If you have trouble understanding any of these forms, please contact Southeastern Ohio Legal Services® at 800-686-3668 and ask about our "packet assistance day."

Durable Power of Attorney.

A Durable Power of Attorney (DPOA) indicates a person who you wish to have the right to make financial decisions on your behalf.  You can use a DPOA to allow someone to open and close bank accounts, enter into rental agreements, buy or sell real estate, sign checks, pay bills, or anything else that you could do with your signature.  A DPOA does not apply to medical decisions!  The person to whom you choose to give this authority is called your "attorney in fact," as opposed to a lawyer, who is your "attorney at law"

 If you wish to give someone Power of Attorney to act on your behalf, please download and complete the form, then take the form to a notary public and sign it in front of that person. The original should be kept in a safe place for use by your appointed attorney in fact and you should keep the copy in a safe place for your information.  Also, If you want your appointed person to be able to record any deed, mortgage or lease executed by virtue of the Power of Attorney, the document will need to be filed with the County Recorder's Office. 

You will need adobe reader or some other pdf reader software to open this file. Odds are you have it installed already. Once the file is open, you can either complete it on the screen, or print out a blank and complete it by hand.

Download a Power of Attorney form here.

Health Care Power of Attorney.

A Health Care Power of Attorney (HCPOA) indicates a person who you wish to make medical decisions on your behalf.  This becomes most important if a decision is needed when you are in surgery or for any other reason are unable to decide on your own.  A Health Care Power of Attorney also allows the designated person access to your medical records and your doctors so they can have the information they need to make the best decision possible.

If you wish to give someone Power of Attorney to act on your behalf, please download and complete this form.  You will need to fill in the name of the person you wish to designate, any alternates, and any special instructions you wish to give that person.  Please review the form carefully, as there are several places you need to either sign or initial to indicate choices you may want to make.  Once the form is complete, you must sign it in front of a Notary and have the document Notarized.  Then give the original to the person you have designated, provide a copy to your primary care physician, and keep a copy for yourself.


Revocation of a Power of Attorney.

A Revocation should be used if you want to stop a previousily issued Power of Attorney.  This might be because the person making decisions for you acts in a way you do not want, or just because you no longer need to have anyone acting on  your behalf. 

To revoke a Power of Attorney, please download and complete this form.  If your Power of Attorney was recorded with the County Recorder, then you should also record the Revocation.  You should also provide a copy to your bank or whatever other person or company that has done buisness with you through your Power of Attorney.

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