Updated April 20, 2022
A Vermont Limited Power of Attorney Form provides a method by which you can appoint someone to represent you for a short period of time or for a specific transaction. This can be useful for a variety of scenarios. For instance, you may need to personally attend to several matters and will be unable to do so because of a pre-determined event (i.e. a child’s wedding, military deployment). By appointing a temporary agent with limited power, you can still uphold your responsibilities without allowing anyone to overstep his or her boundaries. Be careful that you define the instance for which you want your representative to act so that there are no questions as to when and how he or she can represent you.
Laws
Statutes – Chapter 123: Powers Of Attorney
Authority (14 V.S.A. § 3504) – An agent under a power of attorney may act on behalf of the principal and exercise limited (special) authority as expressly granted by the agreement.
Signing Requirements (14 V.S.A. § 3503) – One (1) Witness and Notary Public.
How to Write
1 – You Can Download The Document On This Page To Appoint Limited Principal Authority
The buttons under the image will give you access to the template required to assign a Limited or a Specific Principal Authority to an Attorney-in-Fact in Vermont. You may obtain this template as a Word, PDF, or ODT file.
2 – The Principal’s Directive Statement Needs Attention
The language set in this template is standardized and will apply to most, if not all, situations. However, you will need to supply some basic information for this template to apply directly to the Principal, the Attorney-in-Fact, and the Principal Authority being delegated to the Attorney-in-Fact
Locate the first blank space bearing the label “Full Name.” Enter the Legal Name of the Principal on this line.
This blank space will continue to the next line where you must supply the Social Security Number of the Principal
The next blank line with the label “Full Name” calls for the Attorney-in-Fact’s Identity. Enter his or her Legal Name on this line. 
The following line will have two distinct areas. In the first one, above the word “Address,” record the Complete Address of the Attorney-in-Fact. 
Conclude this information with the Attorney-in-Fact’s Telephone Number in the area above the word “Phone.”
3 – The Nature Of These Powers Must Be Determined And Presented
The Principal will need to have a pre-determined set of actions and decisions he or she will allow or require the Attorney-in-Fact to engage in on his or her behalf. The numbered lines in the center of this page have been presented so these Principal Directives may be fully defined. The Attorney-in-Fact will only be able to carry out functions within the limits of this document’s delegation of Principal Authority, so this report should be as detailed as possible.
4 – The Principal’s Signature Should Be Supplied To Execute This Paperwork
The final statement of this appointment will begin with the words “Signed This…” When it is time to execute this document, the Principal should record the Calendar Date using the spaces that have been supplied here. 
This appointment will require the Principal to sign the line labeled “Signature” on the Calendar Date he or she reported above.