Minnesota > Statewide > District Court > Child Protection
Affidavit Of Service Notice Of Intervention As A Party As A Matter Of Right CHP-405 - Minnesota
| Affidavit Of Service Notice Of Intervention As A Party As A Matter Of Right Form. This is a Minnesota form and can be used in Child Protection District Court Statewide . |
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State of Minnesota Judicial District: Court File Number: Case Type: In the Matter of the Welfare of the Child(ren) of: Parent Parent Legal Custodian Legal Custodian District Court Juvenile Affidavit of Service: Notice of Intervention as a A Party as a Matter of Right State Of Minnesota County Of ) ) SS (County where Affidavit Signed) I, (Name of person who mailed or hand delivered documents) , being first duly sworn, upon oath, state , I served the attached Notice of Intervention (Date Service Made) that on as a Matter of Right by (check one): hand delivering the document or mailing the document to the following person(s) at the following addresses: 1. First Street Address City County Middle Last Apt. No. State 2. First Street Address City County Middle Last Apt. No. State 3. First Street Address City County Middle Last Apt. No. State CHP405 State ENG Rev 3/04-D www.courts.state.mn.us/forms Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com 4. First Street Address City County Middle Last Apt. No. State 5. First Street Address City 6. First Street Address City 7. First Street Address City 8. First Street Address City County Middle Last Apt. No. State County Middle Last Apt. No. State County Middle Last Apt. No. State County Middle Last Apt. No. State Dated: Signature (Sign only in front of notary public or court administrator) Name: Street Address: City/State/Zip: Sworn/affirmed before me this day of , this Notary Public \ Court Administrator . CHP405 State ENG Rev 3/04-D www.courts.state.mn.us/forms Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com
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