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Enduring power of attorney form: what it asks and a free worksheet

An enduring power of attorney lets you appoint someone to manage your affairs and keeps working if you lose capacity. The name is used in Australia, Canada, Ireland and New Zealand. In the US the same idea is called a durable power of attorney. This worksheet prepares your answers for the official form.

Free to download, no email needed.

Enduring power of attorney worksheet example, filled in with sample data
Example filled in with sample data

The full enduring power of attorney worksheet

ENDURING POWER OF ATTORNEY · PREPARATION WORKSHEET

Use it to prepare your answers before completing the official form where you live

This worksheet is not a power of attorney. It helps you gather the decisions the official form asks for. Complete it, talk it over with the people you choose, then fill in your jurisdiction’s form and sign it with the required witnesses.

1. Where you live

Country: [country] · State, territory or province: [name] · Official form name: [name of the form used there]

2. You, the principal

Full name: [name] · Date of birth: [date] · Address: [address]

3. Your attorneys

Attorney 1: [name, address, relationship]

Attorney 2: [name, address, relationship]

How they act: [ ] together (jointly) [ ] together or separately [ ] by majority

4. Alternate attorney

Alternate: [name] · When they step in: [if an attorney dies, resigns or loses capacity]

5. What they can decide

[ ] Financial matters [ ] Personal matters [ ] Health matters (only where your jurisdiction allows it in this form)

6. When it starts

[ ] As soon as it is signed and accepted [ ] Only when I lose capacity [ ] On a date: [date]

7. Limits and instructions

[For example: My attorneys must not sell my home without consulting my children.]

8. Gifts and payment

Gifts allowed: [none / reasonable birthday and holiday gifts / other] · Attorneys paid: [no / yes, describe]

9. Witnesses and certificates

Who can witness in my jurisdiction: [rule from the official form] · Witness names: [names] · Any certificate needed (lawyer, doctor): [details]

10. Registration

Does my jurisdiction require registration? [yes / no] · Where: [office] · Fee: [amount]

PREPARED BY

Name: [full name]

Date: [date]

What the template includes

  • Your country, state or province and the official form name
  • Your details as principal
  • Attorneys and how they act together
  • An alternate attorney
  • Financial, personal or health matters
  • When the power starts
  • Limits, gifts and payment of attorneys
  • Witness, certificate and registration rules

What you fill in

FieldExample
WhereQueensland, Australia
PrincipalHelen Murray, born 4 June 1950
AttorneysPeter Murray and Jane Murray, together or separately
AlternateRuth Allen, her niece
MattersFinancial and personal
StartsFor financial matters, when she chooses
LimitConsult both children before selling the house

How it gets signed

This form is signed on paper, on the official form where you live and in front of the witnesses it names. Fill in the worksheet here and download it in Word, ready to copy into that form. Some places also ask a lawyer or doctor to certify capacity, and some require registration.

This worksheet needs no signature. Download it in Word, fill it in and use it to complete the official form.

What the law says

Each Australian state and territory, each Canadian province and countries such as Ireland and New Zealand set their own enduring power of attorney laws and forms. Witness rules, capacity certificates and registration differ. Use the form your government publishes.

For England and Wales, the equivalent is a lasting power of attorney.

Same idea, different names

PlaceName of the document
AustraliaEnduring power of attorney
CanadaEnduring or continuing power of attorney, depending on the province
IrelandEnduring power of attorney
New ZealandEnduring power of attorney
England and WalesLasting power of attorney
United StatesDurable power of attorney

How to use the worksheet

  1. 1Find the official form for where you live.
  2. 2Download this worksheet in Word and answer each section.
  3. 3Talk to your attorneys and alternate. Make sure they agree.
  4. 4Check who can witness and whether a certificate is needed.
  5. 5Copy your answers into the official form and sign it with the witnesses.
  6. 6Register it if your jurisdiction requires it, and give copies to your attorneys.

Choosing your attorneys

Pick people who are organized, honest and willing. Think about how they get along if you name more than one. Acting together is safer but slower. Acting separately is faster but needs more trust.

Mistakes to avoid

  • Using a form from another place. Each jurisdiction has its own rules.
  • Wrong witness. Many forms exclude relatives and the attorneys.
  • Waiting too long. You must have capacity when you sign.

Sample limits and instructions

  • “My attorneys must consult my two children before selling my home.”
  • “My attorneys may pay school fees for my grandchildren up to a set amount each year.”
  • “My attorneys must keep my investments with my current adviser unless the adviser retires.”
  • “My attorneys must not lend my money to anyone.”

Keep limits few and specific. Vague limits can make the power hard to use.

Capacity and timing

You must understand what you are signing when you sign. If a diagnosis may affect your memory, sign soon. Some forms ask a doctor or lawyer to confirm your capacity.

An enduring power that starts only on loss of capacity may need medical evidence before attorneys can act. Weigh that delay when you choose the start in the worksheet.

After you sign

  1. 1Give copies to your attorneys and your alternate.
  2. 2Tell your bank and financial adviser.
  3. 3Register it if your jurisdiction requires it.
  4. 4Keep the original in a safe place your attorneys know.
  5. 5Review it after big life changes.

Talking with your family

Explain your choices to the people who were not chosen. It avoids hurt feelings and disputes when the power is used.

Moving to another country or state

An enduring power made in one place may not be recognized in another. If you move, ask whether your power is accepted there or sign a new one on the local form.

If you hold property in two countries, you may need a power in each. A local lawyer can tell you which form each property needs.

When attorneys must stop

  • You revoke the power while you have capacity.
  • You die. The executor of your will takes over.
  • An attorney resigns, dies or loses capacity, and no alternate is named.
  • A court or tribunal ends the power.

A sample worksheet answer

“I live in Queensland. I appoint my son Peter and my daughter Jane, who may act together or separately, for financial and personal matters. My niece Ruth is the alternate. For financial matters the power starts when I choose. My attorneys must consult both of them before selling my home.”

With answers like these ready, the official form takes minutes instead of an afternoon.

Why prepare before the official form

Official forms are long and use legal wording. Mistakes can mean starting over. Thinking through each choice first, in plain language, makes the official form faster and cleaner.

It also gives your family a clear record of what you wanted and why.

Signing day

Bring photo ID, the completed official form and your worksheet. Make sure your witnesses meet the rules and have their own ID. Sign in the order the form sets, then give copies to your attorneys the same day.

Keep the worksheet with your copy. It explains your choices if anyone asks later why you set the power up that way.

Review the worksheet every few years and after big changes in your family or finances.

Before you sign

Other templates

Frequently asked questions

Is an enduring power of attorney the same as a durable one?

Yes, in concept. Both continue after loss of capacity. The name and the form depend on where you live.

Can I sign an enduring power of attorney online?

Usually not. Most places require the official form signed in front of qualified witnesses.

Is this worksheet a valid power of attorney?

No. It prepares your answers for the official form.

Does it cover health decisions?

In some places yes, in others a separate document is used. Check your official form.

Can I download the worksheet in Word?

Yes. “Download in Word” gives you the worksheet with no email and no account.

Do my attorneys have to keep records?

Yes. Most laws require attorneys to keep your money separate and keep records of what they do.

Can I name a professional as attorney?

Yes, in most places. Lawyers and trust companies act as attorneys, usually for a fee.

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