District of columbia power of attorney instructions

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informational service of the District of Columbia Hospital Association. INSTRUCTIONS AND DEFINITIONS. Introduction: This form is a combined Durable Power of Attorney for Health Care and Living Will for use in the District of Columbia, Maryland and Virginia. With this form, you can: ?. Appoint someone to make health See separate instructions. Please print or. If signing for a taxpayer who is not an individual or a principal reporting corporation, type or print your name. Signature. Title (if applicable). Date. A. B. C. D. E . Government of the District of Columbia D-2848 Power of Attorney and Declaration of Representation OFFICIAL USE Government of the. District of Columbia. D-2848 Power of Attorney and. Declaration of Representation. Personal information. Your first name, M.I., Last name for individual or Business name for business. Spouses first name, M.I., Last name for individual. Your SSN or EIN for business. Spouse's SSN. Your daytime phone 2. These materials include: • Instructions for preparing your advance directive, please read all the instructions. • Your state-specific advance directive forms, which The District of Columbia Durable Power of Attorney for Health Care lets you name If you add instructions to your durable power of attorney or your declaration. Looking for quality District of Columbia Power of Attorney forms? Check out our General, Durable, and Custodial Power of Attorney forms at US Legal Forms! YOU NEED NOT INITIAL ANY OTHER LINES IF YOU INITIAL LINE (N). SPECIAL INSTRUCTIONS: ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING OR EXTENDING THE POWERS GRANTED TO YOUR AGENT: UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY 10 Sep 2017 Power of Attorney for the Government of the District of Columbia: Please complete the following information: the Personal Information Reference: mf. D-2848 Power of Attorney and Declaration of Representation Fill-in Version. File Size. Attachment(s):. PDF icon D-2848 Power of Attorney and Declaration of Representation Fill-in Version - 387.3 KB (pdf). This document is presented in Portable Document Format (PDF). A PDF reader is required for viewing. Instructions for Completion and Use of the Limited Power of Attorney Form. Federal Title & Escrow Company discourages the use of a Power of Attorney. However, in those instances when an individual cannot be physically DISTRICT OF COLUMBIA. SPECIFIC POWER OF ATTORNEY. THIS POWER OF ATTORNEY This document has been prepared and distributed as an informational service of the District of Columbia. Hospital Association. INSTRUCTIONS AND DEFINITIONS. Introduction: This form is a combined durable power of attorney for health care and living will for use in D.C., Maryland and Virginia. With this form, you can:.