[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-284738-105":53,"doc-detail-284738-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","power-of-attorney-submission-form","Power of Attorney Submission Form","","This Power of Attorney (POA) Submission Form is an official administrative document designed to facilitate the formal authorization of an agent to act on behalf of a participant. The form outlines two primary submission pathways: Section A for incapacitated participants, which requires a physician's letter of incapacitation, and Section B for non-incapacitated participants. Each section details the specific documentation required, including the full POA document and a valid state-issued identification for the attorney. By completing this form, participants ensure that their legal representative is properly registered to manage their account. The document provides comprehensive instructions on the necessary paperwork for approval, as well as the contact information for the Ohio-based office handling these submissions, ensuring a streamlined process for legal account management.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/power-of-attorney-submission-form/284738/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/power-of-attorney-submission-form/284738.png","ImageObject",442,249,{"name":88,"@type":89},"Riley","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-23","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",10,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What documents are required if the participant is incapacitated?","Question",{"text":109,"@type":110},"You must submit the full Power of Attorney document, a copy of the attorney's driver's license or state ID, and a letter of incapacitation signed by a physician.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Who can take action on the account if the participant is not incapacitated?",{"text":114,"@type":110},"Once the paperwork is approved, both the participant and the Power of Attorney will be authorized to take action on the account, unless otherwise stated in the POA paperwork.",{"name":116,"@type":107,"acceptedAnswer":117},"Where should the completed POA submission form be sent?",{"text":118,"@type":110},"The form and required documents should be sent to the address provided on the form: 257 East Town Street, Suite 457, Columbus, Ohio 43215-4626.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},284738,1790394018,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},1374391975076,"https://ap-avatar.wpscdn.com/avatar/14000253ca4ec9f6853?x-image-process=image/resize,m_fixed,w_180,h_180&k=1783305029341752051","RESET FORM  \nPRINT FORM  \nPOWER OF ATTORNEY (POA) SUBMISSION FORM  \n_____________________________________________________________  \nXXX-XX-  \n\n|  |  |  |  |\n| --- | --- | --- | --- |\n\nParticipant Name  \nSocial Security Number (last 4)  \n\n| Participant Address | City, State & Zip |\n| --- | --- |\n|  | POA Phone Number |\n| POA Name |  |\n\nPOA Address  \nCity, State & Zip  \nPOA Email  \nTO SUBMIT A POWER OF ATTORNEY DOCUMENT  \nTHIS FORM AND THE FOLLOWING DOCUMENTS ARE REQUIRED Please complete only one section below:  \nSection A: If the participant is incapacitated, submit each of the following with this form:  \n The full Power of Attorney document;  \n A copy of Power of Attorney's Driver's License or State Issued Identification; and  \n A letter of incapacitation signed by an attending or treating physician clearly stating the participant is incapacitated.  \nOnce the Power of Attorney paperwork is processed and approved, unless otherwise indicated in the Power of Attorney paperwork, only the Power of Attorney will be able to take action on the account.  \nPOA Signature Date  \nSection B: If the participant is not incapacitated, submit each of the following with this form:  \n The full Power of Attorney document; and  \n A copy of Power of Attorney's Driver's License or State Issued Identification.  \nOnce the Power of Attorney paperwork is processed and approved, unless otherwise indicated in the Power of Attorney paperwork, the participant and the Power of Attorney will be able take action on the account.  \nParticipant Signature Date  \nPOA Signature Date  \n257 East Town Street, Suite 457, Columbus, Ohio 43215-4626  \n877-644-6457 [Ohio457.org](Ohio457.org) Fax 614-222-9457  \nOHIO DC (ID-1/2024) POD NRF-1253OH-OH","cbCaisPAnJwrnNog","https://ap.wps.com/l/cbCaisPAnJwrnNog","pdf",903465,"English","# Submission Requirements\n## Section A: Incapacitated Participant Requirements\n## Section B: Non-Incapacitated Participant Requirements","[{\"question\":\"What documents are required if the participant is incapacitated?\",\"answer\":\"You must submit the full Power of Attorney document, a copy of the attorney's driver's license or state ID, and a letter of incapacitation signed by a physician.\"},{\"question\":\"Who can take action on the account if the participant is not incapacitated?\",\"answer\":\"Once the paperwork is approved, both the participant and the Power of Attorney will be authorized to take action on the account, unless otherwise stated in the POA paperwork.\"},{\"question\":\"Where should the completed POA submission form be sent?\",\"answer\":\"The form and required documents should be sent to the address provided on the form: 257 East Town Street, Suite 457, Columbus, Ohio 43215-4626.\"}]","Power of Attorney Submission Form | PDF",1789629091]