Enduring Power of Attorney - Register Enquiry Form

Name of person who made the EPA(Required)

First Last

Address of person who made the EPA

Line 1 Line 2 County Country

Approx Age Of Person who made the EPA

Civil Status of the person who made the EPA

List Of Children Of Person who made the EPA

Any Additional Information

Attorneys

Name of Attorney 1

First Last

Phone Number of Attorney 1

Email Of Attorney 1

Address of Attorney 1

Street Address City County Country

Name of Attorney 2

First Last

Phone Number of Attorney 2

Email Of Attorney 2

Address of Attorney 2

Street Address City County Country

Doctor

A form must be signed by your doctor confirming that you have capacity to create the Enduring Power of Attorney. We will send this form to your doctor. Your doctor will meet with you and sign the form.

Name of Doctor

First Last

Address of Doctor

Street Address City County Country

Email Address of Doctor (if known)

Document Uploads

Proof Of Address Of Attorney 1

Max. file size: 5 MB.

Please upload proof of address

Photo ID of Attorney 1

Max. file size: 5 MB.

Please upload photo id

Proof Of Address Of Attorney 2

Max. file size: 5 MB.

If Applicable

Photo ID of Attorney 2

Max. file size: 5 MB.

If Applicable

Legal Service Agreement Consent

I confirm that I have received Madden Law's Terms Of Business(Required)

Yes

No

I confirm that I have received Madden Law's Legal Services Agreement(Required)

Yes

No

I confirm that I have received Madden Law's Costs(Required)

Yes

No

Pay Deposit

Pay a deposit for this service

Enduring Power Of Attorney - Register

Price:

Pay a deposit for this service via Credit Card

Credit Card

Comments

This field is for validation purposes and should be left unchanged.