Section 34.35.465. Form of notice.

The form of notice required by AS 34.35.450 - 34.35.480 shall be substantially as follows: 
                                                                 
NOTICE is hereby given that . . . . . . . . . . . . has rendered 
services for hospitalization, physician services, or special nurses'   
services for . . . . . . . . . . . ., a person who was injured on the .
. . . day of . . . . . . at . . . . . . . in the state, and the . . . .
. . . . . . . . . . . . (claimant) hereby claims a lien upon any money 
due or owing or any claim for compensation, damages, contribution,     
settlement, or judgment from . . . . . . . . . . . . . . . . . . . . .
 . . . . . . . . . . . . . . . . . . . . alleged to have caused the    
injuries and any other person liable for the injury or obligated to    
compensate the injured person on account of the injuries; the          
hospitalization, physician services, or special nurses' services were  
rendered to the injured person between the . . . . day of . . . . . and
. . . . . . . . . . . . . . . . . .:                                   
                                                                 
General Description of Services Rendered and      
Statement of Amount Due                                                
.................................................................
and that 90 days have not elapsed since that time; that the      
claimant's demands for care and service is in the sum of $. . . . . . .
. and that no part of the demands has been paid, except $. . . . . . .
 . . ., and that there is now due and owing and remaining unpaid       
thereof, after deducting all credits and offsets, the sum of $. . . . .
., in which amount lien is hereby claimed.                             
United States of America                                               
State of Alaska        ss.                                             
. . . . . . . . . . Judicial District                                  
I, . . . . . . . . . . . . . . . . . . . . . . . . . ., being    
first duly sworn on oath say: That I am . . . . . . . . . . . . . . . .
. . . . . . . . . . . . named in the foregoing claim of lien; that I   
have read the same and know the contents thereof and believe the same
 to be true.                                                           
      . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subscribed and sworn to before me this . . . . . . day of . . . .
. . . . . . . . . . . ., 2. . . . .                                    
 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
        Notary Public for Alaska                          

Authorities

34.35.460

Notes

References

AS 34.35.460 Notice of lien.

History

(Sec. 4 ch 75 SLA 1959; am Sec. 4 ch 135 SLA 1996)