IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

In the Matter of:	)

)

)

)	CASE NO.

A minor under 18 years of age.	)

)	RELEASE ORDER

Date of birth:	)

TO:

Juvenile Detention Center or

Juvenile Holding Facility

After identification procedures have been completed, you are ordered to release the above-named minor to

the custody of a representative of the Division of Juvenile Justice.

name and relationship to minor

Written agreement of the parent/guardian/custodian listed above is required before releasing the minor.

Date	Judicial Officer

Type or Print Name

I certify that on

a copy of this order was sent to:	(SEAL)

DJJ

Minor/Attorney

Parent/Guardian

Detention Facility

DA

Clerk: