INSTRUCTIONS: ALASKA POWER OF ATTORNEY

If you wish to appoint someone else to have authority over any part of your life, you must fill out a power of attorney form. Alaska provides an all purpose power of attorney which can be downloaded from the website of the Alaska Legal Services Corporation.

Power of Attorney Step 1: Under Section 1, fill in your name and address as indicated.

Power of Attorney Step 2: Write the name and address of the agent or agents you wish to grant authority.

Power of Attorney Step 3: Section 2 provides a number of options as to the specific powers you wish to grant an agent. If you wish to allow a designated agent complete authority over all 13 categories, you do not have to do anything in this section. If you only wish to grant certain authorities, strike through those lines you do not wish to give them authority over and place your initials alongside them. Any powers not listed there which you wish to grant may be detailed under section O.

Power of Attorney Step 4: In Section 4, indicate whether the document will take effect when it is signed or only if the victim of a disability.

Power of Attorney Step 5: In Section 5, those who have indicated the document will take effect as soon as they have signed should indicate whether the powers granted will remain intact or be revoked in the event of a disability.

Power of Attorney Step 6: If you wish to limit the amount of time this document will have effect, note the end date in Section 6.

Power of Attorney Step 7: Section 7 does not need to completed. It instructs those signing that if they wish to revoke this document they may destroy the original copy of this form and complete a new power of attorney or a revocation of the former power of authority.

Power of Attorney Step 8: In Section 8, indicate whether you have completed a separate Alaska Advance Health Care Directive stipulating what to do if you are hurt, fall ill or otherwise become incapable of making medical care decisions. This document will take precedence over this power of attorney.

Power of Attorney Step 9 : You and your representative should sign and date the document before a notary, who should do the same.

INSTRUCTIONS: CONNECTICUT AFFIDAVIT TO REPORT A DRIVER WHO MAY BE UNABLE TO SAFELY OPERATE A MOTOR VEHICLE (Form P-244)

To report an operator who you believe may be unable to safely operate a motor vehicle in Connecticut, file a form P-244. This affidavit can be obtained from the website of the state of Connecticut.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 1: Print your name on the first blank line.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 2: Enter the name of the driver who may be unable to safely operate a motor vehicle on the second blank line.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 3: Enter the date of birth of this driver on the third blank line.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 4: Enter the city, state and zip code of this driver on the fourth blank line.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 5: Where indicated, briefly describe the incident which leads you to believe this driver may be unable to safely operate a motor vehicle.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 6: Indicate with a check mark whether you have a relationship to this driver. If so, describe your relationship.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 7: Indicate with a check mark whether you are aware of any medical condition which may adversely affect the driver's ability to safely operate a motor vehicle. If so, provide an explanation.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 8: Enter your signature and address in the first two blank boxes at the bottom of the page.

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 9: Enter your city, state, zip code, printed name, telephone number and the date, then appear before a notary public for their seal.