of Defendant or 2
Petitioner:
Date of Birth:
Social Security No.*
3.
Children Involved in This Case:
Full Name of Child
Date of Birth
Social Security Number*
I certify that the above information is correct.
Date
Signature of Party
Print Name
*
Disclosure of social security numbers is mandatory under AS 25.24.210(f), AS 18.50.280(a)
and 42 USC 666(a)(13). The numbers may be used to insure compliance with the child
support order.
DR-314 (10/06)(cs)
INFORMATION SHEET
Civ. R. 90.1(f)(1)
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