Fill and Sign the Powers of Attorney Ampamp Health Care Directives Alaska Court Form

DELEGATION OF POWERS BY PARENT OR GUARDIAN (Limited Power of Attorney Under AS 13.26.020) Pursuant to Alaska Statute 13.26.020, I, ___________________________, whose address is ___________________________, appoint, ___________________________ , whose address is ___________________________, my attorney-in-fact to whom I delegate all my powers regarding the care, custody and property of my child ward, ___________________________, born on, ___________________________, except the power to consent to marriage or adoption. This power of attorney will last for a period of one year (less than one year) from the date next to my signature below. However, I retain the right to revoke this power of attorney at any time. ___________________________ __________________________________ Date Signature Acknowledged before me at ___________________________, Alaska on ___________________________. ___________________________ Notary Public in and for Alaska (SEAL) My commission expires: ___________________________This delegation cannot last more than one year and can be revoked by the parent who signs it at any time. This delegation does not affect the rights of the non-signing parent and does not create a guardianship. 1 AS 13.26.020 states: Delegation of powers by parent or guardian. A parent or a guardian of a minor or incapacitated person, by a properly executed power of attorney, may delegate to another person, for a period not exceeding one year, any powers regarding care, custody, or property of the minor child or ward, except the power to consent to marriage or adoption of a minor ward.