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Directory Results for I, , (insert name and address of prinicipal) appoint (insert name and address) as my agent, (attorney-in-fact) to act for me in any lawful way with respect to all of the following powers except for a power that I have crossed out below: to I, , (last 4 SSN) , certify that the following persons qualify for loco parentis in the event of emergency leave during deployment

I, , (insert name and address of prinicipal) appoint (insert name and address) as my agent, (attorney-in-fact) to act for me in any lawful way with respect to all of the following powers except for a power that I have crossed out below:
I, , (last 4 SSN) , certify that the following persons qualify for loco parentis in the event of emergency leave during deployment