You may use the standard form for notarial certificates for acknowledgments as specified in the Uniform. Recognition of Acknowledgments Act (A.Filling out this authorization letter is straightforward. Complete the notarization. Fill out, sign, and affix your official seal to the Notary certificate. In Arizona, notaries can perform only acknowledgments, jurats, copy certifications, and oaths and affirmations. This sample notarized letter of authorization is fully customizable, and our online PDF Editor makes it easy to adjust the document to suit your needs. I AUTHORIZE my agent to make health care decisions for me when I cannot make or communicate my own health care decisions. Can be mailed or faxed. Prehospital Medical Care Directive or Do Not Resuscitate (The Orange Form).