Lasting Power of Attorney Application Form

Please complete the short form below to start the process of making your Lasting Power of Attorney. It should only take a couple of minutes to complete, then you will be invited to arrange a face-to-face meeting or Video Call with a member of our team.

There will be no charge until we have had our meeting and you are happy you wish to proceed.

Your information will be stored in accordance with our privacy policy.

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Your Details
    Home Address
    DD slash MM slash YYYY
Your needs
    1. Which type of LPA are you interested in?
    2. Who are the LPAs for?
    3. Who will be the Certificate Provider?
    4. How many people are going to act as Attorney?
    5. Is there anyone you can think of that might be unhappy you are creating an LPA?
    6. Will you want to register the LPAs straight away so that they can be used as soon as they are needed?