CI PETITION FOR QUARANTINE OR ISOLATION AS 18.15.385(d) Petitioner Name: Petitioner Title: Petitioner Agency: 1. I am the petitioner named above. I am authorized to petition the court on behalf of the Alaska Department of Health and Social Services, Division of Public Health (the Department). 2. I ask the court for an order to quarantine or isolate the respondent named above for 30 days. And I request a hearing on this petition within 48 hours as provided in AS 18.15.385(f). 3. A medi.
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How to fill out the AK CIV-794 online
This guide provides clear and detailed instructions on how to complete the AK CIV-794 form for petitioning for quarantine or isolation. Our aim is to support users of all backgrounds in navigating this important legal process effectively and confidently.
Follow the steps to complete the AK CIV-794 form online
- Press the ‘Get Form’ button to access the AK CIV-794 form and open it in the online editor.
- Fill in the petitioner’s name, title, and agency in the designated fields at the beginning of the form. Ensure that the information accurately reflects your identity and authority to act on behalf of the Department of Health and Social Services.
- In the section requesting the court's order, specify the duration for quarantine or isolation (typically 30 days) and request a hearing within 48 hours, as stipulated in Alaska Statute 18.15.385(f).
- Provide details regarding the contagious disease, including the specific disease the medical officer determined the respondent has or may have been exposed to.
- Explain the public health risk presented by the respondent, referring to the emergency administrative order issued for prompt action against disease transmission.
- Outline the necessary quarantine or isolation procedures recommended by the medical officer for the respondent. This might include special considerations based on the respondent's condition.
- If the respondent is under 18 years of age, enter the parent's or legal guardian's name and address where indicated.
- Indicate whether the respondent or their legal guardian consents to the quarantine or isolation. Select the appropriate options based on the situation.
- Describe the respondent's ability or willingness to avoid exposing others to infection.
- State if the respondent is currently quarantined or isolated. If not, request a peace officer to assist in delivering them for quarantine or isolation as needed.
- Specify the premises where the respondent will be confined for quarantine or isolation. If exceptional circumstances exist, explain why the respondent cannot be confined at home.
- Indicate the requested start date and time for the quarantine or isolation.
- Outline the conditions and standards that the Department of Health will follow during the isolation or quarantine, ensuring they are clear and comprehensive.
- At the end of the form, provide your signature, contact information including phone number and email, and ensure that the date is properly recorded.
Complete your AK CIV-794 application online to ensure timely processing.
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