{"data":{"id":"us-dc/d.c.-code-21-2603.01","jurisdiction":"us-dc","citation":"D.C. Code § 21-2603.01","heading":"Statutory power of attorney form.","body":"A document substantially in the following form, and potentially subject to the additional notice requirement of § 21-2603.03 for powers governing real estate transactions, may be used to create a statutory power of attorney form that has the meaning and effect prescribed by this chapter:\n\n\"DISTRICT OF COLUMBIA STATUTORY POWER OF ATTORNEY FORM\n\nIMPORTANT INFORMATION\n\nThis 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 Uniform Power of Attorney Act of 2022 (D.C. Official Code § 21-2601.01 et seq.).\n\nThis power of attorney does not authorize the agent to make health care decisions for you.\n\nYou 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 resigns or is unable to act for you.\n\nYour agent may be entitled to reasonable compensation unless you state otherwise in the Special Instructions.\n\nThis form provides for designation of one agent. If you wish to name more than one agent you may name a coagent in the Special Instructions. Coagents are not required to act together unless you include that requirement in the Special Instructions.\n\nIf your agent is unable or unwilling to act for you, your power of attorney will end unless you have named a successor agent. You may also name a second successor agent.\n\nThis power of attorney becomes effective immediately unless you state otherwise in the Special Instructions.\n\nIf you have any questions about the power of attorney or the authority you are granting to your agent, you should seek legal advice before signing this form.\n\nDESIGNATION OF AGENT\n\nI, _____________________________________________________________, name the following person as my agent:\n\nName of Agent: ___________________________________________________________________________________________\n\nAgent's Address:__________________________________________________________________________________________\n\nAgent's Telephone Number: _________________________________________________________________________\n\nDESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)\n\nIf my agent is unable or unwilling to act for me, I name as my successor agent:\n\nName of Successor Agent: _________________________________________________________________________________\n\nSuccessor Agent's Address:________________________________________________________________________________\n\nSuccessor Agent's Telephone Number: ______________________________________________________________\n\nIf my successor agent is unable or unwilling to act for me, I name as my second successor agent:\n\nName of Second Successor Agent: __________________________________________________________________________\n\nSecond Successor Agent's Address: ________________________________________________________________________\n\nSecond Successor Agent's Telephone Number: _______________________________________________________\n\nGRANT OF GENERAL AUTHORITY\n\nI grant my agent and any successor agent general authority to act for me with respect to the following subjects as defined in the Uniform Power of Attorney Act of 2022 (D.C. Official Code § 21-2601.01 et seq.):\n\n(INITIAL each subject you want to include in the agent's general authority. If you wish to grant general authority over all of the subjects you may initial \"All Preceding Subjects\" instead of initialing each subject.)\n\n(___) Real Property (refer to § 21-2603.03 for additional notice requirements)\n\n(___) Tangible Personal Property\n\n(___) Stocks and Bonds\n\n(___) Commodities and Options\n\n(___) Banks and Other Financial Institutions\n\n(___) Operation of Entity or Business\n\n(___) Insurance and Annuities\n\n(___) Estates, Trusts, and Other Beneficial Interests\n\n(___) Claims and Litigation\n\n(___) Personal and Family Maintenance\n\n(___) Benefits from Governmental Programs or Civil or Military Service\n\n(___) Retirement Plans\n\n(___) Taxes.\n\n(___) All Preceding Subjects\n\nGRANT OF SPECIFIC AUTHORITY (OPTIONAL)\n\nMy agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED the specific authority listed below:\n\nCAUTION: Granting any of the following will give your agent the authority to take actions that could significantly reduce your property or change how your property is distributed at your death. INITIAL ONLY the specific authority you WANT to give your agent.)\n\n(___) Create, amend, revoke, or terminate an inter vivos trust\n\n(___) Make a gift, subject to the limitations of § 21-2602.17 and any special instructions in this power of attorney\n\n(___) Create or change rights of survivorship\n\n(___) Create or change a beneficiary designation\n\n(___) Authorize another person to exercise the authority granted under this power of attorney\n\n(___) Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan\n\n(___) Exercise fiduciary powers that the principal has authority to delegate\n\n(___) Disclaim or refuse an interest in property, including a power of appointment.\n\nLIMITATION ON AGENT'S AUTHORITY\n\nAn agent that is not my ancestor, spouse or descendant MAY NOT use my property to benefit the agent or a person to whom the agent owes an obligation of support unless I have included that authority in the Special Instructions.\n\nSPECIAL INSTRUCTIONS (OPTIONAL)\n\nYou may give special instructions on the following lines:\n\n________________________________________________________________________________________________________________________________________________\n\n________________________________________________________________________________________________________________________________________________\n\nEFFECTIVE DATE\n\nThis power of attorney is effective immediately unless I have stated otherwise in the Special Instructions.\n\nNOMINATION OF CONSERVATOR OR GUARDIAN (OPTIONAL)\n\nIf it becomes necessary for a court to appoint a conservator of my estate or guardian of my person, I nominate the following person(s) for appointment:\n\nName of Nominee for conservator of my estate:___________________________________________________________________________________________________\n\nNominee's Address: ___________________________________________________________________________________________________\n\nNominee's Telephone Number: ___________________________________________________________________________________________________\n\nName of Nominee for guardian of my person: ___________________________________________________________________________________________________\n\nNominee's Address: ___________________________________________________________________________________________________\n\nNominee's Telephone Number: ___________________________________________________________________________________________________\n\nRELIANCE ON THIS POWER OF ATTORNEY\n\nAny person, including my agent, may rely upon the validity of this power of attorney or a copy of it unless that person knows it has been terminated or is invalid.\n\nSIGNATURE AND ACKNOWLEDGMENT\n\n_____________________________________________________                  ____________________________\n\nYour Signature                                                               Date\n\n___________________________________________________________________________________________________\n\nYour Name Printed\n\n___________________________________________________________________________________________________\n\nYour Address\n\n___________________________________________________________________________________________________\n\nYour Telephone Number\n\nDistrict of Columbia.\n\nThis document was acknowledged before me on _________________________________,\n\n                       (Date)\n\nby ___________________________________________________________________________________________________.\n\n(Name of Principal)\n\n___________________________________________________________________________________________________ (Seal, if any)\n\nSignature of Notary\n\nMy commission expires: _______________________________________________________\n\nThis document was prepared by:\n\n___________________________________________________________________________________________________\n\n___________________________________________________________________________________________________.\n\nIMPORTANT INFORMATION FOR AGENT\n\nAgent's Duties\n\nWhen you accept the authority granted under this power of attorney, a special legal relationship is created between you and the principal. This relationship imposes upon you legal duties that continue until you resign or the power of attorney is terminated or revoked. You must:\n\n(1)\nDo what you know the principal reasonably expects you to do with the principal's property or, if you do not know the principal's expectations, act in the principal's best interest;\n\n(2)\nAct in good faith;\n\n(3)\nDo nothing beyond the authority granted in this power of attorney; and\n\n(4)\nUnless the Special Instructions in this power of attorney state otherwise, you must also:\n\n(1)\nAct loyally for the principal's benefit;\n\n(2)\nAvoid conflicts that would impair your ability to act in the principal's best interest;\n\n(3)\nAct with care, competence, and diligence;\n\n(4)\nKeep a record of all receipts, disbursements, and transactions made on behalf of the principal;\n\n(5)\nCooperate with any person that has authority to make health care decisions for the principal to do what you know the principal reasonably expects or, if you do not know the principal's expectations, to act in the principal's best interest; and\n\n(6)\nYou must stop acting on behalf of the principal if you learn of any event that terminates this power of attorney or your authority under this power of attorney. Events that terminate a power of attorney or your authority to act under a power of attorney include:\n\n(1)\nDeath of the principal;\n\n(2)\nThe principal's revocation of the power of attorney or your authority;\n\n(3)\nThe occurrence of a termination event stated in the power of attorney;\n\n(4)\nThe purpose of the power of attorney is fully accomplished; or\n\n(5)\nLIABILITY OF AGENT","path":["Title 21. Fiduciary Relations and Persons with Mental Illness. [Enacted title]","Chapter 26. Uniform Power of Attorney Act.","Subchapter III. Statutory Forms."],"source_url":"https://code.dccouncil.gov/us/dc/council/code/sections/21-2603.01","current_through":"2026-08-20 (D.C. Law 26-175)","vintage":"","retrieved_at":"2026-08-29T05:44:07Z","sha256":"b11493c539193f12297ae722022edac0078b7123f7fa1353a950b091039ecdcf","source_id":"us-dc","stale":false,"prev":"us-dc/d.c.-code-21-2602.17","next":"us-dc/d.c.-code-21-2603.02"},"notice":"GroundRules: Original legal text. Not legal advice."}