Limited Power Of Attorney To Make Emergency Health Care Decisions For My Minor Child (Page 2 of 2) in pdf

Limited Power Of Attorney To Make Emergency Health Care Decisions For My Minor Child Page 2

REVOCATION

This Durable Power of Attorney may be revoked, suspended or terminated in the following

ways:

(a) If the parent gives written notice to any acting Attorney-in-Fact.

TERMINATION OF THIS DOCUMENT

(a) The death of parent shall revoke this Power of Attorney, unless there is any question

regarding whether the parent is alive. If there is any doubt as to whether the parent is alive, the

provisions of Sections 1 and 2 above shall apply.

RELIANCE

All persons dealing with the Attorney-in-Fact because of this document shall be entitled to rely

upon this Power of Attorney, so long as neither the Attorney-in-Fact, nor any person with whom

the Attorney-in-Fact was dealing, had received actual knowledge or notice of any revocation,

suspension, or termination of this document. Any action taken in good faith by all parties shall be

binding on the heirs and Personal Representative(s) of the parent.

INDEMNITY

The Attorney-in-Fact, shall not have any personal liability for any acts done by virtue of this

Power of Attorney, so long as the acts are done in good faith. The parent shall defend, hold

harmless and indemnify the Attorneys-in-Fact from all liability for acts done in good faith by the

Attorney-in-Fact.

APPLICABLE LAW

The laws of the state of Washington shall govern this Power of Attorney. It is the intention of the

parent that this document be valid in all states and territories of the United States. If any

provision in this document is held invalid or inconsistent with the laws of parent’s residence,

then the inconsistent or invalid part shall be deleted and disregarded, and the remaining parts

shall not be affected.

EXECUTION AND DATE OF SIGNING

This Power of Attorney is signed in original the day and year indicated below and is to become

effective immediately.

I declare under penalty of perjury of the laws of the state of Washington that foregoing is correct.

Dated this ________ day of ________ , 20____

(city)

(country)

by [Printed Name]

[Signed]

Power of Attorney

Limited Power Of Attorney To Make Emergency Health Care Decisions For My Minor Child Page 2