Power of Attorney Questionnaire

Type of Power of Attorney

What type of power of attorney do you wish to create?
General Power of AttorneyEnduring Power of Attorney

A general power of attorney authorises your attorney(s) to act on your behalf and make decisions in relation to your legal and financial matters. It will become invalid if you lose your mental capacity (ie, you are unable to make your own decisions).

An enduring power of attorney is the same as a general power of attorney except that an enduring power of attorney continues to be effective even after you lose your mental capacity. Most of our clients choose the enduring power of attorney because it requires legal advice.


Your Details

Your full legal name

Your email address

Your phone number

Your address





Attorney Details

How many attorneys do you wish to appoint?

Your attorney's full legal name

Your attorney's email address

Your attorney's phone number

Your attorney's address




Their relationship to you (if any)


Second Attorney
Your second attorney's full legal name

Your second attorney's email address

Your second attorney's phone number

Your second attorney's address




Their relationship to you (if any)

For THREE attorneys or more, please provide the additional details (same as above) of your other attorneys in the comment section below.

Appointment

How do you want to appoint your attorneys?
IndividuallyJointlyAlternatively

Individually or 'jointly and severally' means your attorneys can act independently of each other.
Jointly means your attorneys must act together.
Alternatively means your second attorney can only act if your first attorney is unable or unavailable to act.


Powers and Limitations

Do you want your attorney(s) to deal with real estate on your behalf?
YesNoNot sure

Do you want to limit your attorney(s) powers in any way? If so, list below.


General Comments

Additional Information

Would you also like to receive information about making an enduring guardianship? The power of attorney only applies to legal and financial matters, but it does not authorise your attorney to make decisions about your care and welfare. You must appoint a guardian to look after your care and welfare if you are unable to look after yourself.
Yes, please send me more information about making an enduring guardianship.No, I do not want to receive more information at this time.

Would you also like to receive information about making or updating a Will? The power of attorney is only relevant while you are still alive. If you have passed away, your attorney under both a general power of attorney and an enduring power of attorney will no longer be authorised to do anything on your behalf. Your estate will be handled by your executor (if you have a Will) or an administrator (if you do not have a Will).
Yes, please send me more information about making or updating my Will.No, I do not want to receive more information at this time.