Free Louisiana Limited Power of Attorney Form

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A Louisiana limited power of attorney is a written document in which you, the principal, appoint another person to act for you on specific matters only. It is also called a special power of attorney. In Louisiana it may also be called a mandate, with your agent called the mandatary. This free Louisiana limited power of attorney form lets you name your agent, describe the purpose, and set the dates.

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What Are the Louisiana Limited Power of Attorney Requirements?

In Louisiana, a limited power of attorney is called a mandate, and the mandate articles of the Louisiana Civil Code govern it. Article 2989 defines a mandate as a contract by which a person, the principal, confers authority on another person, the mandatary, to transact one or more affairs for the principal.[5]

A Louisiana limited power of attorney does not have to be in any particular form. The one exception is an act for which the law itself prescribes a certain form, and a power of attorney that authorizes that act must be in that same form. For any other act, no particular form is required.[1]

The contract of mandate is not required to be in any particular form. Nevertheless, when the law prescribes a certain form for an act, a mandate authorizing the act must be in that form.

La. Civ. Code art. 2993

On this form, you list the tasks your agent will handle. If you need to cover more than a few tasks, compare the Louisiana durable power of attorney form or see all Louisiana power of attorney forms on our site.

Limited Power of Attorney Form Details

Document NameLimited Power of Attorney
Other NameLouisiana Special Power of Attorney
Relevant LawsLa. Civ. Code arts. 2993, 2999[6], 3024, 3025 and 3028
Avg. Time to Fill Out8 minutes
# of Fillable Fields32
Available FormatsAdobe PDF

Before you start, decide on the task your agent will handle and the date the power of attorney should end. The form has room for both. Keep the task description short and specific, so your agent and anyone who reads the document can understand what it covers.

How to Fill Out the Louisiana Limited Power of Attorney Form

You can fill out the Louisiana limited power of attorney PDF online or print it and write on it by hand. The form has 32 fillable fields and takes about 8 minutes. Work through the eight parts below in order.

Prepare your agent's complete name and address, along with the tasks you want to delegate, so you can complete the form in one sitting. If a large amount of money is involved, consider getting legal help before you decide how much authority to give. When you finish, keep a copy of the signed document and provide your agent with another copy.

The screenshots under each step show the FormsPal Louisiana 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. Name Yourself and Your Agent. At the top of page 1, write your full name and address. Then write the name and address of the person you appoint as your agent, who is also called your attorney-in-fact.
    Louisiana limited power of attorney: LOUISIANA LIMITED POWER OF ATTORNEY, filled with sample entries
    Step 1: sample entries, not a real document.
  2. Describe the Limited Purpose. Under the purpose lines on page 1, write the specific tasks your agent is allowed to handle, and keep each task narrow and clear. The Special Instructions sentence below the lines is already printed, and it ties the powers to the purposes that you wrote.
    Louisiana limited power of attorney: purpose(s), filled with sample entries
    Step 2: sample entries, not a real document.
  3. Choose the Effective Date. Initial one option on page 1, where the first option is for a power of attorney that starts at once and the second is for one that starts on a date you write in.
    Louisiana limited power of attorney: EFFECTIVE DATE, filled with sample entries
    Step 3: sample entries, not a real document.
  4. Set the Termination Date. The Termination Date part also asks you to initial one option, and the first option ends the power of attorney when you sign a written revocation. The other two options continue on page 2.
    Louisiana limited power of attorney: TERMINATION DATE, filled with sample entries
    Step 4: sample entries, not a real document.
  5. Finish the Termination Options and Add a Successor Agent. On page 2, the next options end the power of attorney on a date you write in, or when you are determined to be incapacitated, so initial the one you want. Fill in the successor agent lines only if you want a backup in case your first agent cannot or will not serve.
    Louisiana limited power of attorney: A WRITTEN REVOCATION, filled with sample entries
    Step 5: sample entries, not a real document.
  6. Sign and Date the Form. At the bottom of page 2, enter the day, month and year, then sign and print your name. Read the paragraph above your signature first. In it, you agree that a third party who gets a copy may act under the document, and that you will cover that party's claims if it relied on the document.
    Louisiana limited power of attorney: Day, Month and more, filled with sample entries
    Step 6: sample entries, not a real document.
  7. Review the Acknowledgment. Page 3 is an acknowledgment that a notary public or other officer completes, and it has blanks for the county, the date, the officer's name and title, and your name.
    Louisiana limited power of attorney: STATE OF LOUISIANA, filled with sample entries
    Step 7: sample entries, not a real document.
  8. Leave the Notary Signature to the Officer. The officer signs on the signature line near the bottom of page 3 and adds a seal, so you do not sign on that line.
    Louisiana limited power of attorney: Signature, filled with sample entries
    Step 8: sample entries, not a real document.
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Frequently Asked Questions

Here are four common questions about this form. They cover notarization, what ends the authority you grant, how to revoke it, and who you should tell. Each answer below is brief and refers to the sources listed at the end of this page.

Does a Louisiana limited power of attorney have to be notarized?

Louisiana has no statute that requires the principal's signature on a limited power of attorney to be notarized.[1]

What happens to a Louisiana limited power of attorney when the principal dies?

It ends, since both the mandate and the authority of the mandatary terminate upon the death of the principal or of the mandatary.[2]

Can I revoke a Louisiana limited power of attorney?

Yes, the principal may terminate the mandate and the authority of the mandatary at any time.[3]

Do I have to tell anyone when I revoke a limited power of attorney?

Yes, the principal must notify third persons with whom the mandatary was authorized to contract of the revocation of the mandate or of the mandatary's authority. If you do not, you are bound to perform the obligations that the mandatary has undertaken.[4]

General information, not legal or tax advice.

Sources

  1. Louisiana Civil Code 2993.
  2. La. Civ. Code art. 3024 3024.
  3. La. Civ. Code art. 3025 3025.
  4. La. Civ. Code art. 3028 3028.
  5. La. Civ. Code art. 2989. Accessed October 15, 2026.
  6. La. Civ. Code art. 2999. Accessed October 15, 2026.
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.