1. Emergency Contact Information: List of additional contacts to be notified in case of emergencies - include when the PSA needs backup contacts

2. Revocation Clause: Specific conditions under which the authorization can be revoked - include when additional control measures are needed

3. Medical Information Access: Specific authorization for accessing medical records and information - include when PSA needs medical decision-making authority

4. Financial Authority Limits: Specific limits on financial decisions or transactions - include when PSA is granted financial management authority

5. Reporting Requirements: Requirements for the PSA to report activities - include when regular oversight is needed

1. Schedule A - Authorized Activities: Detailed list of specific activities and decisions the PSA is authorized to handle

2. Schedule B - Contact List: Comprehensive list of relevant contacts including healthcare providers, family members, and emergency contacts

3. Schedule C - Medical Information: List of relevant medical conditions, medications, and healthcare providers (if applicable)

4. Appendix 1 - Identity Verification: Copies of identification documents for both principal and PSA