IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA

AT

Search Warrant No.	SW

Affiant -- List all related court case numbers, if any:

Has this search warrant request been reviewed by any other judicial officer?

No

Yes, a previous search warrant request was filed on:

Date: Time: Location:

AFFIDAVIT FOR SEARCH WARRANT

NOTE: Before completing this affidavit, read the following points which should be addressed in your statement of the facts. A search warrant may not be issued until probable cause for the search has been shown. You should explain:

1.	Who was observed (give names or other identifying information).

2.	When did the observations take place (date, time, and sequence of events).

3.	Who made the observations.

4.	Why were the observations made. If, for example, the information came from an informant, the informant's reasons for making the observations should be specified, and reasons for relying on the informant's information should be set out.

5.	What was observed. Include a full description of events relevant to establish probable cause.

6.	Where did the observations take place. Describe the location of the observers and the persons or objects observed. The description must be as specific as the circumstances will allow.

7.	How were the observations made. For example, was an informant used, was there an undercover officer, was electronic surveillance involved, etc.

8.	All other relevant information.

I,	[your full name], being duly sworn, state that I have reason to believe that:

on the person of

on the premises known as

at	, Alaska,	,

there is now being concealed property, namely:

This concealed property (see AS 12.35.020)

is evidence of the particular crime(s) of

.

tends to show that

committed the particular crime(s) of

.

is stolen or embezzled property.

was used as a means of committing a crime.

is in the possession of a person who intends to use it as a means of committing a crime.

is one of the above types of property and is in the possession of

to whom	delivered it to conceal it.

is evidence of health and safety violations.

The facts tending to establish the foregoing grounds for issuance of a search warrant are as follows:

In addition, I believe there are compelling reasons for postponing service of notice of the search warrant. Postponing service of the notice of the search warrant may:

avoid jeopardizing a confidential informant’s safety.

avoid impairing the informant’s investigative efforts in other cases.

allow time for follow-up investigations in this case.

Title	Signature

Subscribed and sworn to or affirmed before me on	, 20	, at

, Alaska.

(SEAL)	Court clerk, notary public, or other person authorized to administer oaths.

My commission expires:

Print Name

Additional testimony relating to this affidavit was recorded on Media #	,

sealed code:	, beginning log # , ending log #	.