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HSA POWER OF ATTORNEY DISABILITY FORMInstructions 1. 2. 3. 4. Complete Account holder Information, Power of Attorney Information and Signature sections to designate a Power of Attorney. Signatures
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HSA power of attorney is a legal document that allows someone to make medical decisions on behalf of another person. It is typically used when the individual is unable to make decisions for themselves.
Any individual who wants to designate someone to make medical decisions on their behalf should file an HSA power of attorney.
To fill out an HSA power of attorney, you will need to provide information about yourself, the person you are designating as your agent, and specific instructions for medical decisions.
The purpose of HSA power of attorney is to ensure that medical decisions can be made on behalf of an individual if they are incapacitated or unable to make decisions for themselves.
Information such as the name of the individual granting power of attorney, the name of the designated agent, and specific instructions for medical decisions must be reported on an HSA power of attorney.
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