N.Y. General Obligations Law § 5-1552: Form of designation

§ 5-1552. Form of designation. 1. Designations in general. A

designation of a person in parental relation pursuant to this title

shall be in writing and shall include: the name of the parent, the name

of the designee, the name of each minor or incapacitated person with

respect to whom such designation is made, the parent's signature, and

the date of such signature. The designation may specify a period of time

less than twelve months for which such designation shall be valid unless

earlier revoked by such parent pursuant to section 5-1554 of this title,

provided that any designation specifying a period of more than thirty

days shall also conform to the provisions of subdivision two of this

section.

2. Designations for more than thirty days. A designation specifying a

period of more than thirty days shall also include: an address and

telephone number where the parent can be reached, an address and

telephone number where the designee can be reached, the date of birth of

each minor or incapacitated person with respect to whom such designation

is made, the date or contingent event on which the designation

commences, the written consent of the designee to such designation, and

a statement that there is no prior order of any court in any

jurisdiction currently in effect prohibiting such parent from making the

designation. A designation specifying a period of more than thirty days

shall be notarized.

3. Designations not specifying a time period. If no time period is

specified in a designation, it shall be valid until the earlier of

revocation or the expiration of thirty days from the date of signature

if the designation does not meet the requirements of subdivision two of

this section, or twelve months from the date of commencement specified

therein if the designation meets the requirements of subdivision two of

this section.