IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

AT

(Plaintiff)

(Defendant) CASE NO:

DECREE TO DISESTABLISH PATERNITY

This case involves these children:

Child’s Name	Date of Birth

The Court Orders:

1.	For the children named above,

is not the biological or legal father.

has no parenting rights.

has no ongoing responsibility to pay child support as of	[date].

must pay child support arrears as detailed in the attached Findings of Fact and Conclusions of Law.

2.	The Alaska Office of Health Analytics and Vital Records must remove	as the father from the birth certificate of each child named above.

[IMPORTANT: One of the parties must send a certified copy of this decree to the Alaska Office of Health Analytics and Vital Records to change the birth certificates.]

3.

Date	Superior Court Judge

Recommended for approval: Superior Court Master Date

Print or Type Name

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

Plaintiff/Atty Defendant/Atty Other:

Clerk/JA: