The special power of attorney form is a document that shows the transfer of authority and rights of a matter from a client to an attorney. The document describes conditions under which these rights are transferred and also describes the authority and rights themselves. Below is a sample template of a special power of attorney form.
Sample Special Power of Attorney Form
I (Name of client) _____________________, (Address) ___________________ appoint
(Name of lawyer) ____________________________ of
(Address)___________ (4) _______________, as the attorney to act on my behalf in
matters as described herein.
(Description of extent of authority)
The rights and powers granted to the undersigned attorney shall commence on
_________________ and shall be in effect until___________________ with the
exception of an extension or prior notice of termination of this agreement by either party.
Dated _____________Sign __________________
The authority in this mater hereby appoints me as the attorney he grants full authority and
power to act on his behalf concerning the described matter as
from________________________in person and in full knowledge and consciousness.
Expiry of Commission _________________________