The Proxy Consent Form is a crucial legal instrument in Philippine jurisdiction that enables one person to delegate decision-making authority to another. This document becomes necessary when individuals need someone to act on their behalf due to absence, incapacity, or convenience. The form, governed by the Civil Code of the Philippines and various specific laws depending on its purpose, must clearly outline the scope of authority granted, the duration of the proxy relationship, and any limitations or special conditions. It's particularly vital in healthcare decisions, financial transactions, business operations, or personal matters where direct action by the principal is not possible. The document must comply with Philippine notarial requirements and often requires witness attestation for legal validity.
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1. Principal and Proxy Identification: Full legal names, addresses, and contact information of both the principal and the appointed proxy
2. Declaration of Capacity: Statement confirming the principal is of legal age and sound mind to execute the proxy consent
3. Grant of Authority: Clear statement of the principal's intention to appoint the proxy and grant specific powers
4. Scope of Authority: Detailed description of the powers and responsibilities being delegated to the proxy
5. Duration: Specification of the time period for which the proxy consent is valid
6. Revocation Clause: Terms under which the proxy consent can be revoked or terminated
7. Governing Law: Statement that the proxy consent is governed by Philippine law
8. Execution: Signature blocks for principal, proxy, and witnesses with notarial acknowledgment
1. Healthcare Decisions: Additional provisions specifically for medical decision-making authority, required when the proxy involves healthcare matters
2. Financial Powers: Detailed provisions for handling financial matters, needed when the proxy involves financial transactions
3. Real Estate Authority: Specific provisions for real estate transactions, required when the proxy involves property matters
4. Travel Authorization: Special provisions for travel-related decisions, particularly relevant for minors
5. Succession Provisions: Provisions for appointing alternate proxies, recommended for long-term arrangements
6. Emergency Clause: Special provisions for emergency situations, recommended for healthcare proxies
1. Schedule A - Specific Powers: Detailed list of specific powers and authorities granted to the proxy
2. Schedule B - Prohibited Actions: List of actions specifically excluded from the proxy's authority
3. Schedule C - Required Notifications: List of situations requiring mandatory notification to the principal
4. Appendix 1 - Identification Documents: Copies of valid government IDs of principal and proxy
5. Appendix 2 - Medical Information: Relevant medical information when proxy involves healthcare decisions
6. Appendix 3 - Witness Attestation: Additional witness statements and attestations as required by specific circumstances
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