Hawaii Limited (Special) Power of Attorney Form

The Hawaii limited (special) power of attorney form grants specific power to an Attorney-in-Fact/Agent to act on behalf of a Principal. The term “limited” or “special” is in reference to the limitations placed on the power bestowed; as opposed to a general power of attorney, this form will outline the specific duties or tasks for which the Agent will be responsible in the case that the Principal has become incapacitated or is unavailable/unable to complete the tasks themselves. It is necessary for the document to be signed in front of a Notary Public in order for the written delegation to be considered genuine.

How To Write

Step 1 – Begin by downloading the form provided and carefully reviewing page one of the document.

Step 2 – On page two, you would provide the following information, with regard to yourself and who you shall appoint as your Attorney In Fact/Agent into the first section of the form as follows:

  • Principal –
  • Name of Principal
  • Physical Address of Principal
  • City
  • State
  • AND
  • Attorney In Fact/Agent –
  • Name of Attorney-in-Fact
  • Physical Address of Attorney-in-Fact
  • City
  • State
  • Enter the state where the document will be executed
  • Enter a very specific description of the exact powers you will be granting to your Attorney In Fact/Agent, on the line provided on the form. If more room is required, add a sheet and continue your description. Attach the addition to the form.

Step 3 – Successor Attorney In Fact/Agent – In the event that your original selected Attorney In Fact/Agent becomes unable or unwilling to serve, you may wish to name a successor to take over the instructions on your document. This is optional, however recommended, as, if your original Attorney In Fact/Agent is unable to serve, your document will then become void, leaving you vulnerable if you are unable to make your own decisions. If you wish to name a Successor, provide the following information:

  • Name of Successor Attorney-in-Fact/Agent
  • Physical Address of Successor Attorney-in-Fact/Agent
  • City
  • State
  • Enter the state where the document will be executed
  • Enter a very specific description of the exact powers you will be granting to your Attorney In Fact/Agent, on the line provided on the form. If more room is required, add a sheet and continue your description. Attach the addition to the form.

Step 4 – On page 3, the Principal should read the sections provided. If in agreement:

  • Before providing signatures, you and all others who will sign the document, must be before a notary public as witness to all signatures
  • Once you are before the notary, read the information in the brief paragraph, if in agreement:
  • Enter the printed name of Principal
  • Provide the date in which the document is being signed in dd/mm format
  • Signature of Principal

Step 5 – Agreement and Signatures of Attorney In Fact/Agent and Successor Attorney In Fact/Agent  – In this section and before a notary public, your Agents must read their respective paragraphs. If they are in agreement, they must provide the following information:

  • Printed Name of Attorney-in-Fact
  • At the end of their paragraph provide the Attorney-in-Fact’s signature on the line provided
  • Enter the date of signature in mm/dd/yyyy format
  • AND
  • Printed Name of Successor Attorney-in-Fact
  • At the end of their paragraph provide the Successor Attorney-in-Fact’s signature on the line provided
  • Enter the date of signature in mm/dd/yyyy format

Step 6 – Witness Signatures – In this section you must have two witnesses sign your document. Both names and signatures will be in the same paragraph. Have the witnesses read the paragraph. If in agreement have witness 1 and 2 provide:

  • Their printed names in the first two lines at the top of the paragraph
  • Each must sign the respective line directly under their printed name at the end of the paragraph

Step 7 – Notarization – This section must be completed entirely by the notary public as required by law. The notary will then affix their state seal to the document.

Step 8 – Acknowledgement and Acceptance of Appointment as Attorney-in-Fact and Successor Attorney-in-Fact – Each agent must read their respective paragraphs, acknowledging and accepting their appointments. Once they have read their paragraphs, each must provide the following:

  • Printed Name of Attorney-in-Fact
  • Signature of Attorney-in-Fact
  • Date in which signature is being provided in mm/dd/yyyy format
  • AND
  • Printed Name of Successor Attorney-in-Fact
  • Signature of  Successor Attorney-in-Fact
  • Date in which signature is being provided in mm/dd/yyyy format

Step 9 – Once your document is complete and notarized, make copies to provide to each signatory for their records and your own. You may also wish to provide copies to anyone or any entity with whom may be included as part of the instructions of this document, to make them aware of their current contact.