Fill and Sign the Affirmation of Completion of Mandatory Education Requirement Form

PG -120 (7/18)(cs) AS 13.26.311(c) AFFIRMATION OF COMPLETION OF MANDATORY EDUCATION REQUIREMENT AS 13.26.465(g) IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Protective Proceeding of ) ) ) ) , ) Respondent / Ward / Protected Person ) ) ) CASE NO. AFFIRMATION OF COMPLETION OF MANDATORY EDUCATION REQUIREMENT I affirm that I completed one hour or more of mandatory education on the basics of guardianship/conservatorship as follows: On , 20 , I completed the on- line course “Guardianship and Conservatorship” produced by the Alaska Court System. I have attached my certificate. On , 20 , I read the booklet “Powers and Duties of a Full Guardian of an Adult” (PG -510). On ___________________, 20_____, I attended the class by the Alaska State Association for Guardianship & Advocacy (ASAGA). I have attached my certificate. Other: (The Court may ask you to provide documentation or clarification about how you completed this requirement. ) Date Signature of Guardian or Conservator Printed Name Mailing Address City State ZIP Daytime Telephone Number Email File this affirmation in court and provide a copy to the respondent’s attorney, petitioner (or attorney if represented) and court visitor and fill out certificate of service below. Certificate of Service I certify that on , I mailed hand delivered a copy of this document to: Respondent’s attorney Petitioner or Petitioner’s attorney Court visitor Your signature: