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This form may be photocopied and distributedThis is a 2page document. Please read. Revised Aug. 2020Durable Power of Attorney for Healthcare DecisionsTake a copy of this with you whenever you go to
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How to fill out durable power of attorney

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How to fill out durable power of attorney

01
Step 1: Gather the necessary documents and information. You will need the durable power of attorney form and personal information about yourself and the person you are appointing as your agent.
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Step 2: Fill out the personal information section. This includes your full name, address, and contact information.
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Step 3: Specify the powers you are granting. Clearly state the authority you are giving to your agent, such as managing your finances, making healthcare decisions, or handling real estate transactions.
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Step 4: Choose a successor agent. In case your primary agent is unable or unwilling to act on your behalf, you may appoint a successor agent.
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Step 5: Sign and date the document. Both you and your agent must sign the durable power of attorney form before a notary public.
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Step 6: Distribute copies of the document. Give copies of the signed and notarized power of attorney to your agent, banks, healthcare providers, and anyone else who may need it.
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Step 7: Review and update as needed. It's important to review your durable power of attorney periodically and make updates if necessary, especially if there are any changes in your personal or financial circumstances.

Who needs durable power of attorney?

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Anyone who wants to ensure that their affairs are handled by someone they trust in the event they become incapacitated or unable to make decisions on their own needs a durable power of attorney.
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Individuals who have elderly parents or family members may need a durable power of attorney to assist with managing their finances or making healthcare decisions on their behalf.
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People with substantial assets or complex financial affairs may also benefit from a durable power of attorney, as it allows their agent to handle important financial matters in their best interest.
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Durable power of attorney is a legal document that allows an individual (the principal) to designate someone else (an agent or attorney-in-fact) to make financial or medical decisions on their behalf if they become incapacitated.
Any individual who wants to ensure that their financial and medical affairs are taken care of in the event of incapacitation should consider filing a durable power of attorney.
To fill out a durable power of attorney, the individual must designate an agent, specify the powers granted to the agent, and sign the document in the presence of witnesses.
The purpose of durable power of attorney is to ensure that someone can make decisions on behalf of the principal in case of incapacity, thus avoiding the need for court-appointed guardianship.
Durable power of attorney must include the name of the principal, the name of the agent, the powers granted to the agent, and any limitations or conditions on those powers.
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