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Fill and Sign the Alaska Procedures Form

Fill and Sign the Alaska Procedures Form

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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DECLARATION RELATING TO USE OF LIFE -SUSTAINING PROCEDURES DECLARATION If I should have an incurable or irreversible condition that will cause my death within a relatively short time, it is my desire that my life not be prolonged by administration of life -sustaining procedures. If my condition is terminal and I am unable to p articipate in decisions regarding my medical treatment, I direct my attending physician to withhold or withdraw procedures that merely prolong the dying process and are not necessary to my comfort or to alleviate pain. I ( ) do ( ) do not desire that nutrition or hydration (food and water) be provided by gastric tube or intravenously if necessary. Notwithstanding the other provisions of this declaration, if I have donated an organ under this declaration or by another met hod, and if I am in a hospital when a do not resuscitate order is to be implemented for me, I do not want the do not resuscitate order to take effect until the donated organ can be evaluated to determine if the organ is suitable for donation. OPTIONAL: In the event of my death, I donate the following part(s) of my body for the purposes identified in AS 13.52.207 : Tissue: __________________ Eyes: __________________ Bone and connective tissue: __________________ Skin: __________________ Heart: __________________ Other: __________________ Limitations: __________________ Organ: __________________ Heart: __________________ Kidney(s): __________________ Liver: __________________ Lung(s): __________________ Pancreas: __________________________________________________________ Other: __________________ Signed this _____ day of __________________ , 20 _____ . Signature____________________________ Place __________________ I swear under penalty of perjury under AS 11.56.200 that the principal is personally known to me, that the principal signed or acknowledged this durable power of attorney for health care in my prese nce, that the principal appears to be of sound mind and under no duress, fraud, or undue influence, and that I am not (1) a health care provider employed at the health care institution or health care facility where the principal is receiving health ca re; (2) an employee of the health care provider providing health care to the principal; (3) an employee of the health care institution or health care facility where the principal is receiving health care; (4) the person appointed as agent by this document; (5) related to the principal by blood, marriage, or adoption; or (6) entitled to a portion of the principal's estate upon the principal's death under a will or codicil. __________________ (date) ______________________________________________________ (signature of witness) ________________________ (printed name of witness) ________________________ (address) (city) (state) (zip code) __________________ (date) ______________________________________________________ (signature of witness) ________________________ (printed name of witness) ________________________ (address) (city) (state) (zip code) State of ______________________ Judicial District ________________ ACKNOWLEDGMENT FORM The foregoing instrument was acknowledged before me this _______________________ (date) by ____________________________________ (name of person who acknowledged). _____________________________________ Signature of Person Taking Acknowledgment ____________________________________ Title or Rank ____________________________________ Serial Number, if any. AK -02005

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Adhere to this comprehensive guide:

  1. Log into your account or register for a complimentary trial with our service.
  2. Click +Create to upload a document from your device, cloud storage, or our form repository.
  3. Open your ‘Alaska Procedures’ in the editor.
  4. Click Me (Fill Out Now) to prepare the document on your end.
  5. Add and allocate fillable fields for other participants (if needed).
  6. Proceed with the Send Invite settings to solicit eSignatures from others.
  7. Save, print your version, or convert it into a reusable template.

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  • 5.Insert a picture of your handwritten signature, draw it, or simply type in your full name to eSign.
  • 6.Make sure all information is correct and click Save and Close to finish modifying your paperwork.

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  • 3.Open an email containing an attachment that needs approval and use the S sign on the right sidebar to launch the add-on.
  • 4.Log in to your airSlate SignNow account. Opt for Send to Sign to forward the document to other parties for approval or click Upload to open it in the editor.
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  • 2.Create an account with a free trial or log in with your password credentials or SSO authentication.
  • 3.Click Upload or Create and pick a file that needs to be completed from a cloud, your device, or our form collection with ready-to go templates.
  • 4.Open the form and fill out the blank fields with tools from Edit & Sign menu on the left.
  • 5.Put the My Signature area to the sample, then type in your name, draw, or add your signature.

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  • 1.Go to the App Store, search for the airSlate SignNow app by airSlate, and install it on your device.
  • 2.Open the application, tap Create to import a template, and choose Myself.
  • 3.Select Signature at the bottom toolbar and simply draw your signature with a finger or stylus to eSign the form.
  • 4.Tap Done -> Save right after signing the sample.
  • 5.Tap Save or utilize the Make Template option to re-use this document in the future.

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  • 1.Go to Google Play, search for the airSlate SignNow app from airSlate, and install it on your device.
  • 2.Sign in to your account or register it with a free trial, then add a file with a ➕ option on the bottom of you screen.
  • 3.Tap on the uploaded document and choose Open in Editor from the dropdown menu.
  • 4.Tap on Tools tab -> Signature, then draw or type your name to eSign the form. Fill out empty fields with other tools on the bottom if necessary.
  • 5.Utilize the ✔ key, then tap on the Save option to end up with editing.

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