STATE OF NEW MEXICO
COUNTY OF _______________
________________JUDICIAL DISTRICT
_______________________________, Petitioner(s)
No. __________
IN THE MATTER OF THE KINSHIP GUARDIANSHIP OF ____________________________, (a) Child(ren) (use initials only), and concerning ___________________________, Respondent #1, ____________________________, Respondent #2.
Enter names of all petitioners.
NOTICE TO TRIBE OF PENDENCY OF ACTION
STATE OF NEW MEXICO to _____________________, Name of Tribe of which the Indian child is a member or eligible for membership.
Greetings:
You are hereby notified that _____________________________,fn-FR-4a-503.1_1 Petitioner(s), filed a Petition to Appoint Kinship Guardian(s) for_____________________________, child(ren) that the court knows or has reason to know are members or eligible for membership in the tribe.
Enter initials and date(s) of birth of each child listed in the Petition to Appoint Kinship Guardian.
3. Petitioner(s) shall ensure that this completed form is mailed, by certified mail with return receipt requested, to a representative authorized to accept service on behalf of the tribe. Contact information for authorized representatives can be found at https://www.bia.gov/bia/ois/dhs/icwa/agents-listing/.
4. Petitioner(s) shall file proof of service with the Court when service has been completed.
The above referenced tribe is hereby notified that the tribe has the right to intervene as a party to this proceeding.
The above referenced tribe is hereby notified that the tribe has the right to petition the district court to transfer this proceeding to tribal court.
The above referenced tribe is hereby notified that the tribe has the right to participate in this proceeding whether or not the tribe intervenes as a party to this proceeding.
Name and address of Petitioner or Petitioner's attorney: _______________________________
_____________________________________________________________________________
_____________________________________________________________________________
Dom. Rel. Forms. 4A-503.1