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Checklist for the Durable Power of Attorney |
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| These steps may be helpful to you as a reminder of things that might be good to check on as you plan and fill out the document: | |
| ______ | I have talked with my agent and alternate agent, if any, about this document before appointing them and they understand my wishes. |
| ______ | I have included my agent(s) addresses and phone numbers on the document or on an attachment which will be included with all copies. |
| ______ | I have listed the people to whom I have given or plan to give copies. |
| ______ | I have an extra copy for myself. (If either I or my agent makes additional copies for others to have, we will communicate this to each other when these copies are made and distributed.) |
| ______ | My family and friends have been included in this process to the extent that I wish them to be involved or informed of my wishes. |
| ______ | I have talked this over with my primary care physician and s/he understands my wishes. |
| ______ | I understand that I should review this document every few years to make sure it still accurately expresses my wishes. |
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Vermont
Ethics Network, 89 Main Street (City Center), Drawer 20, Montpelier, VT
05620-3601 (802)828-2909, www.vtethicsnetwork.org, ethics@vtethicsnetwork.org
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