Edit, Download, and Sign the Notarial Certificate for Power of Attorney Form

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How do I fill this out?

To fill out this form, first gather the necessary personal information for both the member and the attorney in fact. Next, visit a notary public to have the copy of the original POA compared with the original. Finally, submit the completed notarized form along with the original POA copy to MOSERS.

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How to fill out the Notarial Certificate for Power of Attorney Form?

  1. 1

    Provide the member's personal information in Section A.

  2. 2

    Provide the Power of Attorney's information in Section B.

  3. 3

    Notary signs and completes Section C.

  4. 4

    Take the original POA and a copy of the original POA to a notary.

  5. 5

    Return completed Notarial Certificate to MOSERS for approval of POA for a member.

Who needs the Notarial Certificate for Power of Attorney Form?

  1. 1

    Individuals setting up a power of attorney for legal affairs.

  2. 2

    Attorneys needing a formalized document for representation.

  3. 3

    Family members managing affairs for an elderly relative.

  4. 4

    Business owners delegating authority for operational purposes.

  5. 5

    Anyone requiring legal permission to act on another's behalf.

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What are the instructions for submitting this form?

To submit the Notarial Certificate for a Copy of a Power of Attorney, send it via email to forms@mosers.org or fax it to (573) 632-6103. You may also mail the completed form to MOSEERS at PO Box 209, Jefferson City, MO 65102-0209. Ensure to include the notarized certificate and the original POA copy with your submission. For inquiries, please call (573) 632-6100 or (800) 827-1063.

What are the important dates for this form in 2024 and 2025?

As of now, there are no specific important dates for submitting this form for 2024 or 2025. However, it is crucial to remain aware of deadlines pertaining to any legal actions or matters requiring power of attorney documentation.

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What is the purpose of this form?

The Notarial Certificate for a Copy of a Power of Attorney serves to authenticate the legitimacy of a power of attorney document. It is crucial in establishing trust and verifying that the designated attorney in fact is authorized to act on behalf of the member. Proper completion and notarization are essential for this form to be legally binding.

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Tell me about this form and its components and fields line-by-line.

The Notarial Certificate includes sections for personal information of both the member and the attorney in fact, as well as the notarization section.
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  • 1. SECTION A - PERSONAL INFORMATION (MEMBER): Requires the member's Social Security Number, full name, and date of birth.
  • 2. SECTION B - PERSONAL INFORMATION (ATTORNEY IN FACT): Requires the attorney's full name, mailing address, primary phone number, and email address.
  • 3. SECTION C - NOTARIZATION: To be completed by the notary public, including official details and signature.

What happens if I fail to submit this form?

Failure to submit this form could result in delays in the agent's ability to act on the member's behalf. It may also hinder any legal or business proceedings that require formal authorization.

  • Delay in Legal Proceedings: Without proper submission, legal actions may be postponed.
  • Inaccessibility of Services: Access to needed services requiring power of attorney may be hindered.
  • Confusion over Authority: There may be disputes regarding who has the authority to act on behalf of the member.

How do I know when to use this form?

Use this form when you need to grant someone else the authority to act as your agent through a power of attorney. It is ideal for situations involving health care decisions, managing financial affairs, or legal representation.
fields
  • 1. Health Care Decisions: When appointing someone to make medical decisions on your behalf.
  • 2. Financial Management: To allow someone to manage financial transactions in your place.
  • 3. Legal Representation: When granting permission for legal representation.

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You can add your signature to the document using our signature feature, which lets you draw or upload your signature.

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Can I download my edited PDF?

Absolutely, once you have finished editing, you can download the PDF directly to your computer.

What should I do if I need assistance with the form?

You can reach out to MOSERS for assistance or consult legal advice if needed.

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