Adoption Petition
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5IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT
In the matter of the adoption of
)
)
)
)
(child's name after adoption)
)
)
DOB:
, A Minor Child,
)
)
By
,
)
CASE NO.
Petitioner.
)
)
ADOPTION PETITION
I.
Court Information
This is the correct court to hear this matter because:
The child has an open CINA matter. Case number (if known)
.
This is the location where the CINA proceedings are pending.
While the CINA proceedings are not in this location, the petitioner resides in this
district and:
does not know the CINA parties and asks the Alaska Court System to send
notice.
has filed notice to the CINA parties.
Proof of notice is attached to this petition.
Proof of consent is attached to this petition.
There is no open CINA matter for the child, and this location is where:
The person(s) seeking to adopt the child resides or is in the military.
The child resides at the time of filing.
The agency that has care, custody, or control of the child is located.
II.
Child’s Information
a. Child’s current full name
:
(leave blank if an agency adoption)
b. Child’s name after adoption:
c. Child was born on
, in
,
.
(date)
(city)
(state or country)
d. Child’s current address:
e. Number of years child has lived at the above address:
f. Name of birth parents, if known:
Page 1 of 5
AS 25.23.080
P-405 (12/16)(cs)
Adoption Rule 6
PETITION FOR ADOPTION
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