Free Digital Power of Attorney Form Template

Digital Power of Attorney Form

Please fill out this form to authorize someone to manage or act on your behalf in digital or online matters.

Grantor Information

Name

    Address

      Phone Number

        Email

          Authorized Representative Information

          Name

            Address

              Phone Number

                Email

                  Relationship to Grantor

                    Authorization Details

                    I, Your Name, authorize Representative's Name to act on my behalf in digital or online matters, including but not limited to:

                    Powers Granted

                    Check all that apply:

                      • Managing and accessing my online accounts and platforms

                      • Managing my email, social media, or messaging services

                      • Conducting financial transactions or managing online investments

                      • Managing and securing my digital assets or cryptocurrencies

                      • Purchasing or managing subscriptions, services, or memberships

                      Effective Date

                        Termination Date

                        This power of attorney will remain in effect until:

                          By signing below, I confirm that I understand and agree to the terms of this authorization.

                          Name: Grantor

                          Date:

                          Name: Representative

                          Date:

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