Lasting Power of Attorney

Lasting Power of Attorney

Your attorneys
Is your Spouse or partner to be attorney?
If not, please provide details of your attorney
Attorney Title
Name

First NameLast Name
Maiden Name (where applicable)
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Phone Number

Code e.g. (01234)Phone Number
Email
example@example.com
Occupation
For who?
Role
Please click Next

Lasting Power of Attorney

Second attorney (if applicable)
Do you have a second attorney?
If no, then please click Next below
If you do have a second attorney, then please provide their details
Title
Name

First NameLast Name
Maiden Name (where applicable)
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Phone Number

Code e.g. (01234)Phone Number
Email
example@example.com
Occupation
For who?
Role
Please click Next for People to be told

People to be told
Is there anyone that you wish to be told about the Lasting Power of Attorney?

If Yes, then please enter their details below.

If No, then please click Next below.

Person 1
Title
Name

First NameLast Name
Maiden Name (if applicable)
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Phone Number

Code e.g. (01234)Phone Number
Email
example@example.com
Occupation
For who?

Person 2
Title
Name

First NameLast Name
Maiden Name (if applicable)
Date of birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityCounty

Postal Code
Phone Number

Code e.g. (01234)Phone Number
Email
example@example.com
Occupation
For who?
Please click Next for your instructions

Your instructions
Do you wish to give your attorneys the authority to make life sustaining decisions on your behalf?
Are you happy for your attorney to see a copy of your Will?
Are you happy for your attorneys to deal with your financial affairs?
Do you make regular gifts to charities or a person that you want your attorneys to continue to make?
If so, please can you provide details
Thank you for completing the information, which will be very helpful.

Please click the submit button on the bottom right to send the information securely to us. We will be in touch soon with an update.
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