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DEPARTMENT OF HEALTH SERVICES Division of Public Health F44019A (03/2017)STATE OF WISCONSIN Wis. Stat. 252.04IMMUNIZATION Assessments instructions on page 6 of this booklet for completing and submitting
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How to fill out power of attorney for

01
Obtain the necessary power of attorney form, which can usually be found online or at your local courthouse.
02
Identify the parties involved - the person granting power of attorney (the principal) and the person receiving power of attorney (the agent or attorney-in-fact).
03
Provide detailed information about the powers being granted and any limitations or restrictions.
04
Include the date the power of attorney will begin and when it will expire, if applicable.
05
Have the power of attorney document signed by the principal in the presence of a notary public or witnesses, depending on the legal requirements in your jurisdiction.
06
Ensure all parties involved have copies of the fully executed power of attorney.
07
Remember to review and update the power of attorney as needed, especially if there are any changes in circumstances or preferences.

Who needs power of attorney for?

01
Individuals who want to ensure their financial, legal, or personal affairs are taken care of in the event they become incapacitated.
02
People who want to designate someone they trust to handle important decisions on their behalf.
03
Those who anticipate being unavailable or unable to manage their affairs for a certain period of time, such as during travel or medical treatment.
04
Parents who want to name a guardian for their minor children in case of unforeseen circumstances.
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Individuals involved in business or financial transactions who need someone to act on their behalf.
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Power of attorney is used to give someone else the legal authority to act on your behalf in legal matters.
Anyone who wants to authorize another person to act on their behalf in legal matters may choose to file a power of attorney.
You can fill out a power of attorney form with the required information, sign it in front of a notary public, and then give it to the person you are authorizing.
The purpose of a power of attorney is to designate someone to make legal decisions on your behalf, such as managing finances or making medical decisions.
The power of attorney form typically requires information about the person granting authority, the person being authorized, the powers being granted, and any limitations or conditions.
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