Utah Limited Power of Attorney Form

A Utah limited power of attorney is a written document that lets you, the principal, name an agent to act for you on specific matters only. It is narrower than a general power of attorney. This page offers a power of attorney form Utah residents can fill out online or download as a PDF. A Utah power of attorney must be signed before a notary public or another person authorized by law to take acknowledgments.[1.1]

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 If you notice an error or outdated information, please contact us.

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Utah Limited Power of Attorney Requirements

Utah's Uniform Power of Attorney Act, in Title 75A, Chapter 2 of the Utah Code, sets a few formalities.[2] Section 75A-2-102 defines a power of attorney as a writing or other record, governed by that chapter, that grants authority to an agent to act in the place of the principal.[3] The principal must sign the document before a notary public or another person authorized to take acknowledgments. The principal must also have enough mental capacity at the time of signing to understand that the principal is appointing an agent to handle their financial affairs.[1.1]

In plain words, the signing rules are:

  • Signature. The principal signs the document. Another individual may sign the principal's name instead, but only at the principal's direction and in the principal's conscious presence.
  • Notary. The signing happens before a notary public or another individual authorized by law to take acknowledgments.
  • Capacity. At signing, the principal understands that they are appointing an agent to handle their financial affairs.[1.1]

Section 75A-2-105 of the Utah Code also says when the signature is treated as genuine:

A signature on a power of attorney is presumed to be genuine if the principal acknowledges the signature before a notary public or other individual authorized by law to take acknowledgments.

Utah Code § 75A-2-105

Effective Date Rules

A power of attorney is effective when it is executed, unless the principal provides in the power of attorney that it becomes effective at a future date or upon the occurrence of a future event or contingency.[1.3] The form has an Effective Date part for this choice, covered in step 3 below.

Agents for Principals in Care Facilities

A principal who lives, or is about to live, in a hospital, assisted living, skilled nursing or similar residential care facility may not name an agent who is the owner, operator, health care provider or employee of that facility. The statute allows two exceptions:

  • The agent is the spouse, legal guardian or next of kin of the principal.
  • The agent's authority is strictly limited to helping the principal establish eligibility for Medicaid.[1.1]

Agent Acceptance

Unless the power of attorney provides otherwise, a person accepts appointment as an agent by exercising authority or performing duties as an agent, or by any other assertion or conduct indicating acceptance.[1.6]

Utah Limited Power of Attorney Form Details

Document Name Utah Limited Power of Attorney Form
Other Name Utah Special Power of Attorney
Relevant Laws Utah Code, Sections 75A-2-105 to 75A-2-113
Avg. Time to Fill Out 8 minutes
# of Fillable Fields 32
Available Formats Adobe PDF

How to Fill Out the Utah Limited Power of Attorney Form

To fill out the Utah limited power of attorney form, start on page 1 with the principal and the agent. Then list the tasks the agent may handle and choose the dates. The form has three pages, and the steps below follow its order. Download the PDF or build it online with the buttons above, or type into the PDF with our online PDF editor.

A limited power of attorney under Chapter 75A-2 of the Utah Code does not grant health care decision authority. The chapter does not apply to a power to make health care decisions.[2]

The screenshots under each step show the FormsPal Utah 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). On page 1, write your name and address in the opening lines. Then enter your agent's name and address on the lines for the person you appoint.
    Utah limited power of attorney: UTAH LIMITED POWER OF ATTORNEY, filled with sample entries
    Step 1: sample entries, not a real document.
  2. Purpose(s) (page 1). Write each task the agent may handle on the lines under "limited purpose(s)." A preprinted Special Instructions line below them limits the powers to those purposes, so be specific.
    Utah limited power of attorney: purpose(s), filled with sample entries
    Step 2: sample entries, not a real document.
  3. Effective date (page 1). Initial one choice on the form: the document starts at once, or it starts on a later date you write in (day and month, then the year after "20"). Leave the other choice blank.
    Utah limited power of attorney: EFFECTIVE DATE, filled with sample entries
    Step 3: sample entries, not a real document.
  4. Termination date (page 1). Initial the first termination choice, at the bottom of page 1, if the document should end when you sign a written revocation. The other choices continue on page 2.
    Utah limited power of attorney: TERMINATION DATE, filled with sample entries
    Step 4: sample entries, not a real document.
  5. Other termination choices and successor agent (page 2). On page 2, initial the termination choice you want if it is not the one on page 1. You can choose a date you write in, or the time you are determined to be incapacitated. Then fill in the Successor Attorney-in-Fact paragraph with the agent's name, the alternate agent's name and the alternate's address.
    Utah limited power of attorney: A WRITTEN REVOCATION, filled with sample entries
    Step 5: sample entries, not a real document.
  6. Signature and date (page 2). Write the day, month and year on the "Signed this ___ day of" line. Sign above "(signature)" and print your name below it. Sign in front of the notary who completes the acknowledgment on page 3.
    Utah limited power of attorney: Day, Month and more, filled with sample entries
    Step 6: sample entries, not a real document.
  7. Acknowledgment: county, date and officer (page 3). On page 3, the notary enters the county, the date and their own name and title. Your name goes on the "personally appeared" line.
    Utah limited power of attorney: STATE OF UTAH, filled with sample entries
    Step 7: sample entries, not a real document.
  8. Officer signature and seal (page 3). The notary signs on the "Signature" line under "WITNESS my hand and official seal" and adds the seal where "(seal)" is marked.
    Utah limited power of attorney: Signature, filled with sample entries
    Step 8: 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.

If you want an agent to handle your finances broadly, see our Utah general power of attorney form instead. You can also browse all Utah power of attorney forms on FormsPal.

When a Utah Limited Power of Attorney Ends

A Utah power of attorney ends when one of the events in Section 75A-2-110 of the Utah Code happens. This section lists those events, explains how the principal can revoke, and covers acts done in good faith before anyone knew the power of attorney had ended.

  • The principal revokes the power of attorney.[1.4]
  • The principal dies.[1.5]
  • The power of attorney provides that it terminates.[1.5]
  • The purpose of the power of attorney is accomplished.[1.5]

Revoking a Utah Power of Attorney

The principal may revoke or amend a power of attorney in one of two ways:

  • By substantial compliance with a method provided in the terms of the power of attorney that expressly excludes all other methods for amending or revoking it.
  • If the terms do not provide a method, or the method is not expressly made exclusive, by any other method manifesting clear and convincing evidence of the principal's intent.[1.4]

If you revoke a limited power of attorney, tell your agent and every person who relies on it.

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 the agent or another person that, without actual knowledge of the termination, acts in good faith under the power of attorney.[1.4]

The same is true if the power of attorney is not durable and the principal becomes incapacitated. Incapacity does not revoke or terminate it as to an agent or other person who, without actual knowledge of the incapacity, acts in good faith under it.[1.4]

Frequently Asked Questions

These answers cover notarization, copies, later documents and divorce. Each one comes from the Utah Code sections listed under Sources at the end of this page, so you can check the wording yourself.

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

Yes. A Utah power of attorney must be signed before a notary public or another individual authorized by law to take acknowledgments.[1.1]

Is a photocopy of a Utah power of attorney valid?

Generally, yes. Except as another law provides, a photocopy or electronically transmitted copy of an original power of attorney has the same effect as the original.[1.2]

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

Not automatically. A later power of attorney does not revoke an earlier one unless the later one provides that the previous power of attorney is revoked or that all other powers of attorney are revoked.[1.4]

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

It can. The agent's authority terminates when an action is filed for any of these, unless the power of attorney otherwise provides:

  • Dissolution of the agent's marriage to the principal.
  • Annulment of that marriage.
  • Legal separation of the agent and the principal.[1.4]

General information, not legal or tax advice.

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Sources

  1. Utah Code §§ 75A-2-105 to 75A-2-113.
    • 1.1 § 75A-2-105
    • 1.2 § 75A-2-106
    • 1.3 § 75A-2-109
    • 1.4 § 75A-2-110
    • 1.5 § 75A-2-110(1)
    • 1.6 § 75A-2-113
  2. Utah Code § 75A-2-103. Accessed October 15, 2026.
  3. Utah Code § 75A-2-102. Accessed October 16, 2026.
Published: Aug 21, 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.