Fillable Child Custody Petition (Central Council Tlingit and Haida Indian Tribes of Alaska)

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Child Custody Petition (Central Council Tlingit and Haida Indian Tribes of Alaska)

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U.S.A. forms for Central Council Tlingit and Haida Indian Tribes of Alaska

BROWSE CENTRAL COUNCIL TLINGIT AND HAIDA INDIAN TRIBES OF ALASKA (AK) FORMS

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Petition for Custody 08/15/19 TLINGIT & HAIDA TRIBAL COURT
320 West Willoughby Ave. Suite 300
Juneau, Alaska 99801
Phone: Toll- Free 1-(800) 344-1432
(907) 586-1432
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IN THE CENTRAL COUNCIL TLINGIT AND HAIDA
INDIAN TRIBES OF ALASKA TRIBAL COURTS
JUNEAU, ALASKA
In the Matter Of:
__________________________________,
Minor Child(ren)
PETITION FOR CHILD CUSTODY
__________________________________,
Petitioner
vs.
Court Docket Number: _________________
__________________________________,
Respondent
CHILD CUSTODY PETITION
Child’s Information:
Child’s full name: ________________________________________________________
Date of birth: __________________ Enrollment Number: ________________________
By checking this box, I certify that the above child is either:
1. An enrolled member of the Central Council Tlingit and Haida Indian Tribes of Alaska; or
2. Is eligible to be an enrolled member of the Central Council Tlingit and Haida Indian Tribes
of Alaska.
Child’s full name: ________________________________________________________
Date of birth: __________________ Enrollment Number: ________________________
By checking this box, I certify that the above child is either
1. An enrolled member of the Central Council Tlingit and Haida Indian Tribes of Alaska; or
2. Is eligible to be an enrolled member of the Central Council Tlingit and Haida Indian Tribes of
Alaska.
Use an additional page if there are more than two children in the case
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Petition for Custody 08/15/19 TLINGIT & HAIDA TRIBAL COURT
320 West Willoughby Ave. Suite 300
Juneau, Alaska 99801
Phone: Toll- Free 1-(800) 344-1432
(907) 586-1432
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Where do the child/ren live now? ____________________________________________
With whom do they live: __________________________________________________
Address: _______________________________________________________________
How long have they lived there: _____________________________________________
Where did the children live before: ___________________________________________
How long did they live there: ________________________________________________
Where and with whom do you think the children should live: ______________________
________________________________________________________________________
________________________________________________________________________
Family Information:
Mother’s full name: ______________________________________________________
Address: ________________________________________________________________
Phone: _________________________________________________________________
Email: __________________________________________________________________
Tribal Member: Yes No Tribe: ____________________________________
Father’s full name: _______________________________________________________
Address: ________________________________________________________________
Phone: _________________________________________________________________
Email: __________________________________________________________________
Tribal Member: Yes No Tribe: ____________________________________
Is there someone other than the Mother or Father with whom the child/ren live?
No Yes (if yes, please provide name(s) and relationship).
Name: _________________________ Relationship: _____________________________
Name: _________________________ Relationship: _____________________________
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Petition for Custody 08/15/19 TLINGIT & HAIDA TRIBAL COURT
320 West Willoughby Ave. Suite 300
Juneau, Alaska 99801
Phone: Toll- Free 1-(800) 344-1432
(907) 586-1432
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Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Names of other extended family with significant ties to the child:
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Legal Information:
Please provide all information regarding any type of custody, visitation, guardianship,
restraining orders, or protection orders pending or already in place for the child, from the
State of Alaska or any other place:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Domestic Violence:
Is domestic violence a concern in this case?
No Yes (If yes, please explain):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Custody Plan:
Has the child’s family already agreed on a child-custody plan?
No Yes (If yes, please explain):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Petition for Custody 08/15/19 TLINGIT & HAIDA TRIBAL COURT
320 West Willoughby Ave. Suite 300
Juneau, Alaska 99801
Phone: Toll- Free 1-(800) 344-1432
(907) 586-1432
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Expedited Hearing:
Do you need to set a hearing on an expedited basis?
No Yes (if yes, please explain circumstances that require this):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Filing Fee:
This petition requires a $100 filing fee.
Do you request that this court waive the filing fee?
No Yes
If yes, please complete the Waiver of Filing Fee included in this packet.
Petitioner respectfully requests the Court enter a decree of custody for the above named minor
child(ren).
__________________________________________________ ____________________
Signature of Petitioner Date
SIGNED AND SWORN TO before me on this day of , in
, by .
Notary Public for the State of
(Seal) Clerk of the Court, or other person authorized to
Administer oaths.
My commission expires:
Confidential Information Form
Notice to Petitioner: You must supply the respondent’s name and birth date, if known. Give as
much information as possible. The information will not be given to the respondent.
A. Petition Information
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ___________ Message: ___________
Tribal Affiliation: ____________________________________________________
Employer: _________________________________________________________
Address: __________________________________________________________
Telephone: ________________________________________________________
Salary/Wages (if known): ____________________________________________
B. Respondent Information
Full Name: _____________________________________________ Sex: ______
Date of Birth: _________ Hair Color: _______________ Eye Color: ___________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ____________ Message: __________
Tribal Affiliation: ____________________________________________________
Employer: _________________________________________________________
Address: __________________________________________________________
Telephone: ________________________________________________________
Salary/Wages (if known): ____________________________________________
C. Other Family Members listed in Petition:
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ___________ Message: ___________
Tribal Affiliation: ____________________________________________________
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ___________ Message: ___________
Tribal Affiliation: ____________________________________________________
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ___________ Message: ___________
Tribal Affiliation: ____________________________________________________
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ___________ Message: ___________
Tribal Affiliation: ____________________________________________________
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ___________ Message: ___________
Tribal Affiliation: ____________________________________________________
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ___________ Message: ___________
Tribal Affiliation: ____________________________________________________
Full Name: ________________________________________________________
Date of Birth: ______________________________________________________
Residence: ________________________________________________________
Mailing Address: ____________________________________________________
Home Number: __________ Cell Number: ___________ Message: ___________
Tribal Affiliation: ____________________________________________________
Parenting Plan CCTHITA Tribal Court
320 W. Willoughby Ave. Suite 300
Juneau, AK 99801
1-800-344-1432/866-532-3558 Fax
IN THE Tlingit & Haida TRIBAL COURT
JUNEAU, ALASKA
____________________________ )
Petitioner, ) Docket #:_______________________
)
)
____________________________ )
Respondent, )
______________________________)
PARENTING PLAN
FOR CUSTODY AND VISITATION IN SUPPORT OF
COMPLAINT TRIAL/SETTLEMENT BRIEF
ANSWER OTHER
MOTION OPPOSITION FOR
I, , propose the following custody and visitation
(Print your name here)
plan because it is in our child(ren)’s best interest/s.
1. Who is included
The following child(ren) is/are included in this plan (The child(ren) listed here must have the
same schedule; make a different plan for any child(ren) with a different schedule.)
Name Date of Birth
Additional plans are attached for other child(ren) ________________________.
2. Legal Custody: decision making (choose one)
Joint legal custody: We can communicate and make joint decisions regarding
our child(ren)'s major medical, educational, legal and religious needs.
Parenting Plan CCTHITA Tribal Court
320 W. Willoughby Ave. Suite 300
Juneau, AK 99801
1-800-344-1432/866-532-3558 Fax
Sole legal custody: Most of the time, we cannot communicate and make joint
decisions regarding our child(ren), therefore sole legal custody should be with
Father Mother.
3. Physical Custody: where children live (choose one)
Shared Physical Custody: We can communicate and coordinate with each other
to provide for our child(ren)'s physical care on a day-to-day basis. The schedule below should be
the shared physical custody schedule for our child(ren).
Primary Physical Custody: Our child(ren)'s needs can best be met by primary
physical custody being with Father Mother and the child(ren) spending time with the
other parent according to the schedule below.
Other Custody Arrangement as follows: ___________________________
______________________________________________________________________________
______________________________________________________________________________
4. Are your children old enough to go to school?
Yes. (Skip A. and go to B.) No. (Answer A. and B.)
A. Schedule before child(ren) is(are) old enough to go to school
Before reaching school age, the child(ren) should reside with Father
Mother, except for the following days and times when the child(ren) should reside with
or be with the other parent:
i. from: to
(Day and time) (Day and Time)
other:
Frequency:
every week every other week every two weeks
ii. and from: to
(Day and time) (Day and
Time)
other:
Frequency:
Parenting Plan CCTHITA Tribal Court
320 W. Willoughby Ave. Suite 300
Juneau, AK 99801
1-800-344-1432/866-532-3558 Fax
every week every other week every two weeks
B. Schedule after child(ren) is (are) old enough to go to school
After reaching school age, the child(ren) should reside with Father
Mother, except for the following days and times when the child(ren) should reside with
or be with the other parent:
i. from: to
(Day and time) (Day and Time)
other:
Frequency:
every week every other week every two weeks
ii. and from: to
(Day and time) (Day and
Time)
other:
Frequency:
every week every other week every two weeks
5. Place for transfer between parents
The transfer of the child(ren) between parents should take place at the following location(s):
__________________
6. Transportation for transfer between parents
Dad Mom Both Other
(Name of person who will be helping)
should be responsible for transporting the child(ren).
Comments:
Parenting Plan CCTHITA Tribal Court
320 W. Willoughby Ave. Suite 300
Juneau, AK 99801
1-800-344-1432/866-532-3558 Fax
7. Third party assistance with transfer between parents
I do not propose assistance with the transfer.
I propose the following third party(ies) to conduct or supervise the transfer:
Name Phone Conduct Supervise
8. Safety Concerns
I am I am not concerned about my safety or the safety of the child(ren) when with
the other parent. If there are concerns, I propose the following restrictions:
9. Out-of-state travel
(Choose A or B)
A. Father and/or Mother may not travel out-of-state with our child(ren) during his or
her custody or visitation time.
B. Father and/or Mother may travel out-of-state with our child(ren) during his or her
custody or visitation time without restrictions with the following restrictions:
10. Vacation, holiday, birthday and special occasion schedule
There should be no change in the regular schedule (see pages 2-3) during
vacations and holidays unless specifically indicated below. (Specify whether time will be
shared, or with a particular parent in odd, even or every year.)
With Dad With Mom Date/time begin and end
Parenting Plan CCTHITA Tribal Court
320 W. Willoughby Ave. Suite 300
Juneau, AK 99801
1-800-344-1432/866-532-3558 Fax
Winter vacation
Spring vacation
Summer vacation
Christmas Eve
Christmas Day
Father’s birthday
Mother’s birthday
Child(ren)’s birthday(s)
Father’s Day
Mother’s Day
11. Other:
_______ more pages are attached and incorporated by reference.
# of pages attached
Date Your Signature (In blue ink if possible)
I certify that on , a copy of this document was mailed or personally served to the following
parties: [ ] Respondent ; [ ] Petitioner ; [ ] Other: ___________________.
___________________________
Clerk of the Court
R=Regular mail; C=Certified, return receipt; P=Personal; I=Interoffice mail; E=Electronic
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Child Custody Petition (Central Council Tlingit and Haida Indian Tribes of Alaska)

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Completed 18 November 2021

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