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Example - Alaska Dv 101 Form
IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT
PETITIONER (protected person), |
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Birthdate: |
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Petitioner is a child. Who is signing for the child?
Name:Birthdate: Relationship to child:
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RESPONDENT (restrained person), |
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Birthdate |
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Respondent is a child. Who is signing for the child?
Name:Birthdate: Relationship to child:
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) Case No.CI
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) CHILD SUPPORT INFORMATION
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INSTRUCTIONS. If child support is requested in a petition for a
Provide information about yourself and, to the extent it is available, about the other party. A court clerk can notarize this document for you at no charge. The information in this form is required by Civil Rule 90.3 and the statutes listed at the bottom of this form. If you want a copy of Civil Rule 90.3, ask the clerk for a copy of the booklet about child support,
Each party must attach a copy of his or her most recent federal tax return and most recent pay stubs to verify income and deductions.
AFFIDAVIT
I swear or affirm under penalty of perjury that the following information is true to the best of my knowledge and belief.
I.Other Child Support Orders
There are no other child support orders currently in effect concerning the children involved in this case.
The following child support order(s) concerning these children is/are still in effect:
Case No. |
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Effective Date: |
Page 1 of 4 |
Civil Rule 90.3 |
AS 25.27.062(a) |
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CHILD SUPPORT INFORMATION |
AS 25.27.060(c) |
II.Income Information. The following income and deductions are
monthly
yearly.
I have attached a copy of my most recent federal tax return and pay stubs to verify this
information. [Note: Delete social security numbers and account numbers from any documents you attach.]
PETITIONER
A.Gross Income (Do not list ATAP or SSI below.) Gross wages
Value of
Permanent fund dividend Other:
TOTAL INCOME
B.Deductions Allowable Under Civil Rule 90.3 Federal, state and local income tax Social security tax or
Employment security tax Mandatory retirement contributions Mandatory union dues
Voluntary retirement contributions if plan earnings are
Other mandatory deductions (specify)
Child support/alimony ordered in other cases and currently being paid
Child support for children from prior relationships living with this parent, calculated under Civil Rule 90.3
TOTAL DEDUCTIONS
C. Net Income
TOTAL INCOME from section A
TOTAL DEDUCTIONS from section B
Subtract deductions from income to get
NET INCOME
D.Adjusted Annual Income
1.If the above figures are based on monthly information, multiply NET INCOME from section C by 12 to get
ADJUSTED ANNUAL INCOME
2.If the above figures are based on yearly information, repeat the NET INCOME amount from section C to show
ADJUSTED ANNUAL INCOME
Page 2 of 4
CHILD SUPPORT INFORMATION
RESPONDENT
Civil Rule 90.3
AS 25.27.062(a)
AS 25.27.060(c)
III.Health Care Coverage for the Children. A. Health Insurance.
1.Does the petitioner have health insurance available for the child(ren) at reasonable cost through his/her employer, union or otherwise?
Yes |
No |
If yes, state name and address of employer, union or other |
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source through which insurance is provided or available. |
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Name: |
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Address: |
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Cost to petitioner: $ |
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month |
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2.Does the respondent have health insurance available for the child(ren) at reasonable cost through his/her employer, union or otherwise?
Yes |
No |
If yes, state name and address of employer, union or other |
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source through which insurance is provided or available. |
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Name: |
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Address: |
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Cost to respondent: $ |
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month |
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3. Are the children eligible for services through the Indian Health Service?
Yes
No
4. Do the children have other health insurance or care available?
Yes Describe:
No
B.Children’s Health Care Expenses Not Covered By Insurance.
Is there any reason why the court should not require the parties to share equally the cost of reasonable health care expenses not covered by insurance?
IV. Travel Expenses. Travel expenses to exercise visitation should be allocated between the parties as follows:
Page 3 of 4 |
Civil Rule 90.3 |
AS 25.27.062(a) |
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CHILD SUPPORT INFORMATION |
AS 25.27.060(c) |
V.Immediate Income Withholding.
The Alaska Statutes require that child support be withheld from the income of the person paying support and paid through the Child Support Services Division (CSSD) unless one of the following exceptions is approved by the court:
We have made the following alternative arrangement (Note that if you receive ATAP, CSSD must agree to the arrangement):
Also, the person paying support agrees to keep the other party (or CSSD if CSSD is enforcing the order) informed of his/her current employer and the availability of
We believe there is good cause not to require immediate income withholding because it is not in the best interests of the child(ren) for the following reason:
Also, the person paying support agrees to keep the other party (or CSSD if CSSD is enforcing the order) informed of his/her current employer and the availability of
The person paying support currently receives social security or other disability compensation that includes regular payments to the child(ren) at least equal to the child support owed each month. Monthly payment to child(ren): $
Source of payment:
Note: To the extent that these payments to the children do not satisfy the monthly amount owed, the court will order that the remaining amount due be withheld from income.
VI. If you want the assistance of the Child Support Services Division (CSSD) to enforce the support order and keep records of the payments, you must apply for CSSD services. You can get an application from CSSD or you can fill out court form
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Signature |
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Type or Print Name |
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Subscribed and sworn to or affirmed before me at |
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on |
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(SEAL) |
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Clerk of Court, Notary Public or other |
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person authorized to administer oaths. |
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My commission expires: |
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Page 4 of 4 |
Civil Rule 90.3 |
AS 25.27.062(a) |
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CHILD SUPPORT INFORMATION |
AS 25.27.060(c) |
Your Questions, Answered
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What is the purpose of the Alaska DV 101 form?
The Alaska DV 101 form is used to provide essential information regarding child support in cases involving domestic violence protective orders. It is required when a party seeks child support as part of a long-term domestic violence protective order. This form helps the court understand each party's financial situation, ensuring that child support is determined fairly and in the best interest of the child.
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Who needs to fill out the Alaska DV 101 form?
Both parties involved in the case, the petitioner (protected person) and the respondent (restrained person), must complete the form. If either party is a child, an adult must sign on their behalf, providing their relationship to the child. This ensures that the court has accurate information from both sides regarding income and child support obligations.
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What information must be included in the form?
The form requires detailed information about income and deductions for both parties. This includes gross income from various sources, allowable deductions, and health insurance coverage for the children. Each party must also attach their most recent federal tax return and pay stubs to verify the information provided. This documentation is crucial for establishing a clear financial picture for the court.
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What happens if I need help filling out the form?
If you require assistance, a court clerk can help you fill out the Alaska DV 101 form. Additionally, they can notarize the document at no charge. It is important to ensure that the form is completed accurately to avoid delays in the court process.
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What is the significance of immediate income withholding?
The form outlines that child support payments are generally withheld from the income of the person paying support. This is done through the Child Support Services Division (CSSD) unless the court approves an alternative arrangement. Immediate income withholding helps ensure that child support is paid consistently and reduces the risk of missed payments, which is vital for the financial stability of the child.
Fill out Common Templates
Alaska Death Certificate - Proper fees must accompany the request to ensure processing.
For businesses interested in becoming authorized lottery retailers in Florida, completing the required documentation is crucial. Specifically, the Florida Lottery DOL-129 form outlines the steps involved, including financial obligations and necessary background checks. Understanding this process is vital for compliance, and you can find more details at All Florida Forms, which provides comprehensive resources for applicants.
Alaska Court - The application allows for claiming a late fee if permitted by the rental agreement.
Dos and Don'ts
When filling out the Alaska DV 101 form, it is essential to approach the process with care and attention to detail. Here are six important do's and don'ts to keep in mind:
- Do read all instructions carefully before starting the form.
- Do provide accurate and complete information about yourself and the other party.
- Do attach your most recent federal tax return and pay stubs to verify your income.
- Do seek assistance from a court clerk if you have questions about filling out the form.
- Don't leave any sections blank; ensure all required fields are filled in.
- Don't include social security numbers or account numbers in the documents you attach.
Following these guidelines can help ensure that your form is completed correctly, which is crucial for your case. Take your time, double-check your entries, and don't hesitate to ask for help if needed.
Similar forms
The Alaska DV 101 form is similar to the Child Support Worksheet used in many states. Both documents require parties to provide detailed information about their income, expenses, and financial obligations. The Child Support Worksheet typically helps determine the amount of child support owed based on the parents' financial situations. Like the DV 101 form, it aims to ensure that children receive adequate financial support from both parents.
Another document that shares similarities with the Alaska DV 101 is the Parenting Plan. This form outlines how parents will share responsibilities for their children, including custody and visitation arrangements. Both documents emphasize the best interests of the child. They require parents to communicate their intentions clearly to avoid misunderstandings and ensure that the child’s needs are met.
When navigating the complexities of family law, understanding various forms, such as the Alaska DV 101, becomes imperative for ensuring fair outcomes. For those looking for comprehensive resources, TopTemplates.info offers valuable tools and templates that help facilitate the documentation process, allowing individuals to stay informed and prepared for any legal proceedings they may encounter.
The Affidavit of Support is also comparable to the Alaska DV 101 form. This document is often used in immigration cases to demonstrate financial stability. Like the DV 101, it requires the signer to provide accurate financial information and affirm its truthfulness under penalty of perjury. Both forms aim to protect vulnerable parties, whether children in a domestic violence situation or immigrants relying on financial support.
The Financial Disclosure Form is another document akin to the Alaska DV 101. This form is used in various legal proceedings to disclose a party's financial situation. It requires similar information about income, expenses, and assets. Both forms are essential for the court to make informed decisions regarding financial obligations, ensuring transparency between the parties involved.
Additionally, the Child Support Enforcement Application is similar to the Alaska DV 101 form. This application is submitted to request assistance from child support services. Like the DV 101, it requires detailed financial information to assess the need for support enforcement. Both documents aim to facilitate the collection and management of child support payments.
The Domestic Violence Petition is another related document. While the DV 101 focuses on child support, the Domestic Violence Petition seeks protective orders for victims of abuse. Both documents require detailed information about the parties involved and their circumstances. They are designed to protect the vulnerable and ensure their rights are upheld in court.
Finally, the Income Withholding Order shares similarities with the Alaska DV 101 form. This order directs an employer to withhold child support payments directly from a parent’s paycheck. Like the DV 101, it emphasizes the importance of timely and consistent financial support for children. Both documents aim to ensure that children receive the financial support they need, minimizing delays and complications in the process.
How to Write Alaska Dv 101
Filling out the Alaska DV 101 form is a crucial step in your process. This form collects important information related to child support in domestic violence cases. After completing the form, you will need to bring it to your court hearing or file it with the court beforehand. Make sure to have your most recent federal tax return and pay stubs ready, as these documents are necessary for verification.
- Begin by entering the name of the Petitioner (the protected person) and their birthdate.
- If the petitioner is a child, provide the name, birthdate, and relationship of the person signing for the child.
- Next, fill in the name of the Respondent (the restrained person) and their birthdate.
- If the respondent is a child, also provide the name, birthdate, and relationship of the person signing for the child.
- Enter the Case Number assigned to your case.
- Indicate whether there are any existing child support orders for the children involved. If there are, list the case number and effective date.
- Fill out the income information for both the petitioner and respondent, including gross income and any deductions. Make sure to attach copies of your most recent federal tax return and pay stubs.
- Indicate whether the petitioner and respondent have health insurance available for the children. If yes, provide the name, address, and cost of the insurance.
- Answer questions regarding any health care expenses not covered by insurance.
- Discuss how travel expenses for visitation will be allocated between the parties.
- Complete the section on immediate income withholding and provide any relevant details regarding alternative arrangements.
- Sign the form, ensuring it is subscribed and sworn to before a notary public or authorized person.
Documents used along the form
When navigating the process of obtaining a domestic violence protective order in Alaska, several other forms and documents may be necessary alongside the Alaska DV 101 form. Each of these documents serves a specific purpose, ensuring that all relevant information is gathered and presented to the court effectively. Below is a list of commonly used forms that you might encounter.
- DV-102: Petition for a Domestic Violence Protective Order - This form initiates the process for seeking a protective order. It outlines the reasons for the request and details any incidents of domestic violence.
- Room Rental Agreement Form: For those renting a room in California, the essential Room Rental Agreement details help establish clear terms between landlords and tenants.
- DV-103: Order for Domestic Violence Protective Order - Once a protective order is granted, this document serves as the official court order, detailing the restrictions placed on the restrained person.
- DV-104: Motion to Extend or Modify Protective Order - If you need to change the terms of an existing protective order or extend its duration, this form allows you to formally request those changes from the court.
- DV-105: Notice of Hearing - This document informs all parties involved about the scheduled court hearing regarding the protective order, ensuring that everyone has an opportunity to attend.
- DV-106: Proof of Service - After serving the restrained person with the protective order documents, this form verifies that proper notice has been given, which is crucial for the court proceedings.
- CSSD Application (DR-315) - If child support enforcement is needed, this application form must be completed to request assistance from the Child Support Services Division.
- Affidavit of Service - This document serves as a sworn statement confirming that the necessary legal documents have been delivered to the appropriate parties, ensuring compliance with court requirements.
Understanding these forms and their functions can significantly streamline your experience in the legal process. Each document plays a vital role in safeguarding your rights and ensuring that the court has all necessary information to make informed decisions.
Misconceptions
Here are some common misconceptions about the Alaska DV 101 form, along with clarifications for each:
- It's only for adults. Many believe the form is exclusively for adults, but it can also be used when children are involved. If a child is a petitioner or respondent, the form accommodates this situation.
- You don’t need to provide financial information. Some people think they can skip the financial details. However, the form requires income information and deductions to calculate child support accurately.
- Child support is automatically granted. There is a misconception that filing the form guarantees child support. The court will review the information and make a determination based on the circumstances.
- Health insurance details are optional. Many assume that providing health insurance information is not necessary. In fact, the form asks for health insurance availability and costs, which are important for child support calculations.
- Filing the form is the same as filing a protective order. Some think that submitting the DV 101 form is the same as filing for a protective order. The form is specifically for child support information and must accompany a protective order petition.
- You can submit the form without supporting documents. It’s a common belief that the form can stand alone. However, you must attach your most recent tax return and pay stubs to verify income.
- All income types must be reported. Some individuals think they should report every single source of income. The form specifies which types of income to include, such as wages and certain benefits, while excluding others like ATAP or SSI.
- The court will handle everything without your input. There’s a misconception that once the form is filed, the court will manage all aspects of child support. In reality, both parties need to provide information and may need to participate in hearings.
- You can fill it out without assistance. While some believe they can complete the form independently, it’s advisable to seek help from a court clerk if needed. They can provide guidance and ensure that all necessary information is included.
Common mistakes
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Incomplete Information: Failing to provide all required details about both the petitioner and respondent can lead to delays in processing the form.
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Incorrect Birthdates: Entering the wrong birthdate for either party or the child can cause confusion and may affect legal outcomes.
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Missing Signatures: Not signing the affidavit section can invalidate the entire form. Ensure all necessary signatures are present.
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Failure to Attach Documents: Forgetting to include the most recent federal tax return and pay stubs can result in the court not accepting the form.
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Ignoring Child Support Orders: Not disclosing existing child support orders can lead to legal complications and may affect the determination of support obligations.
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Incorrect Income Calculations: Miscalculating gross income or deductions can lead to inaccurate net income figures, impacting support determinations.
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Health Insurance Details: Omitting information about available health insurance for the child can affect health care cost sharing decisions.
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Neglecting Travel Expenses: Failing to allocate travel expenses for visitation can lead to disputes between parties later on.
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Not Seeking Assistance: Avoiding help from a court clerk when needed can result in errors that could have been easily corrected.
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Ignoring Immediate Income Withholding: Not addressing the requirement for income withholding can lead to complications in enforcing child support.