Power of Attorney for Personal Care Wizard

Power of Attorney for Personal Care

 What is a Power of Attorney for Personal Care?

 What are the age requirements?

 When is it effective?

 What is the cost?


The Law Offices of J. Bruce MacNaughton Power of Attorney for Personal Care Online Form
This form is a simple new way for Ontario residents to create a Power of Attorney for Personal Care using the Internet. Two copies, of a document ready for signature in front of two witnesses, will be delivered by ordinary post or courier..
All questions in blue or bold must be answered. All questions in green or plain text are to be answered only if they apply to your situation.

Internet Confidentiality Caution:
We will keep all of the information you provide to us (including your Email address) confidential. However, keep in mind communications by Internet Email are not 'secure'. If you communicate with me by E-mail you will take the risk that our correspondence may be intercepted. The risk of this happening is however, remote. There is also a small possibility that the electronic signals will not be received with the same accuracy as sent by you. If you are concerned about this possible loss of confidentiality, please telephone Susan Reppard at (613) 546-9990. She will be pleased to work through this Form with you by telephone or arrange for an appointment. Based on the telephone or interview information, we will prepare a Power of Attorney for Personal Care for you at the same cost.

Your Information:

1. Insert your full name:
Surname:  
First name(s): 
Name(s) commonly known by: 

2. Insert your address:

I have already provided this on the J. Bruce MacNaughton Continuing Power of Attorney for Property Online Form; or:

 Street Address: 

 Address (Cont'd): 

 City: 

 Province: 

 Postal Code: 

 Home Telephone (with area code): 

 Work Telephone (with area code): 

 Facsimile (with area code): 

 E-mail Address: 

Attorneys:

3. Insert name of first attorney:  

4. Describe relationship of first attorney to you: 

5. If you wish, insert the name of second attorney. If none, skip to question 8.

     
6. If applicable, describe relationship of second attorney to you. If none, skip to question 8.
7. If you have chosen more than one attorney, do you wish each of them to be able to act independently (otherwise, all will be required to act together to carry out all acts for you).
     

Substitute Attorneys:

8. If you wish, insert name of a substitute attorney who will act if any of the other attorneys is unable or unwilling to act. If none, skip to question 12.
     
9. If applicable, describe relationship of substitute attorney to you. If none, skip to
question 12.
10. If applicable, insert name of a second substitute attorney who will act if any of the other attorneys is unable or unwilling to act. If none, skip to question 12.
11. If applicable, describe relationship of second substitute attorney to you. If none, skip to question 12.

Conditions or Restrictions:

12. If you wish to insert any conditions or restrictions, insert them here. If not, skip to question 13.

Specific Instructions:

13. If you wish to insert any specific instructions, insert them here. If not, skip to
question 14. (By default, we have included an instruction that life support systems not be used; please read it carefully and then if you do not want this clause to be included, modify it as you wish or delete it entirely.)

Compensation:

14. The compensation arrangement for my attorneys is (choose one):
    All attorneys have agreed to perform their services under the power of attorney without compensation.

    Attorneys are to be compensated in accordance with the fee schedule established by the Ontario Government.

    The compensation arrangement I wish to have is:

Other Provisions:

15. If there are any other provisions you wish to add, set them out here:

16. If you have any questions or comments not addressed in this Online Form , please write them out here, or if you wish to speak with J. Bruce MacNaughton in person or by telephone, indicate that here (including the best time to contact you):

Payment instructions:

As noted above, payment by VISA, AMERICAN EXPRESS, and personal cheque.

You may choose to provide your card number and expiry date as part of this Online Form. We will begin to work on your documents as soon as we have received authorization from your credit card issuer.

Some people prefer not to provide credit card data via the Internet because there is the possibility that the electronic signals traveling over the Internet may be intercepted. If you provide it through the Online Form, please recognize that your credit card data is not encrypted during transmission and we cannot guarantee that it will not be intercepted. If you are concerned about this, do not choose option 1.

We would be pleased to telephone you and obtain your credit card information. If you wish us to do this, please choose option 2.

If you would rather pay by cheque please make it out to J. Bruce MacNaughton, In Trust. Please forward it by mail or courier to 45 Johnson Street, P.O. Box 1621, Kingston, Ontario, Canada  K7L 5C8. We will deposit this cheque in our trust account and will begin to work on your power of attorney as soon as your cheque is received. Documents will be mailed to you as soon as your cheque has cleared our trust account (approximately one week). Funds will be transferred out of our trust account when we have completed your power of attorney. If you wish to make payment in this manner, choose option 3 and forward your cheque by mail or courier at your earliest convienience.

Please select your payment method:

Option 1. Credit card via Internet:

    Credit Card:  
    Name (exactly as it appears on card): 
    Card number: 
    Expiry Date (mm/yy): 
Option 2. Call for credit card particulars at this phone number (include area code):
Option 3. By Cheque. Please quote this reference number on your cheque - 339th

Authorization:

I am 16 years of age or older. By inserting my name below, I authorize the Law Offices of J. Bruce MacNaughton to prepare a Power of Attorney for Personal Care for me based on the information provided and agree to pay for such services in accordance with the payment option I have chosen above.

Authorizing Name: