Special Power of Attorney Form

The sample Special Power of Attorney form on this page can be used when you need someone to act on your behalf when dealing with motor vehicle affairs.

It deals specifically with empowering another person to complete and sign forms on your behalf and will be a requirement from your local department of motor vehicle registration.

car keys and registration form

This is a limited / specific power of attorney which is valid only for the purposes stated and the vehicle specified.

You can also state a specified time period for which the POA will be valid, after which it automatically becomes null and void with no need to issue a revocation.

Our template provides a space for your list of transactions that you could grant authority for depending on your jurisdiction. For example:

  • Registration of Vehicle
  • Transfer of Title
  • Recording of Lien
  • Odometer Disclosure Statement
  • Vehicle Information Request
  • Request Replacement or Duplicate Certificate

For transactions involving a motorcycle, boat or trailer, simply edit the description of the vehicle to suit.

It is also easy to edit this form to create a specific power of attorney for other purposes by deleting or changing the vehicle details and description of transactions or visit our main Power of Attorney page for more free templates.

Note: This special power of attorney does not empower an agent to buy or sell a vehicle on your behalf. If you wish to empower your agent to do those transactions, then please refer to our Auto Power of Attorney for your free template.

Copyright Notice

Special Power of Attorney

I, the undersigned

(Full legal name) _______________________________________

(SS/Passport/ID number)_____________________residing at



(Full legal name) _______________________________________

(SS/Passport/ID number)_____________________residing at


as my Attorney-in-Fact (Agent) with the full authority to act on my behalf to complete and sign my name on any document or form that is legally required in order to complete transactions for the vehicle listed below:

Vehicle Year Make and Model: __________________________________

Vehicle Identification Number (VIN): ______________________________

The following transactions are hereby autorized:




This document shall be construed and interpreted as a limited and special power of attorney which is valid only for the purposes, persons and vehicle stated herein and may not be used for any other transaction or by any person not named.

I confirm that I have the legal right to execute this Power of Attorney and that the information supplied in supporting documents is true and correct.

I indemnify any third party from any claims which may arise against the third party because of reliance on this power of attorney.

This special power of attorney shall become effective on the
____ day of ______________________20____ and shall expire on the
____ day of ______________________20____ or at an earlier date if revoked by me in writing.

Executed this ______ day of __________________20 ____


Signature: ________________________________
in the presence of the undersigned witnesses:

Witness 1. Signature: : __________________________________

Witness 2. Signature: : __________________________________

Acknowledgement of Notary Public

This document was acknowledged before me on this___dayof_______________20__
by ________________________(Principal's Full legal name) who submitted
___________________________ as positive photo identification.

Signature of Notary Public ______________________

Full legal Name ______________________________

My commission expires ________________________

State of ________________________ County of ______________________


In the section for the Notary Public on the special power of attorney fiorm above, he/she will specify which document e.g. passport, driver's licence etc. was used for verification of identity.

In some countries you may need to prove identity (passport, birth certificate, driving licence) as well as proof of residence (utility bill, bank statement).

Note: If you are a tenant and do not have a utility bill in your name or recent bank statement for your current address, you could make use of our Affidavit of Residence to prove residency.

Your DMV may demand proof of identity for both parties. For example a copy of the driver's license of the absentee party and the original driver's licence of the person named as Agent or Attorney in this special power of attorney form.

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