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Special Power of Attorney-Authorized Representative (Form 03EN010E)

03EN010E.pdf

Form Instructions

INSTRUCTIONS: OKLAHOMA SPECIAL POWER OF ATTORNEY (Form 03EN010E)

Parents who are involved in a child custody case may wish to appoint someone else to act on their behalf in certain aspects of the cases. To authorize this person, an Oklahoma Special Power of Attorney document (Form 03EN010E) must be completed. This form may be obtained from the Oklahoma Department of Human Services.

Special Power of Attorney 03EN010E Step 1: Type or print your name where indicated and enter the Family Group Number which has been assigned to your child custody case. Enter your full address where indicated.

Special Power of Attorney 03EN010E Step 2: Enter the name and address of the person you are authorizing as your agent in this case.

Special Power of Attorney 03EN010E Step 3: There are two options from which to choose regarding a representative's powers. Check the box next to the first option if you only wish for your representative to have the authority to obtain information and documents from Oklahoma Child Support Services regarding your case.

Special Power of Attorney 03EN010E Step 4: Check the box next to the second option if you wish to grant your representative the ability to negotiate and settle the argument on your behalf, including the authority to sign agreements and documents on your behalf. Note that this will not give them the authority to appear in district court or at administrative hearings on your behalf.

Special Power of Attorney 03EN010E Step 5: Read the rest of the document before signing. Note that you are entitled to a full account of their financial expenditures on your behalf when requested.

Special Power of Attorney 03EN010E Step 6: Sign and date the document at the bottom of the first page in the presence of a witness who is 18 or older, someone you know, and who is not related to you. Both signatures should occur before a notary public, who will affix their seal.

Special Power of Attorney 03EN010E Step 7: Submit this document to the child support office in your area. This document will not take effect until they have received it.

Special Power of Attorney 03EN010E Step 8: If you wish to revoke this document or to appoint a new representative, you must notify Oklahoma Child Support Services of either decision in writing.

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