INSTRUCTIONS: CONNECTICUT NON-RESIDENT CORPORATION REINSURANCE INTERMEDIARY POWER OF ATTORNEY

To designate the state Insurance Commissioner with power of attorney to receive actions or proceedings against a non-resident corporation performing reinsurance intermediary in Connecticut, use the form discussed in this article. This document can be obtained from the website maintained by the government of the state of Connecticut.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 1: Enter the name of the non-resident corporation on the first blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 2: Enter the state of the non-resident corporation on the second blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 3: Enter the street address, city and state of the non-resident corporation's principal place of business on the third blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 4: Enter the name of the non-resident corporation on the fourth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 5: Enter the date on which your board passed a resolution authorizing this decision on the fifth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 6: Enter the month during which the resolution was passed on the sixth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 7: Enter the last two digits of the year in which the resolution was passed on the seventh blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 8: Enter the date on which you are signing this form on the eighth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 9: Enter the month in which you are signing this form on the ninth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 10: Enter the last two digits of the year in which you are signing this form on the tenth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 11: The president of the company should enter their signature on the eleventh blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 12: The president of the company should print their name on the twelfth blank line.

Connecticut Non-Resident Corporation Reinsurance Intermediary Power Of Attorney Step 13: The secretary of the company should sign and print their name on the last two blank lines.

INSTRUCTIONS: CONNECTICUT NON-RESIDENT FIRM (OTHER THAN CORPORATION) REINSURANCE INTERMEDIARY POWER OF ATTORNEY

When a non-resident firm wishes to perform reinsurance transactions in Connecticut, they use the application discussed in this article to appoint the state's Insurance Commissioner with power of attorney to receive and accept services of process in all related cases. This application can be obtained from the website of the state of Connecticut.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 1: Enter the name of the non-resident firm on the first blank line.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 2: Enter the state of the non-resident firm on the second blank line.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 3: Enter the street address, city and state of the non-resident firm on the third blank line.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 4: Enter the name of the non-resident firm on the fourth blank line.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 5: Enter the date on which you are completing this form on the fifth blank line.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 6: Enter the month in which you are completing this form on the sixth blank line.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 7: Enter the last two digits of the year in which you are completing this form on the seventh blank line. 

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 8: Print the name of the firm on the eighth blank line.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 9: One or two authorized officials of the firm may sign the form. On the first blank line or lines where indicated, one or both parties should enter their signature.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 10: On the second blank line or lines where indicated, both parties should print their names.

Connecticut Non-Resident Firm (Other Than Corporation) Reinsurance Intermediary Power Of Attorney Step 11: On the third blank line or lines where indicated, both parties should give their signature. The form should then be submitted to a notary public or commissioner of a Superior court.

INSTRUCTIONS: MONTANA DURABLE POWER OF ATTORNEY FOR HEALTH CARE AND MEDICAL TREATMENT

A power of attorney form regarding health care gives another person the right to make medical decisions on your behalf in the event that you are not capable of doing so yourself because of any physical or mental incapacity. A Montana Durable Power of Attorney for Health Care and Medical Treatment form must be completed to give someone else this authority. The form can be obtained from the website of the Montana Department of Public Health & Human Services.

Durable Power of Attorney for Health Care and Medical Treatment Step 1: In the first paragraph, enter your name and city, as well as the name and city of the person you are appointing in the spaces where indicated.

Durable Power of Attorney for Health Care and Medical Treatment Step 2: Read the next seven paragraphs carefully. These detail the absolute powers you are granting this agent, will supersede the wishes of any family members, and instruct all medical professionals to follow these instructions.

Durable Power of Attorney for Health Care and Medical Treatment Step 3: The eighth numbered paragraph allows you to name two alternate agents in the event that the person you appoint refuses to perform this task, dies or becomes incapable of performing these tasks. The people you name will be approached in successive order and will act individually rather than jointly.

Durable Power of Attorney for Health Care and Medical Treatment Step 4: The ninth numbered paragraph provides a blank space of several lines where you may specifically outline any additional powers you wish to extend to an agent or restrict them from exercising.

Durable Power of Attorney for Health Care and Medical Treatment Step 5: In the tenth paragraph, name a doctor whom will be consulted to determine whether you are not capable of making or expressing decisions regarding your medical health. This person will be consulted to ensure you are incompetent, disabled or otherwise impaired before your agent is given authority to act on your behalf.

Durable Power of Attorney for Health Care and Medical Treatment Step 6: Sign and date this document in the presence of a notary, who should affix their seal in addition to signing and dating the form.

INSTRUCTIONS: CONNECTICUT NON-RESIDENT INDIVIDUAL REINSURANCE INTERMEDIARY POWER OF ATTORNEY

To appoint the Insurance Commissioner of Connecticut with the power of attorney in any action or proceeding against you as a non-resident conducting individual reinsurance business in Connecticut, use the form discussed in this article. This document can be obtained from the website maintained by the government of the state of Connecticut.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 1: On the first blank line, enter your name.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 2: On the second blank line, enter the city or town where you live.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 3: On the third blank line, enter the state in which you live.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 4: On the fourth blank line, enter your name.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 5: On the fifth blank line, enter your name.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 6: On the sixth blank line, enter the date on which you are completing this form.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 7: On the seventh blank line, enter the month during which you are completing this form.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 8: On the eighth blank line, enter the last two digits of the year in which you are completing this form.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 9: On the ninth blank line, enter your signature.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 10: On the tenth blank line, print your name.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 11: The form must then be signed by a notary public or a commissioner of the Superior Court in your state. On the first three blank lines, they will enter the day, month and year of the date on which you appeared before them.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 12: On the next blank line, the notary public or commissioner will enter their state.

Connecticut Non-Resident Individual Reinsurance Intermediary Power Of Attorney Step 13: On the next blank line, the notary public or commissioner will enter your name. They will then enter their signature and the date on which their commission expires.