{"data":{"id":"us-al/ala.-code-26-1b-4","jurisdiction":"us-al","citation":"Ala. Code § 26-1B-4","heading":"Form.","body":"A document substantially in the following format may be used to create a supported decision-making agreement that has the meaning and effect prescribed by this chapter.\nThis document IS ___________ / IS NOT _____________ (check one) legally binding. Only a person with the legal right and capacity to contract can make a legally binding agreement.\nI, ________________________ (Name of Principal), make this supported decision-making agreement to choose supporters to help me make decisions. I am choosing to make this agreement. I may end this agreement at any time. These supporters DO NOT make decisions for me. They give me information, advice, and other support so I can make decisions for myself.\nDESIGNATION OF SUPPORTERS\nHEALTH CARE\nI DO ___________ / DO NOT ______________ (check one) want help with health care. I want the following people to be my supporters and help me with my health care decisions:\nName of Supporter:\n________________________\nRelationship to Principal:\n________________________\nRepeat as needed for each supporter.\nI, ___________(Name of Principal), allow these supporters to help me make decisions about my physical and mental health. These people do not make decisions for me - they help me make decisions myself.\nThese supporters can help me in these ways:\n________________________\nThese supporters MAY NOT do these things:\n________________________\nFINANCIAL DECISION-MAKING\nI DO ___________ / DO NOT ______________ (check one) want help with my financial decisions. I want the following people to be my supporters and help me with my financial decisions:\nName of Supporter:\n________________________\nRelationship to Principal:\n________________________\nRepeat as needed for each supporter.\nI, ___________(Name of Principal), allow these supporters to help me make decisions about my finances. These people do not make decisions for me - they help me make decisions myself.\nThese supporters can help me in these ways:\n________________________\nThese supporters MAY NOT do these things:\n________________________\nWHERE I LIVE AND COMMUNITY LIVING\nI DO ___________ / DO NOT ______________ (check one) want help with decisions about where I live and community living. I want the following people to be my supporters and help me with decisions about where I live:\nName of Supporter:\n________________________\nRelationship to Principal:\n________________________\nRepeat as needed for each supporter.\nI, ___________(Name of Principal), allow these supporters to help me make decisions about where I live and community living. These people do not make decisions for me - they help me make decisions myself.\nThese supporters can help me in these ways:\n________________________\nThese supporters MAY NOT do these things:\n________________________\nEDUCATION\nI DO ___________ / DO NOT ______________ (check one) want help with decisions about my education. I want the following people to be my supporters and help me with decisions about my education:\nName of Supporter:\n________________________\nRelationship to Principal:\n________________________\nRepeat as needed for each supporter.\nI, ___________(Name of Principal), allow these supporters to help me make decisions about my education. These people do not make decisions for me - they help me make decisions myself.\nThese supporters can help me in these ways:\n________________________\nThese supporters MAY NOT do these things:\n________________________\nEMPLOYMENT\nI DO ___________ / DO NOT ______________ (check one) want help with decisions about my employment. I want the following people to be my supporters and help me with decisions about my employment:\nName of Supporter:\n________________________\nRelationship to Principal:\n________________________\nRepeat as needed for each supporter.\nI, ___________(Name of Principal), allow these supporters to help me make decisions about my employment. These people do not make decisions for me - they help me make decisions myself.\nThese supporters can help me in these ways:\n________________________\nThese supporters MAY NOT do these things:\n________________________\nOTHER DECISIONS\nI DO ___________ / DO NOT ______________ (check one) want help with other decisions. I want the following people to be my supporters and help me with other decisions:\nName of Supporter:\n________________________\nRelationship to Principal:\n________________________\nRepeat as needed for each supporter.\nI, ___________(Name of Principal), allow these supporters to help me make other decisions. These people do not make decisions for me - they help me make decisions myself.\nThese supporters can help me in these ways:\n________________________\nThese supporters MAY NOT do these things:\n________________________\nSIGNATURE AND ACKNOWLEDGMENT\nI agree to be a supporter under this agreement.\n(Signature of Supporter):\n________________________\nSignature Date:\n________________________\nSupporter Name Printed:\n________________________\nSupporter Address:\n________________________\nSupporter Telephone Number:\n________________________\nSupporter E-mail Address:\n________________________\nRepeat as needed for each supporter listed in the supported decision-making agreement.\n(Signature of Principal):\n________________________\nYour Signature Date:\n________________________\nYour Name Printed:\n________________________\nYour Address:\n________________________\nYour Telephone Number:\n________________________\nState of:\n________________________\n[County] of\n________________________\nI, ____________, a Notary Public, in and for the County in this State, hereby certify that ____________, whose name is signed to the foregoing document, and who is known to me, acknowledged before me on this day that, being informed of the contents of the document, he or she executed the same voluntarily on the day the same bears date.\nGiven under my hand this the ____________ day of ____________, 2___.\n________________________\n(Seal, if any)\nSignature of Notary\nMy commission expires:\n________________________\n[This document prepared by:\n_______________________]","path":["Title 26 Infants and Incompetents.","Chapter 1B Supported Decision-Making Agreements."],"source_url":"https://alison.legislature.state.al.us/code-of-alabama?section=26-1B-4","current_through":"Act 2026-611","vintage":"","retrieved_at":"2026-09-03T14:01:54Z","sha256":"3b726062b14d04ca6ae24355590bd6bb109b5f973a2d1a66e0a4f159570af423","source_id":"us-al","stale":false,"prev":"us-al/ala.-code-26-1b-3","next":"us-al/ala.-code-26-1b-5"},"notice":"GroundRules: Original legal text. Not legal advice."}