IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

AT

In the Matter of:	)

)

)

)

A minor under 18 years of age.	)	CASE NO.

)

Date of birth:	)	ORDER REVOKING MINOR’S

LICENSE TO DRIVE

The court finds that the minor is

at least 13 years of age, but not yet 21 years of age, and is convicted of or is adjudicated a delinquent minor by a court for an offense involving a controlled substance.

at least 13 years of age, but not yet 18 years of age, and is convicted of or is adjudicated a delinquent minor by a court for an offense involving the illegal use or possession of a firearm.

IT IS ORDERED THAT the minor’s driver’s license or permit, privilege to drive, or privilege to obtain a license is REVOKED for	days from the date of this order.

(First offense: 90 days or less; Second or subsequent offenses: 1 year or less)

Effective Date	Judicial Officer

Type or Print Name

I certify that on , a copy of this order was sent to:

DJJ	Minor /Attorney

Parent/Guardian	DA

DMV ( with surrendered license/ID #	)

Other:

Clerk: