DPH 0036 (Rev-2025

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  1. Click ‘Get Form’ to open the DPH 0036 (Rev) in our editor.
  2. Begin by entering your name and address at the top of the form. This identifies you as the principal granting powers.
  3. Next, appoint your agent by filling in their name and address. If needed, designate an alternate agent for additional support.
  4. Review the list of powers available. Initial next to each power you wish to grant your agent, such as handling banking or managing real estate.
  5. In the 'Compensation' section, indicate if your agent will receive payment for their services by initialing accordingly.
  6. Complete any special instructions that may apply to your situation in the designated area.
  7. Finally, sign and date the document at the bottom. Ensure witnesses are present to sign as well.

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