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ATTORNEY INFORMATION: the attorney is the trusted person you appoint to act on your behalf
First Name
*
*
Last Name
*
*
City
*
*
Province
*
*
Relation
*
*
Your relation to the main attorney (e.g. friend, spouse, child, etc.)
If you add a Secondary Attorney, both the Main Attorney and the Secondary Attorney must agree and make decisions together for you.
Add a Secondary Attorney
*
Add a Secondary Attorney
No
Add a Secondary Attorney
Yes
SECONDARY ATTORNEY
First Name
*
Last Name
*
City
*
Province
*
Relation
*
Your relation to the secondary attorney (e.g. friend, spouse, child, etc.)
ALTERNATE ATTORNEY: the Alternate Attorney is like a backup person. They only step in if your Main Attorney (and Secondary Attorney if applicable) is no longer able or willing to act for you. In this case the Alternate Attorney has the same powers as the Main Attorney
First Name
*
*
Last Name
*
*
City
*
*
Province
*
*
Relation
*
*
Your relation to the alternate attorney (e.g. friend, spouse, child, etc.)
WITNESSES: If you know the names of the individuals that will witness this Power of Attorney please enter their details, otherwise leave it blank
First Witness - Full Name
*
Second Witness - Full Name
*
First Witness - Address
*
Second Witness - Address
*
First Witness - Occupation
*
Second Witness - Occupation
*
*
