Free Lasting Power of Attorney Form

This free lasting power of attorney form can be used in many states. Certain states such as New York and California have particular wording and conditions that must be included in the power of attorney form if it involves health care. It is your responsibility to check with your state to determine if this free lasting power of attorney form meets all of the requirements set forth by the state.

We must include the following legal disclaimer:

This free lasting power of attorney form and other forms offered on this website are provided “as is” without any express or implied warranties of any kind including, but not limited to, warranty of merchantability or fitness for any particular purpose. It is your responsibility to determine if the form can be used in your state.

As a user of this website, you assume all responsibilities and risks for the use of this power of attorney form. We do not assume any legal liability or responsibility for the accuracy or usefulness of the legal forms generated by the templates we offer. We will not be liable for damages or compensation, whether direct, indirect, or incidental, resulting from the loss of use or profit arising out of, or in connection with, the use or execution of the legal forms or the power of attorney form templates.

Click the link below to download the free lasting power of attorney form template. You must save the template it to your computer. You will need Microsoft Word to customize the template. If you don’t have Word, you can obtain a free trial version from Microsoft. Be sure to carefully read each section of the template to ensure that you provide all of the required information.


Blank Power of Attorney Forms – Medical Power of Attorney Form – Durable Power of Attorney Form – Lasting Power of Attorney Form – Enduring Power of Attorney Form