Make a Power of Attorney document

Before we go any further it is important that you understand … What is a Power of Attorney? and What you will get from us.

Please use normal capitalisation not all UPPERCASE!

Your Full Name:

Your Current Address:

Your Email Address:

Where will you use it:

N.B. This is important because the Law varies from state to state.
Go here for the Northern Territory Power of Attorney Form

How many Attorneys:

Attorney's Full Name:

Attorney's Address:

Second Attorney's Full Name:

Second Attorney's Address:

Third Attorney's Full Name:

Third Attorney's Address:

Fourth Attorney's Full Name:

Fourth Attorney's Address:

Do you want your Attorneys to act jointly or severally? More info.

When should this Authority begin:

When should this Authority end? More info.

End date:

What is the event:

For example … When I leave hospital.

Special Instructions: More info.

Or just key your instructions straight in …

Tips and Notes on your instructions …

Have you read and agreed to our terms?

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