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Instead, file this form at the court with form DR-151 which is available online or from the court clerk. AS 25.30.380(e). IN THE SUPERIOR COURT FOR THE STATE OF ... I certify I mailed the original of this affidavit to the Alaska Workers' Compensation Board and a copy to all parties in this case. 12. Name of Person Mailing ...Apr 9, 2014 — Florida Notaries may not certify copies of vital records or public records if a copy can be made by the custodian of the public record. Texas ... * Patients will be able to sign request form, send back securely, and receive any requested medical record. Benefits of a Medical Records Custodian. Document ... ... in your case is by using the Alaska Court System's Best Interest Affidavit and Memorandum (SHC-1125). The affidavit is how you present the facts to the Court. There is no Alaska statute regarding the cost of copying medical records. ... (b) $5 for furnishing a copy of certificate of the custodian of health care records ... Please note that you must fill out both pages of the Enrollment Application. Tribal Identification Card Affidavit. Update Contact Information. Address ... [You must complete the Certificate of Service on the next page.] MOTION TO CHANGE CUSTODY, SUPPORT OR VISITATION. > Alaska. Page 9. CERTIFICATE OF SERVICE. This cost must be calculated using the formulas in Rule 90.3. To do this, you should fill out a separate DR-305 Affidavit with all your income information and ... It is our hope that the information provided in this Bulletin will assist those considering the adoption of this model law in their States. The Act requires ...