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LASTING POWER OF ATTORNEY (MIRROR) QUESTIONNAIRE & DATA CAPTURE FORM Please complete the form below as best you can and return this to the Lawyer you are dealing with. The information you provide
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How to fill out lasting power of attorney

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How to fill out lasting power of attorney

01
Start by obtaining the necessary forms for the lasting power of attorney (LPA) from the relevant government website or office.
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Read the instructions carefully to understand the requirements and process for filling out the LPA.
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Fill out the personal details section, providing your full name, address, and contact information.
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Specify whether you want to create a lasting power of attorney for health and welfare, property and financial affairs, or both.
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Choose your attorneys carefully, ensuring that they are trustworthy and capable of making decisions on your behalf.
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Specify any restrictions or guidance you want to place on your attorneys' decision-making powers.
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Sign and date the completed LPA form in the presence of a witness, who must also sign and provide their details.
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Register the LPA with the Office of the Public Guardian to make it legally valid and enforceable.
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Keep a copy of the LPA for your records and inform relevant parties, such as your attorneys, family members, and healthcare providers, of its existence.
10
Review and update the LPA as necessary to reflect any changes in your circumstances or preferences.

Who needs lasting power of attorney?

01
Anyone aged 18 or above can benefit from having a lasting power of attorney (LPA), but it is particularly important for individuals who:
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- Have been diagnosed with a progressive illness that may affect their mental capacity in the future.
03
- Have a medical condition that may impair their ability to make decisions.
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- Are at risk of developing a condition that could impact their mental capacity, such as dementia.
05
- Travel frequently and may require someone to handle their financial or legal affairs in their absence.
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- Wish to ensure that their personal welfare and financial matters are managed according to their preferences, even if they become incapacitated.
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Additionally, parents or legal guardians of individuals under the age of 18 with disabilities or special needs may also need to consider creating a lasting power of attorney to protect their child's interests.
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Lasting power of attorney (LPA) is a legal document that allows an individual (the 'donor') to appoint one or more people (the 'attorneys') to make decisions on their behalf if they become unable to do so due to incapacity.
Any individual who wishes to designate someone to make decisions on their behalf in case of incapacitation is required to file a lasting power of attorney.
To fill out a lasting power of attorney, you need to obtain the official forms, provide details about the donor and the attorneys, specify the powers being granted, and then sign the document in the presence of a witness.
The purpose of lasting power of attorney is to ensure that someone the donor trusts can make decisions regarding their health, welfare, property, and financial affairs in the event they are no longer able to do so themselves.
The information that must be reported on a lasting power of attorney includes the name and details of the donor, the appointed attorneys, the scope of authority granted, and any specific instructions regarding the decision-making process.
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