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Power of Attorney

Power of Attorney Booklet 2005.pdf

Form Instructions

INSTRUCTIONS: ALASKA POWER OF ATTORNEY

If you wish to appoint someone else to have authority over any part of your life, you must fill out a power of attorney form. Alaska provides an all purpose power of attorney which can be downloaded from the website of the Alaska Legal Services Corporation.

Power of Attorney Step 1: Under Section 1, fill in your name and address as indicated.

Power of Attorney Step 2: Write the name and address of the agent or agents you wish to grant authority.

Power of Attorney Step 3: Section 2 provides a number of options as to the specific powers you wish to grant an agent. If you wish to allow a designated agent complete authority over all 13 categories, you do not have to do anything in this section. If you only wish to grant certain authorities, strike through those lines you do not wish to give them authority over and place your initials alongside them. Any powers not listed there which you wish to grant may be detailed under section O.

Power of Attorney Step 4: In Section 4, indicate whether the document will take effect when it is signed or only if the victim of a disability.

Power of Attorney Step 5: In Section 5, those who have indicated the document will take effect as soon as they have signed should indicate whether the powers granted will remain intact or be revoked in the event of a disability.

Power of Attorney Step 6: If you wish to limit the amount of time this document will have effect, note the end date in Section 6.

Power of Attorney Step 7: Section 7 does not need to completed. It instructs those signing that if they wish to revoke this document they may destroy the original copy of this form and complete a new power of attorney or a revocation of the former power of authority.

Power of Attorney Step 8: In Section 8, indicate whether you have completed a separate Alaska Advance Health Care Directive stipulating what to do if you are hurt, fall ill or otherwise become incapable of making medical care decisions. This document will take precedence over this power of attorney.

Power of Attorney Step 9 : You and your representative should sign and date the document before a notary, who should do the same.

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