Notice Of Appeal (From Administrative Agency To Superior Court) {AP-101}

AP-101 (4/19) (cs) NOTICE OF APPEAL (FROM ADMINISTRATIVE AGENCY TO SUPERIOR COURT) App. R. 602 IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT ) ) Appellant (person bringing appeal) ) ) vs. ) ) ) ) APPEAL CASE NO. CI Appellee (name of Admin. Agency) ) ) NOTICE OF APPEAL (from Administrative Agency to Superior Court) Notice is hereby given that appeals to the Superior Court from the decision dated , of the above-named STATEMENT OF POINTS The reasons for this appeal are: Date Appellant's Signature Print Name and Title (if applicable) Mailing Address City State ZIP Phone Cell Phone I certify that on a copy of this notice and all other documents filed with it was mailed personally delivered to: the head of the above-named agency (list name): the Attorney General of Alaska in Juneau (if agency is a state agency) the Chief Administrative Law Judge of the Office of Hearings (if the office heard the matter) By: American LegalNet, Inc. www.FormsWorkFlow.com