IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

AT

In the Matter of:	)

)

)	CASE NO.

A minor under 18 years of age	)

)	DISPOSITION ORDER –

Date of birth:	)	INSTITUTIONAL COMMITMENT

Disposition hearing held:

Present:

Based upon the evidence presented, the oral findings/conclusions made at the above hearing or transcribed in a separate document filed in this case, and having considered the factors in AS 47.12.140:

IT IS ORDERED that the minor is committed to the custody of the Department of Family and Community Services (DFCS) for a period not to exceed two years or the day the minor becomes 19 years old.

Custody end date:

DFCS shall place the minor in the juvenile facility that DFCS considers appropriate. If released from institutional placement prior to the above custody end date, the minor may be placed on probation for the duration of any time remaining on this judgment.

Institutional placement shall be effective with this order. AS 47.12.120(b)(1).

Institutional placement shall be deferred until	. During deferment, the minor shall be placed on probation under the written conditions that appear on a separate document filed in this case. AS 47.12.120(b)(1) & (3).

IT IS FURTHER ORDERED:

The following orders are in a separate document:

restitution child support driver's license revocation

Recommended on:	Effective Date:

Date

Superior Court Master	Superior Court Judge

Type or Print Name	Type or Print Name

Distribution

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

DJJ DA Minor/Attorney Parent/Guardian GAL

Clerk: