Legacy Ready Intake Form
Contact Information
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Preferred Contact Method
*
Please Select
Phone Call
Text Message
Email
Appointment Type
*
Individual
Family
Group/Church/Organization
Location Type
*
Home
Hospital/Senior Facility
Church
Funeral Home
Other
Appointment Format
*
In-person
Virtual
Unsure (need help deciding)
What type of documents need support?
*
Powers of Attorney
Estate Documents
Funeral Forms
Certified Copies
Not Sure
How urgent is this request?
*
Same Day
Within 24-48 hours
This week
Flexible/No Rush
Do you already have your document(s) prepared?
*
Yes
No
Do you need help coordinating witnesses or a second signer?
*
Yes
No
Unsure
If other, specify here
Referred By
*
Case Manager
Church
Attorney
Friend/Family
ENS Website
Other
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.
Submit
Should be Empty: