Section 13.75.030. Form of disposition document.

A disposition document must be in substantially the following form: 
                                                                 
 DISPOSITION DOCUMENT                                            
    You can select Part 1, Part 2, or both, by completing the part(s)  
you select, including providing any signatures indicated. Part 3       
contains general statements and a place for your signature. You must   
sign in front of a notary.                                             
    PART 1. APPOINTMENT OF AGENT TO CONTROL DISPOSITION OF REMAINS. If 
you appoint an agent, you and your agent must complete this part as    
indicated, and the agent must sign this part.                          
    I,  , being of sound mind, wilfully and voluntarily make known my  
desire that, on my death, the disposition of my remains shall be       
controlled by  (name of agent first named below), and, with respect to 
that subject only, I appoint that person as my agent. All decisions
 made by my agent with respect to the disposition of my remains,       
including cremation, are binding.                                      
 ACCEPTANCE BY AGENT OF APPOINTMENT.                             
    THE AGENT, AND EACH SUCCESSOR AGENT, BY ACCEPTING THIS APPOINTMENT,
AGREES TO AND ASSUMES THE OBLIGATIONS PROVIDED IN THIS DOCUMENT. AN    
AGENT MAY SIGN AT ANY TIME, BUT AN AGENT'S AUTHORITY TO ACT IS NOT     
EFFECTIVE UNTIL THE AGENT SIGNS BELOW TO INDICATE THE ACCEPTANCE OF    
APPOINTMENT. ANY NUMBER OF AGENTS MAY SIGN, BUT ONLY THE SIGNATURE OF  
THE AGENT ACTING AT ANY TIME IS REQUIRED.                              
   AGENT:                                                              
   Name:                                                               
   Address:                                                            
   Telephone Number:                                                   
   Signature Indicating Acceptance of Appointment:                     
                                                                       
   Date of Signature:                                                  
   SUCCESSORS:                                                         
    If my agent dies, becomes legally disabled, resigns, or refuses to 
act, I appoint the following persons (each to act alone and            
successively, in the order named) to serve as my agent to control the  
disposition of my remains as authorized by this document:              
   (1) First Successor                                                 
   Name:                                                               
   Address:                                                            
   Telephone Number:                                                   
   Signature of First Successor Indicating Acceptance of Appointment:  
                                                                       
   Date of Signature:                                                  
   (2) Second Successor                                                
   Name:                                                               
   Address:                                                            
   Telephone Number:                                                   
   Signature of Second Successor Indicating Acceptance of Appointment: 
                                                                       
   Date of Signature:                                                  
   PART 2. DIRECTIONS FOR THE DISPOSITION OF MY REMAINS.               
   Stated below are my directions for the disposition of my remains:   
                                                                       
                                                                       
                                                                       
                                                                       
   If the disposition of my remains is by cremation, then (pick one):  
    (  )   I do not wish to allow any of my survivors the option of    
canceling my cremation and selecting alternative arrangements,         
regardless of whether my survivors consider a change to be appropriate.
    (  )   I wish to allow only the survivors I have designated below
 to have the option of canceling my cremation and selecting alternative
arrangements, if they consider a change to be appropriate:             
                                                                       
                                                                       
                                                                       
                                                                       
   PART 3. GENERAL PROVISIONS AND SIGNATURE.                           
    WHEN DIRECTIONS BECOME EFFECTIVE. The directions, including any    
appointment of an agent, in this disposition document become effective 
on my death.                                                           
    REVOCATION OF PRIOR APPOINTMENTS. I revoke any prior appointment of
any person to control the disposition of my remains.                   
    SIGNATURE OF PERSON MAKING DISPOSITION DOCUMENT                    
   Signature:                                                          
   Date of signature:                                                  
                                                          
(Notary acknowledgment of signature) 

Authorities

13.75.010;13.75.190

Notes

References

AS 13.75.010 Directions by decedent.
AS 13.75.190 Definitions.

History

(Sec. 36 ch 45 SLA 2013)