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Get AK MED-200 2015-2021

IATION 1. I request a referral for CINA Mediation. 2. I am the: 3. OCS Worker GAL Mother (or attorney) Tribal Representative Other legal party AAG Father (or attorney) Indian Custodian (or attorney) I consulted with all other legal parties and we all agree to make this referral (not required). 4. The participants are available to mediate on or (date) at am 5. People who should participate in the mediation are: Name (date) at pm. Relationship am pm Phone(s) and Email address NOT.

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