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Revocation Health Care Directive (Alaska) POA-AK 201 - Legal Forms
| Revocation Health Care Directive (Alaska) Form. This is a Legal Forms form and can be used in Health Care-Living Wills Power Of Attorney . |
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ALASKA - REVOCATION OF ADVANCE HEALTH CARE DIRECTIVE (Alaska Statutes-13.52.020) I, , principal, having executed a Advance Health Care Directive on the day of 20 naming my agent, do hereby revoke the Healthcare Directive pursuant to the explicit section provided in Alaska Statutes 13.52.020. Revocation: I hereby revoke my healthcare directive dated of 20 , in a form of written revocation which was signed and dated by me, the principal or person acting at the direction of the principal. I am providing a copy of this revocation to all parties to whom I provided a copy of the original directive. DATED this the Signature of principal: Printed Name of principal: Address of principal: day of , 20 . American LegalNet, Inc. © www.FormsWorkFlow.com
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