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State of Illinois Department of Public Health Illinois Statutory Short Firepower of Attorney for Health Care MY POWER OF ATTORNEY FOR HEALTH CARE THIS POWER OF ATTORNEY REVOKES ALL PREVIOUS POWERS
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How to fill out short form power of

01
Obtain the short form power of attorney document.
02
Fill in the personal information of the person granting the power of attorney.
03
Specify the powers being granted to the appointed agent.
04
Sign the document in the presence of a notary public or witnesses as required by law.
05
Have the appointed agent sign the document if necessary.
06
Keep a copy of the signed form for your records.

Who needs short form power of?

01
Individuals who want to appoint someone to make decisions on their behalf in specific situations.
02
Those who anticipate needing assistance with financial or legal matters temporarily.
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Short form power of attorney is a legal document that allows someone to make decisions on your behalf if you are unable to do so.
Individuals who want to designate someone to make decisions on their behalf in case of incapacitation or illness may need to file a short form power of attorney.
To fill out a short form power of attorney, you will need to include information about yourself, the person you are appointing as your agent, and the powers you are granting them.
The purpose of a short form power of attorney is to allow someone to manage your affairs if you are unable to do so, without the need for a lengthy and expensive legal process.
The information that must be reported on a short form power of attorney includes the names and contact information of the parties involved, the specific powers being granted, and any limitations on those powers.
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