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LPA Questionnaire

Please complete the below LPA questionnaire to apply for your LPA. If desired, you can apply for both types of LPA using this one form. Hover your mouse over the question marks next to particular fields to reveal more information. This form will take approximately 3 minutes to complete, assuming you have all required details to hand. If you require assistance or want to speak to an LPA expert solicitor at this stage, please call us on 01798 342581.
1 Donor
2 Attorneys
3 2nd Attorney
4 Replacement Attorney
5 Further Attorneys
6 Final Questions

    You can apply for a Property and Affairs and/or a Health and Welfare LPA using this form. Please indicate which of these LPA type(s) you are applying for by ticking the relevant boxes. If you are unsure, you can find out about the different types of LPA

    .

  • Donor Details

    These are your details

    If you are filling this form in for yourself, you are the donor. If you are filling this in for a friend or relative, they are the donor.

  • Please select one option
  • Please provide your email address (if you have one) so that we can contact you to complete the LPA process after you have submitted this form.

  • Please provide a contact telephone number so that we can contact you to complete the LPA process after you have submitted this form.

    Let us know how you'd like us to contact you after you have submitted your LPA questionnaire.

  • Attorney's Details

    1st attorney's details (to be completed in all cases)

    Attorneys are the people you pick to make decisions for you. They don’t need legal training. They should be people you trust and know well; for example, your husband, wife, partner, adult children or good friends.

    Choose one attorney or more. If you have a lot, they might find it hard to make decisions together.

    Restrictions – Attorneys must be at least 18 years old and must have mental capacity to make decisions. They must not be bankrupt or subject to a debt relief order.

  • Please select one option
    If you do not wish to choose any more attorneys, you will skip the next section of this form

    A replacement attorney is someone to take the place of one of your attorneys if they should be unable to act.

  • If you are only appointing one attorney please now complete section 5 (ignoring sections 3 & 4). If you are appointing a 2nd attorney please complete the next section and then complete section 5, and if you are appointing a replacement attorney (someone to take the place of one of your attorneys if they should be unable to act) then please complete section 4. In all cases sections 5,6 and 7 must be completed
  • 2nd Attorney's Details

    (only complete if you are appointing more than one attorney)
  • Please select one option
  • Go to the next section if you appointing a replacement attorney – if not, go to section 5
  • Replacement Attorney's Details

    (optional - only complete if you are appointing a replacement attorney)

    You don't have to appoint replacement attorneys but they help protect your LPA. Without them, your LPA might not work if one of your original attorneys stops acting for you. This is particularly important if you are only appointing one main attorney

  • Please select one option
  • Further Attorney's Details

    This form is only designed for a maximum of 2 attorneys with an optional replacement attorney. If you wish to appoint more than two attorneys please provide the details by adding them below (you can add as many as you like).
  • Please select one option
  • +-

    Please reconfirm the number of attorneys you are appointing.

    Together - sometimes referred to as Jointly. Attorneys must agree unanimously on every decision, however big or small. Remember, some simple decisions could be delayed because it takes time to get the attorneys together. If your attorneys can’t agree a decision, then they can only make that decision by going to court. Be careful – if one attorney dies or can no longer act, all your attorneys become unable to act. This is because the law says a group appointed ‘jointly’ is a single unit. Your LPA will stop working unless you appoint at least one replacement attorney.

    Together and independently - sometimes referred to as Jointly and severally. Attorneys can make decisions on their own or together. Most people choose this option because it’s the most practical. Attorneys can get together to make important decisions if they wish, but can make simple or urgent decisions on their own. It's up to the attorneys to choose when they act together or alone. It also means that if one of the attorneys dies or can no longer act, your LPA will still work. If one attorney makes a decision, it has the same effect as if all the attorneys made that decision.

    Together in respect of some matters and independently in respect of others - attorneys must agree unanimously on some decisions, but can make others on their own. If you choose this option, you must list the decisions your attorneys should make jointly and agree unanimously. Be careful – if one attorney dies or can no longer act, none of your attorneys will be able to make any of the decisions you’ve said should be made jointly. Your LPA will stop working for those decisions unless you appoint at least one replacement attorney. Your original attorneys will still be able to make any of the other decisions alongside your replacement attorneys.

  • Do you want to give your attorneys specific instructions that they must follow?

    You can tell your attorneys how you would prefer them to make decisions, or give them specific instructions which they must follow when making decisions. Most people leave this page blank – you can just talk to your attorneys so they understand how you want them to make decisions for you. Preferences - your attorneys don’t have to follow your preferences but they should keep them in mind. Instructions - your attorneys will have to follow your instructions exactly. For examples of instructions. Be careful – if you give instructions that are not legally correct they would have to be removed before your LPA could be registered.

  • (If you do impose restrictions or give instructions your attorneys must follow them)

    You can tell your attorneys how you would prefer them to make decisions, or give them specific instructions which they must follow when making decisions. Most people leave this page blank – you can just talk to your attorneys so they understand how you want them to make decisions for you. Preferences - your attorneys don’t have to follow your preferences but they should keep them in mind. Instructions - your attorneys will have to follow your instructions exactly. For examples of instructions. Be careful – if you give instructions that are not legally correct they would have to be removed before your LPA could be registered.

  • Are there any guidelines that you wish to give to your attorney(s)?

    You can tell your attorneys how you would prefer them to make decisions, or give them specific instructions which they must follow when making decisions. Most people leave this page blank – you can just talk to your attorneys so they understand how you want them to make decisions for you. Preferences - your attorneys don’t have to follow your preferences but they should keep them in mind. Instructions - your attorneys will have to follow your instructions exactly. For examples of instructions. Be careful – if you give instructions that are not legally correct they would have to be removed before your LPA could be registered.

  • (Note this is not legally binding but your attorneys should take into account when making decisions on your behalf)

    You can tell your attorneys how you would prefer them to make decisions, or give them specific instructions which they must follow when making decisions. Most people leave this page blank – you can just talk to your attorneys so they understand how you want them to make decisions for you. Preferences - your attorneys don’t have to follow your preferences but they should keep them in mind. Instructions - your attorneys will have to follow your instructions exactly. For examples of instructions. Be careful – if you give instructions that are not legally correct they would have to be removed before your LPA could be registered.

  • HEALTH & WELFARE LPA ONLY - do you want your Attorney(s) to have authority to give or refuse life sustaining treatment? (This does not apply to Property and Affairs LPAs)

    As soon as my LPA has been registered (and also when I don’t have mental capacity) - most people choose this option because it is the most practical. While you still have mental capacity, your attorneys can only act with your consent. If you later lose capacity, they can continue to act on your behalf for all decisions covered by this LPA. This option is useful if you are able to make your own decisions but there’s another reason you want your attorneys to help you – for example, if you’re away on holiday, or if you have a physical condition that makes it difficult to visit the bank, talk on the phone or sign documents. Only when I don't have mental capacity - be careful - this can make your LPA a lot less useful. Your attorneys might be asked to prove you do not have mental capacity each time they try to use this LPA.

  • When do you want your attorneys to be able to make decisions?

    As soon as my LPA has been registered (and also when I don’t have mental capacity) - most people choose this option because it is the most practical. While you still have mental capacity, your attorneys can only act with your consent. If you later lose capacity, they can continue to act on your behalf for all decisions covered by this LPA. This option is useful if you are able to make your own decisions but there’s another reason you want your attorneys to help you – for example, if you’re away on holiday, or if you have a physical condition that makes it difficult to visit the bank, talk on the phone or sign documents. Only when I don't have mental capacity - be careful - this can make your LPA a lot less useful. Your attorneys might be asked to prove you do not have mental capacity each time they try to use this LPA.

  • Have you ever made any other Lasting Powers of Attorney or Enduring Powers of Attorney?

    As soon as my LPA has been registered (and also when I don’t have mental capacity) - most people choose this option because it is the most practical. While you still have mental capacity, your attorneys can only act with your consent. If you later lose capacity, they can continue to act on your behalf for all decisions covered by this LPA. This option is useful if you are able to make your own decisions but there’s another reason you want your attorneys to help you – for example, if you’re away on holiday, or if you have a physical condition that makes it difficult to visit the bank, talk on the phone or sign documents. Only when I don't have mental capacity - be careful - this can make your LPA a lot less useful. Your attorneys might be asked to prove you do not have mental capacity each time they try to use this LPA.

  • If the LPA or EPA has been registered with the Office of the Public Guardian please also state the date of registration.
    Please tick the above box to provide your consent for Gardner Thorpe Solicitors to contact you in order to complete your LPA application. This is required in order for your LPA to be finalised.
  • This field is for validation purposes and should be left unchanged.

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