Limited Power of Attorney Audit Checklist Form.
Record the review status of document and process elements. This checklist does not determine legal validity.
Document and review materials received
Present
Missing
Not applicable
Needs follow-up
Principal and agent names and roles identified
Present
Missing
Not applicable
Needs follow-up
Authority granted is clearly described and limited in scope
Present
Missing
Not applicable
Needs follow-up
Effective date or triggering condition is stated
Present
Missing
Not applicable
Needs follow-up
Expiration or termination conditions are stated
Present
Missing
Not applicable
Needs follow-up
Signing and witness/notarization details are present where applicable
Present
Missing
Not applicable
Needs follow-up
Agent acceptance or acknowledgment is documented where applicable
Present
Missing
Not applicable
Needs follow-up
Revocation, amendment, or superseding-document status checked
Checked; no change identified
Revocation identified
Amendment identified
Superseding document identified
Not applicable
Needs follow-up
Supporting documents and relevant records reviewed
Present and reviewed
Missing or not reviewed
Not applicable
Needs follow-up
Audit outcome and follow-up items identified
Complete; no follow-up identified
Follow-up items identified
Review incomplete
Not applicable
Submit Checklist
Should be Empty: