Nomination of Guardian by an Adult
I, (Name), being of sound mind and not acting under duress, fraud, or other undue influence, do hereby nominate (Name, current residence, and relationship, if any, of the nominee) to serve as my guardian in the event that after the date of this instrument I become incapacitated.
Executed at ____________________________ (city, state)
on this ____________ day of ______________
____________________________________
(Signature)
Utah Code § 75-5-311