Pennsylvania Power of Attorney Forms


The Pennsylvania Power of Attorney Forms can be used by any resident that is eighteen (18) years or older to establish a temporary or long-term representative regarding financial or medical matters. The representative can go by a number of titles, although “agent” is most commonly used. Likewise, the person assigning the power is known as the “principal”.

Power of attorney forms can be classified in a number of ways, although they are most commonly categorized as being either durable or non-durable documents. If durable, the representative will hold on to their powers regardless of the status of the principal. For example, a durable POA would remain in effect even if the principal were to succumb to a mental illness that rendered them unable to communicate.

A non-durable POA, on the other hand, will terminate should the principal become incapacitated. Medical POAs are always durable, since the agent needs to be able to speak on behalf of the principal to ensure they receive the care that is in their best interests. While Vehicle POAs are almost always non-durable, since they are used for one-time or non-permanent tasks.

Types (9)

Durable Power of Attorney

Used for giving a representative the power to handle a wide range of financial tasks and responsibilities. Remains in effect if the principal cannot communicate, and terminates upon the principal’s death.

Download – Adobe PDF, MS Word (.docx)


General (Financial) Power of Attorney

Covers the same types of powers as a durable (financial) POA, except it is not durable.

Download – Adobe PDF, MS Word (.docx)


Limited (Special) Power of Attorney

Can be used for giving an agent any non-durable powers the principal wishes.

Download – Adobe PDF, MS Word (.docx), Rich Text (.rtf)


Living Will & Health Care Power of Attorney (Advance Directive)

Gives a resident a means of specifying their health care preferences AND nominating a health care proxy to ensure their wishes are communicated properly.

Download – Adobe PDF


Minor Child Power of Attorney

For empowering a trusted friend or loved one with temporary parental rights over their child or children.

Download – Adobe PDF, MS Word (.docx), Rich Text (.rtf)


Motor Vehicle (DMV) Power of Attorney

For granting powers specific to motor-vehicle related tasks.

Download – Adobe PDF, MS Word (.docx)


Real Estate (Property) Power of Attorney

Used for giving an agent the right to sell, buy, transfer, or register a motor vehicle on behalf of the owner.

Download – Adobe PDF, MS Word (.docx), Rich Text (.rtf)


Revocation of Power of Attorney

Renders any active POAs as terminated. Any original POAs should be discarded/shredded.

Download – Adobe PDF, MS Word (.docx), Rich Text (.rtf)


State Tax Filing Power of Attorney (Form REV-677 LE)

All taxpayers in the state that are looking to give a CPA, tax attorney, or another individual permission to view and file their taxes must complete the form per the Pennsylvania Department of Revenue.

Download – Adobe PDF


Laws & Signing Requirements

  • Pennsylvania Power of Attorney Laws Chapter 56, “Powers of Attorney” and Title 20, Chapter 54, “Health Care”
  • State Definition of Durable Power of Attorney (§ 5604) – “A durable power of attorney is a power of attorney by which a principal designates another his agent in writing. The authority conferred shall be exercisable notwithstanding the principal’s subsequent disability or incapacity. A principal may provide in the power of attorney that the power shall become effective at a specified future time or upon the occurrence of a specified contingency, including the disability or incapacity of the principal.”
  • State Definition of Advance Health Care Directive (Medical Power of Attorney) (§ 5422) – “A health care power of attorney, living will or a written combination of a health care power of attorney and living will.”
  • Signing Requirements
    • Advance Health Care Directive / Medical Power of Attorney (§ 5452) – Have the signatures of two (2) witnesses.