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DEPARTMENT OF HEALTH & FAMILY SERVICES DIVISION OF PUBLIC HEALTH DPH 0036 (Rev. 6/00)STATE OF WISCONSIN S. 243.10(1), WISCONSIN STATUTES EFFECTIVE DATE JUNE 2, 2000 608 2668475WISCONSIN BASIC.

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How to fill out the DPH 0036 (Rev online

Filling out the DPH 0036 (Rev) form is an important step in granting someone you trust the authority to manage your financial affairs. This guide will provide you with clear instructions to complete the form accurately and effectively, ensuring you understand each section in detail.

Follow the steps to fill out the DPH 0036 (Rev) form online.

  1. Press the 'Get Form' button to access the DPH 0036 (Rev) form and launch it in your preferred editor.
  2. Begin by filling in your name and address in the designated sections at the top of the form. Ensure that the information is accurate and reflects your current residence.
  3. Next, appoint your agent by entering their name and address in the corresponding fields. It is important to choose someone reliable and trustworthy.
  4. If necessary, designate an alternate agent by providing their name and address. This person will act on your behalf if the primary agent is unable to serve.
  5. For each power you wish to grant your agent, initial in the space provided next to each specific authority listed. If you do not want to grant a particular power, leave that line blank.
  6. Complete the accounting requirements by indicating how often you would like your agent to provide you with an accounting of their actions. Select from monthly, quarterly, or annually.
  7. Nominate a guardian if necessary by filling in the names and addresses of the persons you wish to appoint for this role.
  8. If you have any special instructions regarding the powers granted to your agent, write them in the provided space.
  9. Select one option for when the power of attorney takes effect by initialing the appropriate line, making sure to only choose one option to avoid any confusion.
  10. Finally, sign and date the form at the bottom, ensuring your signature matches how you typically sign documents. Include your Social Security number for verification purposes.
  11. Once completed, you can save any changes, download the document, print it for your records, or share it as needed.

Complete your DPH 0036 (Rev) form online efficiently today.

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The Power of Attorney for Healthcare allows you to name one or more persons to make your healthcare decisions if you are unable to make them for yourself. The person you appoint is called your healthcare agent. Your healthcare agent may make your decisions only when you are unable to do so.

Most Power of Attorney for Health Care documents provide that the document becomes “activated” when two physicians or one physician and one psychologist personally examine the principal and then sign a statement certifying that the principal is incapacitated.

(1) A power of attorney terminates when any of the following occurs: (a) The principal dies. (b) The principal becomes incapacitated, if the power of attorney so provides. (c) The principal revokes the power of attorney.

What Types of Powers of Attorney Are Available in Wisconsin? a power of attorney for finances, which allows someone to handle your financial or business matters, and. a power of attorney for health care, which allows someone to make medical decisions on your behalf.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232