Reason To Know Form - Integrity Law

Case #

Your Name

First

Last

Name of Child

First

Last

Is your child enrolled in an Indian Tribe or Alaska Native Village?

Yes
No

Tribe

Does your child have an identification card indicating membership in an Indian Tribe or Alaska Native Village?

Yes
No

Tribe

Are you enrolled in an Is your child enrolled in an Indian Tribe or Alaska Native Village?

Yes
No

Tribe

Do you have an identification card indicating membership in an Indian Tribe or Alaska Native Village?

Yes
No

Tribe

If so, is your child eligible to be enrolled in an Indian Tribe or Alaska Native Village?

Yes
No

Tribe

Have you or your child ever lived on a reservation or in an Indian Tribe or Alaska Native Village?

Yes
No

Tribe

Has anyone in your immediate family ever lived on a reservation of in an Alaska Native Village?

Yes
No

Tribe

Has this child ever been the ward of a Tribal Court or involved in a child custody case in a Tribal Court?

Yes
No

Tribe

Have any of your other children been a ward of a Tribal Court or involved in a child custody case in a Tribal Court?

Yes
No

Tribe

Does anyone in the courtroom have information that the child is an enrolled member of an Indian Tribe or Alaska Native Village or is eligible for membership in an Indian Tribe or Alaska Native Village?

Yes
No

Tribe

Has anyone received information indicating that the child is an enrolled member of an Indian Tribe or Alaska Native Village or is eligible for membership in an Indian Tribe or Alaska Native Village?

Yes
No

Tribe

Is the answer to the above questions the same regarding each of my other children named on the petition?

Yes
No

If “no”, complete separate forms for each child.