Vermont Power of Attorney Form Create a Vermont Power of Attorney Form

Vermont Power of Attorney Form

Published Jan 04, 2026
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A Vermont Power of Attorney Form is a legal instrument designating an agent to make financial or healthcare decisions on behalf of a principal within the state.

Poa Type

Select the type of authority you wish to grant. 'General' grants broad powers; 'Limited/Special' restricts authority to specific acts; 'Durable' remains in effect if the Principal becomes incapacitated; 'Springing' only becomes effective upon a specified event.

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VERMONT POWER OF ATTORNEY FORM

IMPORTANT INFORMATION FOR THE PRINCIPAL

This Power of Attorney authorizes another person (your Agent) to make decisions concerning your property for you (the Principal). Your Agent will be able to make decisions and act with respect to your property (including your money) whether or not you are able to act for yourself. The meaning of authority over subjects listed on this form is explained in the Vermont Uniform Power of Attorney Act, 14 V.S.A. Chapter 123.

I. DESIGNATION OF AGENT

I, the undersigned Principal, hereby appoint the following person as my Agent:

The Principal:
Name:
Address:

The Agent:
Name:
Address:
Phone:

II. 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 Vermont Uniform Power of Attorney Act, 14 V.S.A. Chapter 123.

(Check the boxes of the subjects you wish to grant to your Agent. If you wish to grant all powers, check the box for "All Preceding Subjects")

III. GRANT OF SPECIFIC AUTHORITY (OPTIONAL)

My Agent MAY NOT do any of the following specific acts for me UNLESS I have checked the specific box below.

(Caution: Granting any of the following will give your Agent the authority to take actions that could significantly reduce your property or change how your property is distributed at your death.)

IV. LIMITATION ON AGENT’S AUTHORITY

An Agent that is not my ancestor, spouse, or descendant MAY NOT use my property to benefit the Agent or a person to whom the Agent owes an obligation of support unless I have included that authority in the Special Instructions.

V. SPECIAL INSTRUCTIONS

On the following lines, I may give special instructions to my Agent (e.g., limitations on authority, specific wishes, or duration of this power):

VI. EFFECTIVE DATE

This Power of Attorney is effective (check one):

Unless I have specified a termination date in the Special Instructions, this Power of Attorney is DURABLE, meaning it shall remain in effect even if I become incapacitated, disabled, or incompetent.

VII. NOMINATION OF GUARDIAN

If it becomes necessary for a court to appoint a guardian of my estate or guardian of my person, I nominate the following person(s) for appointment:

Nominee’s Name:
Nominee’s Address:

VIII. RELIANCE BY THIRD PARTIES

Any person, including my Agent, may rely upon the validity of this Power of Attorney or a copy of it unless that person knows it has terminated or is invalid.

IX. GOVERNING LAW

This Power of Attorney shall be governed by the laws of the State of Vermont, specifically the Vermont Uniform Power of Attorney Act (14 V.S.A. Chapter 123).

X. SIGNATURE AND ACKNOWLEDGMENT

The Principal

Signature: _________________________
Print Name: _______________
Date:
Address: _______________

AGENT’S DUTIES

When you accept the authority granted under this Power of Attorney, a special legal relationship is created between you and the Principal. This relationship imposes upon you legal duties that continue until you resign or the Power of Attorney is terminated or revoked. You must:

  1. Do what you know the Principal reasonably expects you to do with the Principal’s property or, if you do not know the Principal’s expectations, act in the Principal’s best interest;
  2. Act in good faith;
  3. Do nothing beyond the authority granted in this Power of Attorney; and
  4. Disclose your identity as an Agent whenever you act for the Principal by writing or printing the name of the Principal and signing your own name as "Agent" in the following manner: (Principal’s Name) by (Your Signature) as Agent.

Unless the Special Instructions in this Power of Attorney state otherwise, you must also:

  1. Act loyally for the Principal’s benefit;
  2. Avoid conflicts that would impair your ability to act in the Principal’s best interest;
  3. Act with care, competence, and diligence;
  4. Keep a record of all receipts, disbursements, and transactions made on behalf of the Principal;
  5. Cooperate with any person that has authority to make health care decisions for the Principal to do what you know the Principal reasonably expects or, if you do not know the Principal’s expectations, to act in the Principal’s best interest; and
  6. Attempt to preserve the Principal’s estate plan if you know the plan and preserving the plan is consistent with the Principal’s best interest.

TERMINATION OF AGENT’S AUTHORITY

You must stop acting on behalf of the Principal if you learn of any event that terminates this Power of Attorney or your authority under this Power of Attorney. Events that terminate a Power of Attorney or your authority to act under a Power of Attorney include:

  1. Death of the Principal;
  2. The Principal’s revocation of the Power of Attorney or your authority;
  3. The occurrence of a termination event stated in the Power of Attorney;
  4. The purpose of the Power of Attorney is fully accomplished; or
  5. If you are married to the Principal, a legal action is filed with a court to end your marriage, or for your legal separation, unless the Special Instructions in this Power of Attorney state that such an action will not terminate your authority.

LIABILITY OF AGENT

The meaning of the authority granted to you is defined in the Vermont Uniform Power of Attorney Act, 14 V.S.A. Chapter 123. If you violate the Vermont Uniform Power of Attorney Act or act outside the authority granted, you may be liable for any damages caused by your violation.

If there is anything about this document or your duties that you do not understand, you should seek legal advice.

What is a Vermont Power of Attorney Form?

A Vermont Power of Attorney Form functions as a legal instrument allowing an individual to designate another person to act on their behalf regarding specific legal, financial, or medical matters. The individual granting authority is known as the principal, while the appointed representative is referred to as the agent or attorney-in-fact. This document serves as a crucial planning tool, ensuring that personal affairs continue to be managed efficiently if the principal becomes unavailable or incapacitated. Vermont law recognizes various forms of this authority, ranging from temporary, specific tasks to long-term management of an entire estate.

Types of Vermont Power of Attorney Form

Vermont residents utilize different instruments depending on the scope of authority needed and the duration of the appointment. The state recognizes specific categories tailored to financial and healthcare needs.

  • General Power of Attorney - Grants the agent broad authority to manage financial and legal affairs while the principal remains competent. This authority typically ceases if the principal becomes incapacitated or disabled.
  • Durable Power of Attorney - Includes specific language stating that the agent's authority remains in effect even if the principal becomes incapacitated. Under Vermont's current statutes, most powers of attorney are presumed durable unless the document explicitly states otherwise.
  • Limited Power of Attorney - Restricts the agent's authority to specific actions or a defined time period. Principals often use this for single transactions, such as a real estate closing or managing business affairs during a temporary absence.
  • Vermont Advance Directive - Combines the appointment of a healthcare agent with end-of-life instructions. This document replaces the traditional Medical Power of Attorney and Living Will, allowing an agent to make medical decisions when the principal cannot communicate.
  • Parental Power of Attorney - Allows a parent or guardian to delegate temporary care and decision-making authority for a minor child to another adult. This delegation generally has a six-month time limit before renewal is required.

Legal Requirements for Validity in Vermont

To ensure a Power of Attorney is legally binding and accepted by third parties in Vermont, specific execution standards must be met. Failure to adhere to these formalities may result in banks, hospitals, or courts rejecting the document.

  • Age and Mental Capacity - The principal must be at least 18 years of age and possess the mental capacity to understand the nature and consequences of the document at the time of signing.
  • Notarization - Financial powers of attorney require the principal's signature to be acknowledged before a notary public to be presumed genuine under state statutes (14 V.S.A. § 3505).
  • Witness Requirements for Advance Directives - Healthcare directives generally require signatures from two witnesses who are not the appointed agent, or alternatively, the document may be notarized.
  • Agent Acceptance - While not always required on the initial document, agents often must sign an acceptance of appointment or certification to exercise their powers, acknowledging their fiduciary duties.

Agent Duties and Restrictions

The individual appointed as an agent assumes a fiduciary role, meaning they must act in the best interest of the principal. Vermont law imposes strict standards on how agents must conduct themselves.

  • Fiduciary Responsibility - Agents must act in good faith, within the scope of authority granted, and avoid conflicts of interest that could harm the principal.
  • Record Keeping - The agent must maintain accurate records of all transactions, receipts, and disbursements made on behalf of the principal.
  • Non-Delegable Powers - Certain acts cannot be performed by an agent, such as voting in a public election, creating or revoking a will for the principal, or testifying in court on the principal's behalf.
  • Separation of Assets - Agents are generally prohibited from commingling their personal funds with the funds of the principal.

How to Complete a Vermont Power of Attorney Form

Creating a valid authority involves a structured process to ensure the document reflects the principal's wishes and complies with state law.

Step 1: Select a Trusted Agent - Choose a reliable individual, such as a spouse, adult child, or close friend, who understands the responsibilities involved. Alternate agents should also be considered in case the primary choice cannot serve.

Step 2: Determine the Scope of Powers - Decide whether the agent should have broad general powers or limited authority for specific assets. The principal must also decide when the powers begin and end.

Step 3: Draft the Document - Utilize a form that complies with the Vermont Uniform Power of Attorney Act. The language must be clear regarding the grant of authority and durability.

Step 4: Execute the Document - Sign the document in the presence of a notary public. For Advance Directives, follow the specific witnessing or notarization protocols required for healthcare documents.

Step 5: Distribute Copies - Provide copies of the signed document to the agent, financial institutions, healthcare providers, and any other relevant parties. The original should be stored in a secure location.

Vermont Statutes and Regulations

The creation, validity, and enforcement of powers of attorney in Vermont are governed by specific chapters of the Vermont Statutes Annotated (V.S.A.).

  • Vermont Uniform Power of Attorney Act - Governs the creation, modification, and termination of financial powers of attorney, as well as the duties of agents (14 V.S.A. § 3501 et seq.).
  • Advance Directives for Health Care - Outlines the requirements for appointing a healthcare agent and creating medical directives (18 V.S.A. § 9700 et seq.).
  • Guardianship of Minors - Addresses the temporary delegation of parental powers regarding the care and custody of minors (14 V.S.A. § 2621 et seq.).
  • Recording Requirements - Mandates that a Power of Attorney affecting real estate must be recorded in the land records of the town where the property is located (27 V.S.A. § 305).

FAQs

Recording is typically required only when the Power of Attorney is used for real estate transactions. In such cases, the document must be filed with the town clerk's office in the municipality where the property is located. For general financial or medical matters, recording is usually not necessary.
Yes, a principal may appoint co-agents to act either jointly or separately. If the document does not specify how they must act, Vermont law generally assumes they must act jointly. Appointing multiple agents can provide checks and balances but may also lead to disagreements or delays.
Unless the document specifies a future start date or a specific triggering event (such as incapacitation), the authority typically becomes effective immediately upon signing. Documents that only become effective upon incapacity are referred to as springing powers of attorney.
A principal may revoke a Power of Attorney at any time, provided they are of sound mind. Revocation is best accomplished by executing a formal written revocation document and delivering it to the agent and any third parties, such as banks, that hold the original directive on file.
Yes, all authority granted under a Power of Attorney terminates immediately upon the death of the principal. At that point, the executor or administrator of the estate assumes control over the principal's assets and affairs.

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