§ 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.