Power of Attorney Form

Please fill in your details below. Fields marked with a * are mandatory and must be filled in prior to submission. Once the form is complete, press the submit button.

Financial Power of Attorney & Medical Power of Attorney

 

Power of Attorney
 

Donor (individual who is making the Power of Attorney)
Full Name
Residential Address
Also known as/ maiden name
 

Donor (Primary Power of Attorney)
Full Name
Residential Address
Also known as/ maiden name
 

Donor (Secondary Power of Attorney)
Full Name
Residential Address
Also known as /maiden name
 

 

NOTE - For the cost of execution to stay at $100 (+GST) for a financial POA, the two donees and the donor must sign the document at Madgwicks at the same meeting. Where the document needs to be sent away for signing, or more than one meeting is required, additional costs will apply.

This information is for the use of MJS staff and is intended as a general outline only. It is not intended to provide formal advice. We strongly advise parties to contact the professionals mentioned for further information.