IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

AT

In the Matter of:	)

)

)

)	CASE NO.

A minor under 18 years of age.	)

)	ORDER AMENDING

Date of birth:	)	DEFERRED INSTITUTIONAL PLACEMENT

IT IS ORDERED that the disposition order entered on	is amended as follows:

Deferred institutional placement period is VACATED and probation is TERMINATED.

Deferred institutional placement period is VACATED and probation will continue for a period not to exceed the expiration date of the above-referenced order.

Deferred institutional placement period is extended until	, with all conditions of the order remaining in full force and effect. A hearing will be held before the deferment period ends. A report is due from the probation officer at least one week prior to the hearing.

Deferred institutional placement period is IMPOSED effective immediately. The Department of Family and Community Services (DFCS) shall place the minor in the juvenile facility that DFCS considers appropriate. The minor is committed to the custody of DFCS for a period not to exceed two years or the day the minor turns 19 years old.

Custody end date:

If released from institutional placement prior to the custody end date, the minor may be placed on probation for the duration of any time remaining on this judgment.

All other terms and conditions of the disposition order remain in full force and effect.

Recommended on	Effective Date:

Date

Superior Court Master	Superior Court Judge

Type or Print Name	Type or Print Name

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

DJJ	DA Minor/Attorney

Parent/Guardian

Clerk: