(a) Subject to Subsection (b), a supported decision-making agreement is valid only if it is in substantially the following form:
SUPPORTED DECISION-MAKING AGREEMENT

Important Information For Supporter: Duties

When you agree to provide support to an adult with a disability under this supported decision-making agreement, you have a duty to:
(1) act in good faith;
(2) act within the authority granted in this agreement;
(3) act loyally and without self-interest; and
(4) avoid conflicts of interest.
Appointment of Supporter

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I, (insert your name), make this agreement of my own free will.


I agree and designate that:



Name:



Address:



Phone Number:



E-mail Address: