The CSOS Registration Authority requires a photocopy of a letter granting power of attorney for all applicants (excluding the Registrant) requesting a CSOS Signing certificate. This letter must include the following information:Name and address of the associated organizationDEA Registration number(s) for which Power of Attorney is being grantedA brief statement expressing that Power of Attorney for controlled substance ordering is being granted to the Attorney-in-fact by an authorized partyName and signature of the individual being granted Power of Attorney (i.e. the "Attorney-in-fact")Name and signature of the individual granting Power of Attorney (i.e. the Registrant)Signature of two witnesses employed by the associated organizationThe date that Power of Attorney is grantedA letter granting power of attorney must be similar to the following format:

Utah's Uniform Power of Attorney Act went into effect on May 10, 2016. The law applies to a power of attorney created before, on, or after that date, and to any judicial proceeding concerning a power of attorney commenced on or after that date. Powers of attorney properly executed under prior law are still valid documents.


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A power of attorney is a legal document in which one person (called the "principal") gives to another person (the "agent," or sometimes called the "attorney in fact") authority to act on behalf of the principal.

It can also be very limited and restrict the agent to one or more very specific tasks. For example, selling one specific piece of real property. The agent cannot use the principal's assets in a way that is against the principal's wishes.

A well-written power of attorney can be a helpful legal tool to allow someone else to handle a person's financial matters without the need of more complex arrangements like a trust or a court-appointed guardian or conservator, which removes many or all of the person's decision making authority. A well-written power of attorney can also help protect against possible financial exploitation and abuse.

A lawyer experienced in estate planning is the most appropriate person to write a power of attorney and give you advice about what is needed in your situation. There are many power of attorney forms available on the Internet but they may be too general for your circumstances, they may not follow the requirements of Utah law, and they may not protect against financial exploitation and abuse.

Utah law provides a statutory power of attorney form (the Uniform Power of Attorney Act, Utah Code 75-9-101 to 403). The form can be used by any adult who has the capacity to complete it. At the time of signing the power of attorney, the principal must have sufficient mental capacity to understand that s/he is appointing an agent to handle his or her affairs. The principal does not have to understand how the agent will manage the principal's affairs.

The agent is the person appointed by the principal to handle the duties stated in the power of attorney document. The agent must act at all times for the benefit of the principal and not for him or herself.

A principal may also nominate in the power of attorney a conservator or guardian to be appointed by the court if the principal is ever determined to be incapacitated. The nomination may be of the agent under the power of attorney or of someone else.

The power of attorney gives the agent specific authority to act on behalf of the principal. The areas of authority can be general, specific or limited. The statutory power of attorney form provides a checklist for the principal to use to designate the extent of the agent's authority.

The agent also has the authority under HIPAA (the federal Health Insurance Portability and Accountability Act) to access the principal's private health care information and communicate with the principal's heath care providers unless the power of attorney specifically restricts that authority.

The power of attorney document must be signed by the principal before a notary public. If the principal is not able to physically sign the document, then another person acting at the principal's direction in the principal's conscious presence may sign the document before a notary public.

If the principal lives or is about to live in a hospital, assisted living, skilled nursing, or similar facility, at the time of execution of the power of attorney, the principal may not name any agent that is the owner, operator, health care provider, or employee of the hospital, assisted living facility, skilled nursing, or similar residential care facility unless the agent is the spouse, legal guardian, or next of kin of the principal, or unless the agent's authority is strictly limited to the purpose of assisting the principal to establish eligibility for Medicaid.

"Durable" power of attorney means that the agent can act even if the principal becomes disabled or incapacitated. A power of attorney created under Utah law is durable unless it expressly states that it is terminated by the incapacity of the principal.

A power of attorney goes into effect when the principal signs it unless the document says that the power of attorney becomes effective at a future date or when a specific event occurs. For example, the principal may say that the power of attorney becomes effective upon the principal's incapacity and that the principal's physician determines the incapacity.

A principal can revoke or change a power of attorney at any time. The change must comply with all of the requirements of the original power of attorney document. It must be in writing, signed and should be notarized, and, at the time of the change, the principal must understand that s/he is appointing an agent to handle his or her affairs.

The revocation also should be in a dated and signed writing, but it does not need to be notarized. The agent must receive a copy of the revocation. Any third party who has relied on the agent's authority under an earlier power of attorney also should receive a copy of the revocation as well as of any changed power of attorney.

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A CalPERS special power of attorney allows you to designate a representative or agent, known as your attorney-in-fact, to conduct your retirement affairs. Should you become unable to act on your own behalf, your designated attorney-in-fact will be able to perform important duties concerning your CalPERS business, such as:

The CalPERS special power of attorney is specifically designed for use by active and retired CalPERS members and beneficiaries. You may already have a power of attorney set up through another resource; however, it may not address your CalPERS retirement benefits.

Once your power of attorney document has been processed, a confirmation letter will be sent to the address we have on record. The letter will indicate any limitations, depending on the type of power of attorney you have executed.

If you change your mind about your power of attorney, you must complete a new CalPERS Special Power of Attorney form (PDF) with your desired changes. We also encourage you to notify those people who may need to carry out your wishes.

We prefer you use the CalPERS Special Power of Attorney form (PDF) because it contains a durability clause, but we'll also accept other forms that grant the attorney-in-fact authority to conduct business with us. Without a durability clause, CalPERS will not be able to honor your power of attorney if you become incapacitated.

The tax representative or appointed authority authorized to have power of attorney and to receive and inspect confidential tax information for the taxpayer must specify on the form the representative's name, mailing address, daytime telephone number, signature and designation item number (1-10). The Maryland Form 548 must also be filed with government-issued identification for the taxpayer (not the representative) unless the representative's designation is item number 1, 2 or 3.

Tax information can be disclosed to the appropriate party possessing power of attorney if the "Check Here" box on the appropriate form (Form 502, Form 505, etc.) has been marked. This authority extends to the estimated payments made for the subsequent tax year.

There is no such thing as a "Verbal POA". If a taxpayer calls and their representative is present the taxpayer can give permission for the representative to speak to us at that time. However, the approval is for that phone call at that time only.

Volunteers can use Maryland Form 548 and Maryland Form 548P with no PTIN. All information will still be required in order to accept the POA. They should clearly indicate on the form the volunteer organization with whom they are affiliated.

The PAR 101 is a legal document. For the tax matters you list on the form, your representative will be able to receive and inspect your confidential tax information and take the same actions you can, including consenting to extend the time to assess tax or executing consents that agree to a tax adjustment.

We will discuss routine issues with your designated tax professionals and employees and officers of a business as long as we can verify the person and the person's relationship to you or your business.

Only 2 representatives can receive automatic correspondence. You can attach a list appointing additional representatives, but they only have the authority to discuss your account for the tax matters specified, not to receive copies of written materials.

Use this form to register as a representative or authorized agent for a taxpayer. Once we process the completed form, you will receive your Authorized Agent Number by mail. As an authorized agent, you're eligible to receive any correspondence, documentation, or other written materials related to specific tax matters for which the Form PAR 101 has been filed. All correspondence will be sent to the address you provide on the R-7 form. 152ee80cbc

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