 | Oregon Vehicle Power of Attorney Form |
The Oregon vehicle power of attorney form is a document that is provided by a Principal (whether it’s a business or an individual within the business), who wishes to delegate an Agent for the purpose of overseeing various duties that must be accomplished in the absence of the Principal. This document is effective until the act is completed and/or according to the date stated within the contents applied on the form, or until the Principal revokes the document.
All information required must be submitted and boxes must be checked. This document may be revoked prior to the stated date, at the discretion of the Principal, in writing and by delivery of the document to the Agent.
How to Write
Step 1 – Principal/Company Delegating Authority – complete the following fields:
- Motor Carrier’s Name
- MCDT Account Number
- Location Address
- City, State, Zip Code
- Signature of Motor Carrier binding this agreement
- Printed name of signature above
Select and check the box indicating the best description of the Principal:
- Owner
- Partner of Partnership or LLP
- Corporate Officer
- Manager or Member/LLC
- Date the signature and information in mm/dd/yyyy format
- Provide the Principal’s telephone number
Step 2 – Attorney In Fact/Agent – Provide the following information:
- Attorney In Fact/Agent Business Name
- Mailing address
- City, State, Zip Code
- Signature of Attorney In Fact/Agent binding this agreement
- Title of Attorney In Fact/Agent
- Date of signature and Attorney In Fact/Agent’s information in mm/dd/yyyy format
- Attorney In Fact/Agent’s telephone number
Document Commencement Date:
- Enter the date of the commencement of the document in mm/dd/yyyy format
- This document will end upon cancellation or revocation
Step 3 – Delegation of Powers/Authority –
- Read the statement
- The Principal must read each statement A through H and only check the applicable boxes granting the powers that the Principal would prefer to allow
- Provide a mailing address if it’s different from the location address
Step 4 –Cancellation of Powers Documents for This Account –
- If the Principal would like to cancel all other powers documents, check the box preceding the statement
Step 5 – Revocation of Powers Document –
- If the Principal would like to revoke/cancel the document complete the following fields and send a copy of the document to ODOT/MCDT
- Date of revocation in mm/dd/yyyy format
- Principal’s Signature
- Printed Name
- Title – Check the appropriate box, indicating the best title description of the Principal’s signature and printed name
