IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Protective Proceeding of ) ) ) ) ) ) ) )
, Respondent / Ward / Protected Person
CASE NO.
AFFIRMATION THAT MANDATORY EDUCATION REQUIREMENT HAS BEEN SATISFIED I affirm that I completed one hour or more of mandatory education on the basics of guardianship/conservatorship as follows: On , 20 , I viewed the video "Becoming a Guardian or Conservator in Alaska" produced by the Alaska State Association of Guardianship and Advocacy (ASAGA). On , 20 , I reviewed the ASAGA "Family Guardian Education Materials" binder of information on the duties and responsibilities of a guardian or conservator. On , 20 Guardian of an Adult" (PG-510). I attended the following class: Other: , I read the booklet "Powers and Duties of a Full
Date
Signature of Guardian or Conservator Printed Name Mailing Address
Instructions: File original with the court. City
I certify that on I mailed a copy of this document to: [ ] respondent's attorney [ ] petitioner or petitioner's attorney [ ] visitor , Daytime Telephone Number
State
ZIP
Signature of Guardian or Conservator
PG-120 (2/07)(cs) AFFIRMATION EDUCATION REQUIREMENT SATISFIED AS 13.26.145(c) AS 13.26.310(g)