ENS Legacy Ready Intake Form

Legacy Ready Intake Form
Contact Information
Name*

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Preferred Contact Method*
Appointment Type*

IndividualFamilyGroup/Church/Organization
Location Type*

HomeHospital/Senior FacilityChurchFuneral HomeOther
Appointment Format*

In-personVirtualUnsure (need help deciding)
What type of documents need support?*

Powers of AttorneyEstate DocumentsFuneral FormsCertified CopiesNot Sure
How urgent is this request?*

Same DayWithin 24-48 hoursThis weekFlexible/No Rush
Do you already have your document(s) prepared?*

YesNo
Do you need help coordinating witnesses or a second signer?*

YesNoUnsure
If other, specify here
Referred By*

Case ManagerChurchAttorneyFriend/FamilyENS WebsiteOther
If other, specify here
Special Instructions: Is there anything additional we should know before the appointment?
Legal Disclaimer Confirmation*

I understand that Elite Notary Signing does not provide legal advice or legalrepresentation and that services are limited to document support and notarial services.
Should be Empty:

Legacy Ready Intake Form