Free Sample Power of Attorney Form (Durable Upon Disability)

Durable Power of Attorneys Effective Upon Disability are used to designate an individual to make decisions on your behalf if you become disabled. This document gives the person power to maintain contracts, sell property and make gifts on your behalf only upon your incapacity or disability.

Disclaimer:This was not drafted by an attorney & should not be used as a legal document.

_______________________, hereinafter referred to as PRINCIPAL, whose address, ________________________, being of sound mind, desire to appoint ______________, of __________________(Address) of __________________________ as my true and lawful attorney-in-fact.

This durable power of attorney shall become effective upon the disability or incapacity of the principal and shall terminate on _____________________________.

In the principal's name, and for the principal's use and benefit, said attorney-in-fact is authorized hereby to handle the following affairs:

Real property

Tangible personal property

Stocks and bonds

Commodities and options

Banks and other financial institutions

Operation of entity or business

Insurance and annuities

Estates, trusts, and other beneficial interests

Claims and litigation

Personal and family maintenance

Benefits from governmental programs or civil or military service

Retirement plans


All that said attorney shall lawfully do or cause to be done under the authority of this durable power of attorney is expressly approved.

Dated: __________, 20____ at _________________________, _________________________.

Principal Name: ____________________________________

Attorney-in-Fact Name: ______________________________

Witness' Signature: __________________________________

Witness' Signature: __________________________________

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