Free Connecticut General Power of Attorney Form

A Connecticut general power of attorney is a written document in which a person, called the principal, names an agent (also called an attorney-in-fact) to handle their financial affairs. The principal chooses which financial powers the agent receives. The form does not authorize health-care decisions, and whether it continues after the principal becomes incapacitated depends on whether it is durable.[1.3] FormsPal's free form is a PDF you can fill out online, print, and sign.

Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Connecticut law. If you notice an error or outdated information, please contact us.

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Connecticut General Power of Attorney Requirements

To get a power of attorney in CT, the document must be dated, signed by the principal, and witnessed by two witnesses.[1.1] Unless the principal provides otherwise in the document, it is effective when executed.[1.2] The rules below explain each point.

Connecticut law defines a power of attorney as a writing or other record that gives an agent authority to act in the place of the principal.[1.4] The statute states the signing rule this way:

A power of attorney must be dated and signed by the principal or in the principal's conscious physical presence by another individual directed by the principal to sign the principal's name on the power of attorney and witnessed by two witnesses.

Conn. Gen. Stat. § 1-350d

In plain words, a general power of attorney in Connecticut has three formal parts:

  • The document is dated.
  • The principal signs it, or another individual signs the principal's name at the principal's direction and in the principal's conscious physical presence.
  • It is witnessed by two witnesses.

The principal can also choose a later start. The document may say that it becomes effective at a future date or on a future event or contingency.[1.2] On this form, you make that choice in the Effective Date section on page 3.

Tip: Notarizing is a separate question from witnessing. The form includes an acknowledgment for a notary public on page 5, and the FAQ below explains what the statute says about acknowledging your signature.

A Connecticut power of attorney is durable by default. Under Conn. Gen. Stat. 1-350c, it is durable unless it expressly provides that it is terminated by the principal's incapacity.[1.5]

Under Conn. Gen. Stat. 1-351(a), an agent may perform certain listed activities, such as making a gift or creating or changing rights of survivorship, only if the power of attorney expressly grants the agent that authority.[1.6]

Connecticut General Power of Attorney Form Details

Document NameConnecticut General Power of Attorney Form
Other NameConnecticut Financial Power of Attorney
Relevant LawsConn. Gen. Stat. §§ 1-350d to 1-350i
Avg. Time to Fill Out10 minutes
# of Fillable Fields49
Available FormatsAdobe PDF

How to Fill Out the Connecticut General Power of Attorney Form

The Connecticut general power of attorney form has 49 fillable fields. Work through it in the order below, from the principal and agent names on page 1 to the witness blocks on page 6. If you downloaded the PDF, you can type your entries with our online PDF editor before you print it.

The screenshots under each step show the FormsPal Connecticut general power of attorney template filled with sample entries in blue, so you can see where each answer goes. The names, addresses, dates and amounts are examples only.

  1. Principal and agent (page 1). Read the capitalized notice at the top first. Then write your name and address in the first blanks, and the name and address of the person you appoint as your agent (attorney-in-fact) in the next blanks.
    Connecticut general power of attorney: ATTORNEY IF YOU LATER WISH TO DO SO, filled with sample entries
    Step 1: sample entries, not a real document.
  2. Initial the powers (A) to (K) (page 2). Write your initials on the line in front of each power you are granting, from (A) real property transactions to (K) benefits from social security, medicare, medicaid, or other governmental programs. Leave a line blank to withhold that power. You may cross it out.
    Connecticut general power of attorney: INITIAL, filled with sample entries
    Step 2: sample entries, not a real document.
  3. Initial (L), (M) or (N) (page 2). Initial (L) retirement plan transactions and (M) tax matters if you are granting them. To grant every listed power, initial only line (N) and leave the other lines blank. The three Special Instructions that follow are preprinted, so there is nothing to fill in there.
    Connecticut general power of attorney: Initial, filled with sample entries
    Step 3: sample entries, not a real document.
  4. Effective date (page 3). Under Effective Date, initial one line. Choose effective immediately, or effective on a date, and then write that date and the year.
    Connecticut general power of attorney: EFFECTIVE DATE, filled with sample entries
    Step 4: sample entries, not a real document.
  5. Termination date: written revocation (page 3). Under Termination Date, the form says to initial one line. Initial the first line if the power of attorney should end when you have signed a written revocation.
    Connecticut general power of attorney: TERMINATION DATE, filled with sample entries
    Step 5: sample entries, not a real document.
  6. Termination on a date or on incapacity (page 3). Instead of the first line, initial the line to end on a date you write in with the year, or the line to end when you are determined to be incapacitated. The form explains what incapacitated means in the paragraph below the options, which continues on page 4.
    Connecticut general power of attorney: A WRITTEN REVOCATION, filled with sample entries
    Step 6: sample entries, not a real document.
  7. Successor attorney-in-fact (page 4). In the successor paragraph, write your agent's name. Then write the name and address of the alternate agent who would serve if your agent is unable or unwilling to.
    Connecticut general power of attorney: Agent's name, Alternate agent's name and more, filled with sample entries
    Step 7: sample entries, not a real document.
  8. Date, sign and print your name (page 4). Fill in the day, month, and year on the "Signed this" line. Then sign on the signature line and print your name beneath it.
    Connecticut general power of attorney: Day, Date and more, filled with sample entries
    Step 8: sample entries, not a real document.
  9. Acknowledgment: county, date and names (page 5). Fill in the county, the date, the name and title of the officer, and your name as the person who appeared. You sign before the notary in the acknowledgment.
    Connecticut general power of attorney: STATE OF CONNECTICUT, filled with sample entries
    Step 9: sample entries, not a real document.
  10. Officer's signature and seal (page 5). The notary or other officer signs the Signature line under "WITNESS my hand and official seal" and adds the seal.
    Connecticut general power of attorney: Signature, filled with sample entries
    Step 10: sample entries, not a real document.
  11. Witness 1 and Witness 2 (page 6). Each of the two witnesses signs in their own block, prints a name, and adds an address and the date.
    Connecticut general power of attorney: Poa execution ct blocks.1.witness 1 signature, Poa execution ct blocks.2.printed name and more, filled with sample entries
    Step 11: sample entries, not a real document.

How to Sign and Use the Connecticut General Power of Attorney

After you fill out the form, a few more steps help the power of attorney work when your agent needs it. These steps are general practice, not Connecticut requirements, and a bank or other institution may have its own rules for accepting the document. The signing rules are in the requirements section above.

  1. Arrange the signing. Bring your two witnesses and a notary public together before you sign, so the signature, the witness blocks, and the acknowledgment can all be completed at one meeting.
  2. Give copies to the people who need them. Many people give a copy to the agent, to the successor attorney-in-fact if one is named, and to any bank or advisor the agent will deal with.
  3. Keep the original safe. Store the signed original in a secure place that your agent can reach when needed.
  4. Put a change in writing. If you decide to revoke the power of attorney (our revocation guide explains the document), many people put the revocation in writing and tell the agent and each institution that holds a copy. The FAQ below explains what the statute says about ending a power of attorney.

Need a different document? FormsPal also offers a Connecticut durable power of attorney and a Connecticut limited power of attorney. Browse all Connecticut power of attorney forms on our site.

Frequently Asked Questions

Does a power of attorney need to be notarized in Connecticut?

Connecticut's power of attorney statute ties notarizing to a presumption. A signature on a power of attorney is presumed to be genuine if the principal acknowledges the signature. The acknowledgment can be made before a notary public, a commissioner of the Superior Court or other individual authorized by law to take acknowledgments.[1.1]

How does a Connecticut power of attorney end?

Under Connecticut's power of attorney law, a power of attorney ends when any of these happens:[1.3]

  • The principal dies.
  • The principal revokes the power of attorney.
  • The purpose of the power of attorney is accomplished.
  • The power of attorney provides that it ends.
  • A court orders it ended.
  • The principal revokes the agent's authority, or the agent dies, becomes incapacitated, or resigns, and the power of attorney does not provide for another agent to act.

Does a power of attorney end if the principal becomes incapacitated?

It does if the power of attorney is not durable. A power of attorney that is not durable ends if the principal becomes incapacitated. A durable one does not end for that reason.[1.3]

There is one protection for people who rely on the document. An agent or other person may not know that the principal is incapacitated. If that person acts in good faith under a power of attorney that is not durable, the principal's incapacity does not revoke or end it as to that person.[1.3]

Does signing a new power of attorney cancel an earlier one?

Not automatically. Signing a power of attorney does not revoke a power of attorney the principal signed earlier. The earlier one stays in place unless the new document says the previous power of attorney is revoked or that all other powers of attorney are revoked.[1.3]

When does the agent's authority end?

The agent's authority ends when any of these happens:[1.3]

  • The principal revokes the authority.
  • The agent dies or resigns.
  • The agent becomes incapacitated.
  • An action is filed for the dissolution or annulment of the agent's marriage to the principal, or for their legal separation, unless the power of attorney says otherwise.
  • A court ends the agent's authority.

Time alone does not end it. Unless the power of attorney says otherwise, the agent's authority stays exercisable despite a lapse of time since the power of attorney was signed.[1.3]

How is an agent found to be incapacitated?

Unless the power of attorney provides otherwise, an agent is determined to be incapable of acting as agent upon a determination, in a writing or other record, of the agent's incapacity. That determination can be made by:[1.3]

  • A judge in a court proceeding.
  • Two independent physicians, two independent advanced practice registered nurses, or one independent physician and one independent advanced practice registered nurse.
  • A successor agent named under the statute, if a written opinion of a physician or an advanced practice registered nurse cannot be obtained because the agent refuses to be examined or fails to sign an authorization to release medical information.

What if the agent acts before learning the power of attorney ended?

Suppose an agent's authority or the power of attorney has ended. The ending is not effective as to the agent or another person who acts in good faith under the power of attorney without actual knowledge of the ending. An act done that way binds the principal and the principal's successors in interest, unless the act is otherwise invalid or unenforceable.[1.3]

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General information, not legal or tax advice.

Sources

  1. Conn. Gen. Stat. §§ 1-350d to 1-350i.
    • 1.1 § 1-350d
    • 1.2 § 1-350h
    • 1.3 § 1-350i
    • 1.4 § 1-350a(7)
    • 1.5 § 1-350c
    • 1.6 § 1-351(a)
Published: Aug 27, 2024
Mara Erlach
Mara Erlach
Writer & Attorney
Mara has been practicing estate planning and trust law in California since 2003, taking pride in helping clients of all backgrounds and asset profiles form a complete and customized estate plan. Her specialties are: estate planning, wills and trusts, trust and probate administration.