This free special 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 special power of attorney form meets all of the requirements set forth by the state.
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This free special 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.
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Click the link below to download the free special 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.