Petition for Divorce & Child Custody
Please find included in the packet:
Petition for Divorce & Child Custody
Confidential Information Form
Request to Waive Court Fees
Parenting Plan Outline
There is a one-time filing fee of $100.00. Make checks payable to: CCTHITA -Tribal Court
The fee may be reduced or waived by the CCTHITA Tribal Court if the Petitioner can
document financial hardship (please complete the Request to Waive Court Fees in this
packet).
After Submitting your Petition:
The burden of serving the respondent and other family members is placed on the Petitioner.
The Petitioner will ensure that the respondent and all family members listed in the Petition
receive a copy of the Petition filed. Please provide the CCTHITA Tribal Court with proof
that the Petition has been provided to the respondent and all other family members listed. The
court can assist with service if requested by Petitioner.
After Service has been made:
Once the proof of service is received by the CCTHITA Tribal Court, the clerk will set a
hearing date 20 days or more from the date of service. A notice of hearing will be sent by the
CCTHITA Tribal Court to everyone identified in the Petition.
Before Court Hearing:
If anyone listed in the Petition cannot attend the court hearing, they may be asked to provide
a written response regarding their position of the custody of child/ren or provided the
opportunity to attend by telephone; which they will share with the petitioner and all other
family members listed in the Petition.
Contact Information for Tribal Court:
Central Council Tlingit & Haida Indian Tribes of Alaska - Tribal Court
320 W. Willoughby Avenue, Suite 300 Juneau, Alaska 99801
Telephone: 907-463-7165 Toll Free: 1-800-344-1432 x7165
E-Mail: cclerk@ccthita-nsn.gov
Petition for Divorce & Child 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 DIVORCE & CHILD
CUSTODY
__________________________________,
Petitioner
vs.
Court Docket No: _____________________
__________________________________,
Respondent
DIVORCE AND CHILD CUSTODY PETITION
Family Information:
Mother’s full name: ______________________________________________________
Address: ________________________________________________________________
Telephone Numbers (please provide home/work/cell):
________________________________________________________________________
Email: __________________________________________________________________
Tribal Member: Yes No Tribe: ____________________________________
Father’s full name: ______________________________________________________
Address: ________________________________________________________________
Telephone Numbers (please provide home/work/cell):
________________________________________________________________________
Email: __________________________________________________________________
Tribal Member: Yes No Tribe: ____________________________________
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Petition for Divorce & Child 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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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.
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 four children in the case
Petition for Divorce & Child 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: ______________________
________________________________________________________________________
________________________________________________________________________
Is there someone other than the Mother or Father who the child/ren lives with?
No Yes (if yes, please provide name(s) and relationship).
Name: _________________________ Relationship: _____________________________
Name: _________________________ Relationship: _____________________________
Names of other extended family with significant ties to the child:
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Name: _________________________Relationship:______________________________
Custody Plan:
Have the parties already agreed on a child-custody plan?
No Yes (If yes, please explain):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Marriage Information:
Date of Marriage: ________________________________________________________
Location of Marriage: _____________________________________________________
Date of Separation: _______________________________________________________
Petition for Divorce & Child 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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Description of Marital Estate:
Balance
During
Marriage?
Owned By:
Award To
$$$
Yes/No
Pet
Resp
Jnt
Pet.
Resp
Description of Marital Debt:
Owed To:
Balance
During
Marriage?
Debt Owed By:
Award Debt To
$$$
Yes/No
Pet
Resp
Jnt
Pet.
Resp
Jnt
(Use additional paper if necessary)
Is there to be a restoration to a maiden name?
Yes No For: Petitioner or Respondent
Maiden Name: _________________________________________________________
Is domestic violence a concern in this case?
Yes No
Petition for Divorce & Child 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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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:
Description of Order
Court Name and Location
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.
I swear under the penalty of perjury that all of the information in this form is true to the best of
my knowledge.
__________________________________________________ ____________________
Signature of Petitioner Date
(NOTARY paragraph on next page)
Petition for Divorce & Child 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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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: