Free IN THE SUPERIOR COURT FOR THE STATE OF ALASKA - Alaska

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT __________________ In the Matter of the Necessity for the Hospitalization of: , Respondent. ) ) ) ) ) )

Case No. AFFIDAVIT OF SERVICE OF DOCUMENTS

I state on oath or affirm that on ___________________, 20____, at _____ ___.m., I served a copy of (title of document) on respondent and (institution) by (manner in which service was accomplished) .

Date

Signature

Print Name Title

Subscribed and sworn to or affirmed before me at , 20____.

Alaska, on

(SEAL)

_______________________________________ Notary Public for Alaska My commission expires:

MC-500 (3/01)(st.2) AFFIDAVIT OF SERVICE OF DOCUMENTS