Powers of Attorney Instruction/Information Form. 

In a power of attorney you give someone else power to make legal decisions on your behalf while you are alive. There are two types of power of attorney in Ontario.

The following is an information sheet that you can print (use the print button on your browzer) and fill out in preparation for your meeting with us. If you need advce about completing any part of the form, hold off filling it in until your meeting with us.

POWER OF ATTORNEY FOR PROPERTY

Name _________________________________________________________

Address: _______________________________________________________

Name _________________________________________________________

Address: _______________________________________________________

Joint or Joint and Several _________

Restrictions ___________________________________________________

_________________________________________________________________

Compensation ____

Effective On: Execution ____

Specific Date ____/_____/_____

Specific Contingency _____________________________

Substitute Attorney(s)

Name _________________________________________________________

Address: _______________________________________________________

Name _________________________________________________________

Address: _______________________________________________________

Joint or Joint and Several _________

POWER OF ATTORNEY FOR PERSONAL CARE

Name _________________________________________________________

Address: _______________________________________________________

Name _________________________________________________________

Address: _______________________________________________________

Joint or Joint and Several _________

Restrictions? ___________________________________________________

Specific Instructions _____________________________________________

________________________________________________________________

Consent to Treatment? _____

 Name of Family Physician ______________________________________

Preferred Assessors:

Family physician and/or such other physician as he/she may designate? _____

Other __________________________________

Substitute Attorney(s)

Name _________________________________________________________

Address: _______________________________________________________

Name _________________________________________________________

Address: _______________________________________________________

Joint or Joint and Several _________