I agree with Attorney Pippen. The terms of the POA need to be reviewed to determine when it takes effect. As was pointed out, it may already be in effect. It is rarely necessary to go to the court to have a POA take effect as part of the motivation to execute a POA is to avoid the need for court.
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He should hire an Alabama attorney to review the document.
POA's come in all shapes and sizes and have different clauses that
control the actions that can be taken and when the authority starts.
Many POA's can be used immediately upon signing
and others are more restrictive.
The answer given does not imply that an attorney-client relationship has been established and your best course of action is to have legal representation in this matter.
Attorneys Pippen and Frederick have given you good advice. Whether the POA has been activated depends upon what the document says. The written statement of one doctor may be sufficient to trigger authority under the document, but it may require two such certifications, or it may require certification by a particular type of doctor or one with a specific relationship to your aunt. Her grandson should retain the services of an attorney in Alabama. It will cost a lot less in the long run then trying to do it on your own and doing it wrong. As Attorney Frederick points out, the reason a person does a POA in the first place is to avoid the necessity of going to court.