Arizona Power Of Attorney For Disposition Of My Body After Death

ADVERTISEMENT

ARIZONA
POWER OF ATTORNEY FOR DISPOSITION OF MY BODY AFTER DEATH
Authorized by Arizona Statute 36-3221
form created 2013
I, __________________________________________________, being 18 years of age or older and of sound
mind, direct that ________________________________________________ shall have the sole legal right to
direct the disposition of my body after death. This power shall include all legal forms of disposition, including
but not limited to burial, cremation, anatomical donation, and autopsy. This power of attorney supersedes any
other claim by any other person, related to me or not, to direct the disposition of my body.
I ____have attached directions or guidelines for the disposition of my body which I direct my power of attorney
to carry out
I____have NOT attached directions. I leave these decisions to my power of attorney.
_______________________________________
____________________________________
(signature)
(date)
WITNESSES
As Arizona law requires, the witnesses below are not:
 a person designated to make medical or body disposition decisions for me
 a person directly involved in providing me healthcare at the time this power of attorney is witnessed
If only one witness signs this power of attorney, that person is not:
 related to me by blood, marriage or adoption. This person is not entitled to any part of my estate by will or by
operation of law at the time that the power of attorney is executed.
________________________________________
__________________________________________
(signature of witness one)
(date)
________________________________________
__________________________________________
(signature of witness two)
(date)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go