Connecticut Limited Power of Attorney Form

A Connecticut limited power of attorney is a written document in which you, the principal, name an agent (also called an attorney-in-fact) to act for you on specific matters only. Use this Connecticut limited power of attorney form to list those tasks, name your agent, and print it for signing. A limited one is narrower than a general power of attorney, which covers a broad range of affairs. People use one for a single task or a set period. In Connecticut, the laws governing the creation and execution of a limited power of attorney are outlined in §§ 1-350 to 1-353b of the Connecticut General Statutes.[1.4]

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 If you notice an error or outdated information, please contact us.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 Limited Power of Attorney Requirements

Connecticut law sets a few formalities for a limited power of attorney. The principal must date and sign it, and two witnesses must witness it. An acknowledgment of the signature before a notary public makes the signature presumed genuine.[1.1] The sections below explain each rule and when it takes effect.

Section 1-350d of the Conn. Gen. Stat. puts 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, the signing rule has four parts:

  • Date. The principal dates it.[1.1]
  • Signature. The principal signs it. Another individual may sign the principal's name instead, but only at the principal's direction and in the principal's conscious physical presence.[1.1]
  • Witnesses. Two witnesses must witness it.[1.1]
  • Acknowledgment. The principal's signature is presumed genuine if the principal acknowledges it before a notary public, a commissioner of the Superior Court, or another individual authorized by law to take acknowledgments.[1.1]

A power of attorney is effective when it is executed. The principal can instead provide that it becomes effective on a future date or when a future event or contingency happens.[1.2]

Section 1-351 of the Conn. Gen. Stat. lists specific acts, such as making a gift, that an agent may perform only if the power of attorney expressly grants the agent that authority.[1.5]

Connecticut Limited Power of Attorney Form Details

Document Name Connecticut Limited Power of Attorney Form
Other Name Connecticut Special Power of Attorney
Relevant Laws Connecticut General Statutes, Sections 1-350d to 1-350i
Avg. Time to Fill Out 8 minutes
# of Fillable Fields 40
Available Formats Adobe PDF

How to Fill Out the Connecticut Limited Power of Attorney Form

To fill out the Connecticut limited power of attorney form, start on page 1 with the principal and the agent. Then list the tasks the agent may handle and set the dates. The form has four pages to complete, and the steps below follow its order. Download the PDF or build it online with the buttons above.

The screenshots under each step show the FormsPal Connecticut limited 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). In the opening paragraph, enter your name and address as the principal. Then enter the name and address of the person you appoint as your agent (attorney-in-fact).
    Connecticut limited power of attorney: CONNECTICUT LIMITED POWER OF ATTORNEY, filled with sample entries
    Step 1: sample entries, not a real document.
  2. Limited purposes (page 1). Write each task the agent may handle on the lines under "purpose(s)." The Special Instructions paragraph below them limits the powers to these purposes and has nothing to fill in.
    Connecticut limited power of attorney: purpose(s), filled with sample entries
    Step 2: sample entries, not a real document.
  3. Effective date (page 1). Initial the line for the timing you want. If you choose a date, write it in the blanks on that line.
    Connecticut limited power of attorney: EFFECTIVE DATE, filled with sample entries
    Step 3: sample entries, not a real document.
  4. Termination date: written revocation (page 1). Under Termination Date, initial the first line if the power of attorney should end when you sign a written revocation. The other termination options continue on page 2.
    Connecticut limited power of attorney: TERMINATION DATE, filled with sample entries
    Step 4: sample entries, not a real document.
  5. Other termination options and successor agent (page 2). At the top of page 2, initial the line for a set termination date (and fill in the date) or the line for incapacity, if you want either. Then name the successor attorney-in-fact and their address in the Successor paragraph.
    Connecticut limited power of attorney: A WRITTEN REVOCATION, filled with sample entries
    Step 5: sample entries, not a real document.
  6. Date, signature and printed name (page 2). Fill in the day, month and year, then sign on the signature line and print your name beneath it.
    Connecticut limited power of attorney: Day, Month and more, filled with sample entries
    Step 6: sample entries, not a real document.
  7. Acknowledgment: county, date, officer and principal (page 3). Page 3 is the acknowledgment page. The county, the date, the officer's name and title, and your name are entered here when you acknowledge your signature.
    Connecticut limited power of attorney: STATE OF CONNECTICUT, filled with sample entries
    Step 7: sample entries, not a real document.
  8. Notary signature and seal (page 3). The notary or other officer signs on the Signature line and applies the seal at the end of page 3.
    Connecticut limited power of attorney: Signature, filled with sample entries
    Step 8: sample entries, not a real document.
  9. Witness signatures (page 4). Page 4 has two witness blocks. Each witness signs, prints their name, and adds their address and the date.
    Connecticut limited 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 9: sample entries, not a real document.
Name each task on its own purpose line and be specific about what it covers, such as one account, one piece of property or one transaction. A short, specific list is easier for your agent to follow.

How to Sign and Use the Connecticut Limited Power of Attorney

To put a Connecticut limited power of attorney in place, print the completed form and sign it with two witnesses.[1.1] A notary acknowledgment is the step that makes your signature presumed genuine. Then share copies with the people who will rely on it. The steps below cover what to do once the form is filled in.

  1. Get your signers together. Bring the two witnesses, and a notary public if you want the acknowledgment, to one signing. Then the signature, the acknowledgment on page 3 and the witness blocks on page 4 can all be completed together.
  2. Acknowledge your signature. The acknowledgment is the part of the form on page 3, where the notary records that you acknowledged your signature.
  3. Share copies. Give copies of the signed form to your agent, any successor agent, and the banks, offices or people who will ask for proof of the agent's authority.
  4. Keep the original safe. Store it where you and your agent can find it.

Need something different? If you want broader authority, see our general power of attorney page. For planning that continues if you become incapacitated, see the durable power of attorney. Other options include the minor child power of attorney and the motor vehicle power of attorney. You can also browse all our Connecticut power of attorney forms.

When a Connecticut Limited Power of Attorney Ends

A Connecticut limited power of attorney ends when the principal revokes it, when the principal dies, or when another event listed in Section 1-350i of the Conn. Gen. Stat. happens. The agent's authority can also end on its own, for example when the agent resigns.[1.3] This section lists the events and explains how acts done before notice are treated.

These events end a limited power of attorney.[1.3]

  • The principal revokes the power of attorney or the agent's authority.
  • The principal dies.
  • The purpose of the power of attorney is accomplished.
  • The power of attorney provides that it terminates.
  • The principal becomes incapacitated, if the power of attorney is not durable.
  • A court terminates the power of attorney or the agent's authority under subsection (b) of Section 1-350g.

Determining an Agent's Incapacity

Unless the power of attorney provides otherwise, an agent is determined to be incapable of acting as agent once someone makes a written determination, in a writing or other record, that the agent is incapacitated. The person making it can be one of these:[1.3]

  • Two independent physicians, two independent advanced practice registered nurses, or one independent physician and one independent advanced practice registered nurse.
  • A judge in a court proceeding.
  • A successor agent, 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.

Acts Done in Good Faith After the Power of Attorney Ends

Ending a power of attorney does not undo what others do in good faith. Termination of an agent's authority or of a power of attorney is not effective as to an agent or another person who acts in good faith under it without actual knowledge of the termination. If the power of attorney is not durable, the principal's incapacity works the same way.

An act done in good faith without knowledge of the termination binds the principal and the principal's successors in interest, unless the act is otherwise invalid or unenforceable.[1.3] If you revoke a limited power of attorney, tell your agent and every person who relies on it.

Frequently Asked Questions

These answers cover how long a Connecticut limited power of attorney lasts, how it relates to other powers of attorney, and which events end an agent's authority. Each answer comes from the Connecticut statute named in the Sources section at the end of this page.

Does a Connecticut limited power of attorney expire after a set amount of time?

Not by itself. Unless the power of attorney provides otherwise, the agent's authority stays exercisable until it ends under Section 1-350i, even after time has passed since you signed it.[1.3]

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

Not automatically. Executing a power of attorney does not revoke one the principal signed earlier unless the new one says it revokes the previous power of attorney or all other powers of attorney.[1.3]

Does a divorce end a spouse's authority as agent?

It can. The agent's authority ends when 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 provides otherwise.[1.3]

What happens if the agent dies, resigns or becomes incapacitated?

The agent's authority ends in each of these cases:

  • The agent dies.
  • The agent resigns.
  • The agent becomes incapacitated.

The power of attorney itself ends too if it does not provide for another agent to act.[1.3]

General information, not legal or tax advice.

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Sources

  1. Conn. Gen. Stat. §§ 1-350d to 1-350i.
    • 1.1 § 1-350d
    • 1.2 § 1-350h
    • 1.3 § 1-350i
    • 1.4 § 1-350
    • 1.5 § 1-351
Published: Aug 15, 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.