Durable Power of Attorney Form - Alabama

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STATE OF ALABAMA )
______________ COUNTY )
Durable Power of Attorney and Authority to Access Health
Information
Of
_____________________________
KNOW ALL MEN BY THESE PRESENTS that I, ____________________
of ________________________ in ____________________ County,
Alabama, do hereby make, constitute and appoint
_____________________________of ___________________, in
__________________ County, Alabama, phone number _____________ ,as
my Attorney-in-Fact, for me and in my name, place and stead, and on my
behalf, to do, perform and execute the acts I have authorized, and I grant to
him/her every power necessary to carry out the purposes for which this
power is granted, including the powers of revocation and substitution,
hereby ratifying and affirming that which (s)he or his/her substitute shall
lawfully do or cause to be done by virtue of the rights and powers herein
granted.
This power of attorney shall not be affected by disability,
incompetency, or incapacity of the principal.
GRANT OF GENERAL AUTHORITY
I grant my agent and any successor agent general authority to act for me
with respect to the following subjects as defined in the Alabama Uniform
Power of Attorney Act, Chapter 1A, Title 26, Code of Alabama 1975:
If you wish to grant general authority over all of the subjects enumerated in
this section you may SIGN here:
________________________________________________
(Signature of Principal)
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Durable Power of Attorney Form - Alabama PDF

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