Form F-00036 - Designation Of Agent Page 2
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15WISCONSIN STATUTORY
POWER OF ATTORNEY FOR
FINANCES AND PROPERTY
IMPORTANT INFORMATION
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
Recording Area
Uniform Power of Attorney for Finances and Property Act in
Name and Return Address
Chapter 244 of the Wisconsin Statutes.
This Power of Attorney does not authorize the agent to make
health-care decisions for you.
You should select someone you trust to serve as your agent.
Unless you specify otherwise, generally the agent’s authority will
continue until you die or revoke the Power of Attorney or the agent
Parcel Identification Number (if any)
resigns or is unable to act for you.
Your agent is entitled to reasonable compensation unless you state otherwise in the special instructions.
This form provides for designation of one agent. If you wish to name more than one agent, you may name
a co-agent in the special instructions. Co-agents are not required to act together unless you include that
requirement in the special instructions.
If your agent is unable or unwilling to act for you, your Power of Attorney will end unless you have named
nd
a successor agent. You may also name a 2
successor agent.
This Power of Attorney becomes effective immediately unless you state otherwise in the special
instructions. This Power of Attorney does not revoke any Power of Attorney executed previously unless
you so provide in the special instructions.
If you revoke this Power of Attorney, you should notify your agent and any other person to whom you have
given a copy. If your agent is your spouse or domestic partner and your marriage is annulled or you are
divorced or legally separated or the domestic partnership is terminated after signing this document, the
document is invalid.
If you have questions about the Power of Attorney or the authority you are granting to your agent, you
should seek legal advice before signing this form.
DEPARTMENT OF HEALTH SERVICES
STATE OF WISCONSIN
Division of Public Health
Effective Date March 31, 2016
F-00036 (Rev. 08/2016)
§ 244.06 (1), Wisconsin Statutes
Page 1
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