Transcription of Superior Court of Washington, County of
1 Superior Court of washington , County of In re custody of: Children: No. Proof of Mailing (Indian child welfare Act Notice). Petitioner/s (person/s who started this case): (AFML). Respondents (parents and any guardian or custodian): Proof of Mailing (Indian child welfare Act Notice). Server declares: 1. I am age 18 or older and not a party to this case. 2. On (date): , I personally mailed copies of the: Non-Parent Custody Petition Indian child welfare Act Notice (Non-Parent Custody). Other documents: to the following people by certified mail with return receipt requested: Tribe/s (mail to the agent listed in the Federal Register). (Tribal agent): (Tribe): street number or box city state zip (Tribal agent): (Tribe): street number or box city state zip RCW , Proof of Mailing Mandatory Form (05/2016) (Indian child welfare Act Notice). FL Non-Parent 404 p. 1 of 2. (Tribal agent): (Tribe): street number or box city state zip Parents (Name): street number or box city state zip (Name): street number or box city state zip BIA.
2 Regional Director, Bureau of Indian Affairs 911 NE 11th Avenue Portland, OR 97232. Indian custodian/s (if any). (Name): street number or box city state zip 3. Other information (if any): I declare under penalty of perjury under the laws of the state of washington that the statements on this form are true. Signed at Date: city state Signature of server (not a party to this case) Print or type name of server Tape return receipt/s below: RCW , Proof of Mailing Mandatory Form (05/2016) (Indian child welfare Act Notice). FL Non-Parent 404 p. 2 of 2.
