How to register your lasting power of attorney
(
Helpline
0300 456 0300
8 publicguardian.gov.uk
© Crown copyright
This guidance published September 2009
to accompany revised 2009 LPA forms.
Guidance for people who want to make a lasting power of attorney for property and financial affairs
Need help?
(
0300 456 0300 8 publicguardian.gov.uk
page 1 of xx
How to register your lasting power of attorney
Registering your LPA
An LPA can be registered – by the donor or their
attorney(s) – at any time after it has been made. But
it cannot be used until it has been registered by the
OPG. (Where a replacement attorney has replaced the
attorney in an unregistered lasting power of attorney,
they can also register it.)
LPA 001
Click here to reset form
Click here to reset form
Click here to print form
10.07
10.07
LPA002OfficeofthePublicGuardian
Notice of intention to apply for registration
of a Lasting Power of Attorney
Application to register a
Lasting Power of Attorney
This notice must be sent to everyone named by the donor in the Lasting Power of Attorney as a person who
should be notified of an application to register. Relatives are not entitled to notice unless named in the Lasting
Power of Attorney.
Part 1 - The donor
Placeacross(x)againstoneoption
The application to register may be made by the donor or the attorney(s).
Mr.
Mrs.
Ms.
Where attorneys are appointed to act together they all must apply to register.
Registering the LPA soon after it is made means that it
will be ready to be used by your attorney(s) when needed.
The longer the LPA is kept after making it and before
registering it, the more likely you or your attorney(s) will
need to keep its contents up to date (addresses, contact
details, etc.). During this period, your made LPA cannot
be amended. If your circumstances change, or your LPA
is no longer relevant for some reason, you must complete
a fresh LPA form.
To register the LPA the person who is making the
application:
• First: informs each of the people to be told (if there are
any) of their intention to register the LPA (by filling-in
and sending to each one a copy of form LPA001 – 5
copies are included in your LPA creation pack).
This informs them that the LPA is being registered and
that they have 5 weeks to raise any concerns.
• Then: fills in form LPA002 ‘Application to register
a Lasting Power of Attorney’ – also included in your
LPA creation pack with separate 4-page guidance
notes – and sends this with your completed LPA form
to the OPG.
Click here to print form
Return your completed form to:
OfficeofthePublicGuardian
ArchwayTower
2JunctionRoad
LondonN195SZ
Miss
Other
Ifother,please
specify
Details of the named person
Name
Lastname
Address
Firstname
Telephone no.
Middlename
Postcode
Address To the named person - You have the right to object to the proposed registration of the Lasting
Power of Attorney. You have five weeks from the day on which this notice is given to object.
Details of how to object and the grounds for doing so are on the back page.
Address2
Address 3
Details of the Lasting Power of Attorney (LPA)
Town/City
Who is applying to register the LPA?
the donor
the attorney(s)
Which type of LPA is being registered?
Property and Affairs
Personal Welfare
(You must complete separate applications for each
LPA you wish to register.)
On what date did the donor sign the LPA?
D
D
M
M
Y
Y
Y
Daytime
Tel.no.
Postcode
Y
Dateofbirth
Details of the donor
Full name
County
D D M M Y
Address
Y
Y
Y
Iftheexactdateisunknown
pleasestatetheyearofbirth
e-mail
address
Pleasedonotwritebelowthisline-Forofficeuseonly
Telephone no.
Postcode
LPA002 Applicationtoregisteralastingpowerofattorney(10.07) ©CrownCopyright2007
© Crown copyright 2007
The OPG will check your LPA and application to register
form, and contact the applicant if there are any problems.
Assuming there are no problems with the LPA and nobody
raises concerns, the OPG will register six weeks after
sending the notices to the donor or attorney.
Guidance for people who want to register a lasting power of attorney Need help?
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0300 456 0300 8 publicguardian.gov.uk
page 2 of 10
How to register your lasting power of attorney
Form LPA001: Notice
of intention to apply for
registration of a Lasting
Power of Attorney
In summary
The applicant fills in one of these forms for each person
to be told (if any), and sends them to the address for
each person in your LPA.
LPA 001
Click here to reset form
Click here to print form
10.07
How to object to the registering of a Lasting Power of Attorney (LPA)
You can ask the Office of the Public Guardian (OPG) to stop the LPA from being registered if one of the factual
grounds at (A) below has occurred. You need to tell us by completing Form LPA7 which is available from the
OPG and by providing evidence to accompany it. You must send us the completed LPA7 form within five
weeks from the date this notice was given. Failure to tell us could result in the LPA being registered.
Notice of intention to apply for registration
of a Lasting Power of Attorney
This notice must be sent to everyone named by the donor in the Lasting Power of Attorney as a person who
should be notified of an application to register. Relatives are not entitled to notice unless named in the Lasting
Power of Attorney.
(A) Factual grounds – you can ask the Office of the Public Guardian to stop registration if:
• The Donor is bankrupt or interim bankrupt (for property and affairs LPAs only)
• The Attorney is bankrupt or interim bankrupt (for property and affairs LPAs only)
The application to register may be made by the donor or the attorney(s).
• The Attorney is a trust corporation and is wound up or dissolved (for property and affairs LPAs only)
Where attorneys are appointed to act together they all must apply to register.
• The Attorney is dead
• The Donor is dead
• That there has been dissolution or annulment of a marriage or civil partnership between the Donor and
Attorney (except if the LPA provided that such an event should not affect the instrument)
Details of the named person
Name
• The Attorney(s) lack the capacity to be an attorney under the LPA
Address
• The Attorney(s) have disclaimed their appointment
Form LPA7 is available from the OPG on 0845 330 2900 or www.publicguardian.gov.uk
You have the right to object to the Court of Protection about the registration of the LPA, but only on the
grounds mentioned at (B) below. To do this you must contact the Court and complete the application to object
form they will send you. Using that form, you must set out your reasons for objecting. They must receive the
objection within five weeks from the date this notice was given. You must also notify the OPG when you object
to the Court by using the separate form LPA8 that the Court will send you. Failure to notify the OPG of an
objection may result in registration of the LPA.
Telephone no.
Postcode
The detail
Read all 4 pages of this form as it explains how your
people to be told should make any objections (the other
two pages of the form are shown on the next page).
If it is not possible to establish contact with any of the
people to be told, you must keep proof of posting slips,
or returned-to-sender evidence, to demonstrate that you
have made reasonable efforts.
To the named person - You have the right to object to the proposed registration of the Lasting
Power of Attorney. You have five weeks from the day on which this notice is given to object.
Details of how to object and the grounds for doing so are on the back page.
Note: If you are objecting to the appointment of a specific attorney, it will not prevent registration if other
attorneys or a substitute attorney have been appointed.
(B) Prescribed grounds – you can only object to the Court of Protection against registration of the LPA on the
following grounds:
Details of the Lasting Power of Attorney (LPA)
Who is applying to register the LPA?
the donor
the attorney(s)
• That the power purported to be created by the instrument* is not valid as a LPA. e.g. the person
objecting does not believe the donor had capacity to make an LPA.
Which type of LPA is being registered?
Property and Affairs
Personal Welfare
• That the power created by the instrument no longer exists e.g. the donor revoked it at a time when he/
she had capacity to do so.
(You must complete separate applications for each
LPA you wish to register.)
On what date did the donor sign the LPA?
• That fraud or undue pressure was used to induce the donor to make the power.
D
D
M
M
Y
Y
Y
• The attorney proposes to behave in a way that would contravene his authority or would not be in the
donor’s best interests.
Y
Note: * The instrument means the LPA made by the donor.
Details of the donor
Completion tips
‘Details of named person’: fill in here the details of your
person to be told. ‘Named person’ is a previous OPG
name for ‘person to be told’.
Full name
Telephone no.
Postcode
Details of the donor = the person who made the lasting
power of attorney.
!
To avoid rejection of your LPA when
applying to register …
The Court will only consider objections made if they are made on the above grounds. To obtain a Court
objection form please contact the Court of Protection at Archway Tower, 2 Junction Road, London N19 5SZ or
Telephone 0845 330 2900.
Address
Click here to print form
© Crown copyright 2007
Page 1
Page 4
If you are applying to register both types of LPA and have
the same people to be told in both, you must send one of
these forms for each of your LPAs. The person to be told
will receive two forms as your applications are treated
separately.
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page 3 of 10
How to register your lasting power of attorney
LPA001: completed examples
Example: completed LPA001
LPA 001
Click here to reset form
Click here to print form
10.07
Telephone no.
07666 123 321
The application to register may be made by the donor or the attorney(s).
solely
Where attorneys are appointed to act together they all must apply to register.
together
JANE HUGO
Telephone no.
07666 123 321
Address
43 CLIFTON TERRACE
NEWCASTLE,
NE 1 4 1 S W
Postcode
To the named person - You have the right to object to the proposed registration of the Lasting
Power of Attorney. You have five weeks from the day on which this notice is given to object.
Details of how to object and the grounds for doing so are on the back page.
Which type of LPA is being registered?
(You must complete separate applications for each
LPA you wish to register.)
On what date did the donor sign the LPA?
✔the donor
✔Property and Affairs
the attorney(s)
Personal Welfare
2 6 0 920 0 9
D
D
M
M
Y
Y
Y
19 VICTORIA ROAD
WREXHAM, CLWYD
L L9
8 LL
07666 123 333
✔ together and independently
• The Attorney is bankrupt or interim bankrupt (for property and affairs LPAs only)
• The Donor is dead
• The Attorney is dead
• That there has been dissolution or annulment of a marriage or civil partnership between the Donor and
Attorney (except if the LPA provided that such an event should not affect the instrument)
27 0 9 20 0 9
D
D
M
M
Y
Y
Y
Y
• The Attorney(s) lack the capacity to be an attorney under the LPA
• The Attorney(s) have disclaimed their appointment
Form LPA7 is available from the OPG on 0845 330 2900 or www.publicguardian.gov.uk
You have the right to object to the Court of Protection about the registration of the LPA, but only on the
grounds mentioned at (B) below. To do this you must contact the Court and complete the application to object
form they will send you. Using that form, you must set out your reasons for objecting. They must receive the
objection within five weeks from the date this notice was given. You must also notify the OPG when you object
to the Court by using the separate form LPA8 that the Court will send you. Failure to notify the OPG of an
objection may result in registration of the LPA.
Postcode
together in some matters and together and independently in others
Note: If you are objecting to the appointment of a specific attorney, it will not prevent registration if other
attorneys or a substitute attorney have been appointed.
Address
PAUL DAVIES
Telephone no.
07666 123 444
(B) Prescribed grounds – you can only object to the Court of Protection against registration of the LPA on the
following grounds:
27 GEORGES MEWS
NEWCASTLE,
N E1 2 9 Z Z
• That the power purported to be created by the instrument* is not valid as a LPA. e.g. the person
objecting does not believe the donor had capacity to make an LPA.
• That the power created by the instrument no longer exists e.g. the donor revoked it at a time when he/
she had capacity to do so.
Postcode
• That fraud or undue pressure was used to induce the donor to make the power.
• The attorney proposes to behave in a way that would contravene his authority or would not be in the
donor’s best interests.
✔ together and independently
together in some matters and together and independently in others
Note: * The instrument means the LPA made by the donor.
Details of the donor
Full name
ALISON LOUISE WILSON
Telephone no.
07666 123 123
Address
38 LONDON ROAD
POST TOWN
COUNTY
OP 3 2 5 Y P
Postcode
Name of 4th attorney
Page 1
The Court will only consider objections made if they are made on the above grounds. To obtain a Court
objection form please contact the Court of Protection at Archway Tower, 2 Junction Road, London N19 5SZ or
Telephone 0845 330 2900.
Address
Telephone no.
Postcode
together
© Crown copyright 2007
(A) Factual grounds – you can ask the Office of the Public Guardian to stop registration if:
• The Attorney is a trust corporation and is wound up or dissolved (for property and affairs LPAs only)
ANDREW DAVIES
Telephone no.
You can ask the Office of the Public Guardian (OPG) to stop the LPA from being registered if one of the factual
grounds at (A) below has occurred. You need to tell us by completing Form LPA7 which is available from the
OPG and by providing evidence to accompany it. You must send us the completed LPA7 form within five
weeks from the date this notice was given. Failure to tell us could result in the LPA being registered.
• The Donor is bankrupt or interim bankrupt (for property and affairs LPAs only)
together in some matters and together and independently in others
Address
together
Y
ALISON LOUISE WILSON
Postcode
Name of 2nd attorney
together
Print name
alison wilson
Signed
✔ together and independently
Name of 3rd attorney
Details of the Lasting Power of Attorney (LPA)
Who is applying to register the LPA?
45 LANDSBROOKE ROAD
BATH, AVON
B A9 9 2 P P
How to object to the registering of a Lasting Power of Attorney (LPA)
This notice must be signed by all parties applying to register the lasting power of attorney.
Dated
Details of the named person
Name
Address
SHEILA DAVIES
This notice must be sent to everyone named by the donor in the Lasting Power of Attorney as a person who
should be notified of an application to register. Relatives are not entitled to notice unless named in the Lasting
Power of Attorney.
Signature and date
Details of the attorney(s)
Name of 1st attorney
Notice of intention to apply for registration
of a Lasting Power of Attorney
together and independently
Click here to print form
together in some matters and together and independently in others
Page 2
Guidance for people who want to register a lasting power of attorney Page 3
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Page 4
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page 4 of 10
How to register your lasting power of attorney
Form LPA002: Guidance
Notes for completing the
application form LPA2
In summary
The applicant should
• read these LPA002 guidance notes which provide all
the information required to fill in LPA002
• fill in LPA002
• send the completed LPA002 and made LPA form with
your fee to the OPG.
Application to register an Lasting Power of Attorney
Guidance Notes for completing the application form LPA2
!
Remember to send:
• Your made LPA form.
• Your completed Application form (LPA002).
• Your payment or signed application for a fee remission
or exemption.
Completion tips
The address to send your application to is:
Office of the Public Guardian
PO Box 15118
Birmingham, B16 6GX
10.07
LPA002OfficeofthePublicGuardian
Part 1 - The donor
Please note the following information:
Placeacross(x)againstoneoption
• Form LPA2 cannot be used for registration of an Enduring Power of Attorney.
Mr.
• If you are registering more than one LPA you must complete a separate form LPA2 for each LPA you
are registering.
Part 1 – The donor
Part one covers the information we need about
the ‘donor’ of the Lasting Power of Attorney (LPA)
to register it. The donor is the person who has
appointed an attorney/s to manage their property
and affairs or personal welfare when first setting up
the LPA.
• Fill in the box that relates to the donor’s title.
If the correct title does not appear, please
provide the one now used in the boxes
provided to the right.
• Please Note: The donor’s surname should be
inserted in the line where it says, ‘last name’.
• Please Note: The next two lines are for
forename/s. Please ensure that only the
donor’s first name is inserted where it says,
‘Forename 1’.
• Where the donor is living in a hospital or care
home, the name of this should be entered
where it says ‘Address 1’.
• When completing the address lines, please
ensure that the town or city appears where
requested.
• Please Note: Include the donor’s postcode in
the boxes provided after the address details.
• If the donor’s address on the LPA is different
from the one that is shown on the application
form, provide the original address in Part five
of the form under any additional information
and say that the address has changed.
LPA002 - Guidance notes (10.07)
Click here to print form
Return your completed form to:
OfficeofthePublicGuardian
ArchwayTower
2JunctionRoad
LondonN195SZ
Application to register a
Lasting Power of Attorney
Please complete the form LPA2 in BLOCK CAPITALS using a BLACK ballpoint pen, ensuring that all relevant
sections are completed clearly. This will enable us to process the information quickly and accurately.
To complete this, please:
To avoid rejection of your LPA when
applying to register …
Click here to reset form
Office of the Public Guardian
Mrs.
Ms.
Miss
Other
Ifother,please
specify
Lastname
• Complete the boxes requesting the donor’s
date of birth, putting the day, month and year
of birth. If you don’t know this, you should be
able to find it in the LPA, in Part A under the
Donor’s name and address. If the date of birth
differs from the date stated on the LPA itself,
please explain, if you are able, the difference
in Part 12 of the form and provide a copy of the
donor’s birth certificate as evidence.
Firstname
Middlename
Address Part 2 – The person(s) making the
application
Address2
It is very important for the OPG to know who is
applying to register the LPA. Part two of the form
informs us who is applying to register the LPA. It
may be the donor, the attorney(s) or some other
person appointed to apply. The application can be
made by the donor or the attorney(s).
Address 3
Town/City
County
• If you are the donor or representing the donor
applying please place an X in the box next
to the statement that says – ‘Is the donor
applying to register the Lasting Power of
Attorney?’.
Daytime
Tel.no.
Postcode
Dateofbirth
• If you are an attorney or representing an
attorney applying please place an X in the
box next to the statement that says - ‘Is the
attorney applying to register the Lasting Power
of Attorney?’.
D D M M Y
Y
Y
Y
Iftheexactdateisunknown
pleasestatetheyearofbirth
e-mail
address
Pleasedonotwritebelowthisline-Forofficeuseonly
• If joint attorneys have been appointed they
must make the application jointly.
• If attorneys have been appointed to act jointly
and severally one or more may make the
application.
© Crown copyright 2007
LPA002 Applicationtoregisteralastingpowerofattorney(10.07) ©CrownCopyright2007
The detail:
If the attorney is making the application, the OPG
will formally notify the donor. If the donor is making
the application the OPG will notify the attorney(s). If one
of the joint and several attorneys makes the application,
the OPG will inform the donor and the other attorney(s).
It is therefore a good idea to discuss the application to
register the LPA with the donor or attorney beforehand.
For information about how much it costs to register the
LPA, see OPG fees guidance.
If you need to act on a donor’s behalf before the LPA is
registered, you cannot use the unregistered LPA. If you
need to make an urgent decision, you can apply to the
Court of Protection (a fee is payable for this).
If the original LPA form is missing, it may be possible
to accept a copy certified by the solicitor who originally
prepared it. In general, only the original LPA is acceptable.
Guidance for people who want to register a lasting power of attorney Need help?
(
You are advised to register your LPA as soon as you have
completed the LPA form.
0300 456 0300 8 publicguardian.gov.uk
page 5 of 10
How to register your lasting power of attorney
LPA002: completed examples
Example: completed LPA002 (pages 1–3)
Click here to reset form
10.07
LPA002OfficeofthePublicGuardian
Click here to print form
Return your completed form to:
OfficeofthePublicGuardian
ArchwayTower
2JunctionRoad
LondonN195SZ
Application to register a
Lasting Power of Attorney
Part 1 - The donor
Mrs.
Ms.
✗
Miss
Firstname
Placeacross(x)inthisboxifattorneyoneisapplyingtoregister
Placeacross(x)againstoneoption
Placeacross(x)againstoneoption
Mr.
✗ Yes
IsthedonorapplyingtoregistertheLastingPowerofAttorney?
TheLPAstateswhethertheattorneyistoactsolely,togetherortogetherandindependently
LOUI SE
Thereareattorneysappointedtogetherandindependently
Address 3 8
Thereareattorneysappointedtogether
D AV I E S
Firstname
SHEILA
Town/City
Postcode
OP32 5YP
Dateofbirth
1903 1 957
D D M M Y
Y
County
Postcode
C O U N T Y
Y
Daytime
Tel.no.
Y
07 666
L A ND S B RO O KE
ROAD
Address 3
Note:Weneedtoknowwhich,ifanyoftheattorney(s)aremakingthisapplicationtoregisterthe
LPA.Youcantellusthisbyputtingacrossintheboxatthestartofeachattorney(s)detailsin
Part4.
P O S T T OWN
4 5
Address2
Thereareattorneysappointedtogetherinsomemattersandtogetherand
independentlyinothers
County
e-mail
address
Lastname
Address ✗
Address 3
Town/City
Other
(if relevant)
Middlename
Address2
Miss
Company
name
Thereisonlyoneattorneyappointed
L O N DO N R O A D
✗
Middlename
Placeacross(x)againstoneoption
ALI SON
Ms.
Yes
Part 3 - How have the attorney(s) been appointed?
WI L S O N
Mrs.
Ifother,please
specify
Other
Ifother,please
specify
Lastname
Part 4 - Attorney one
Note:Weneedtoknowwhoisapplyingandhowtheattorney(s)havebeenappointed,pleaseanswerthe
questionsinpartstwoandthreecarefully.
Istheattorney(s)applyingtoregistertheLastingPowerofAttorney?
Placeacross(x)againstoneoption
Mr.
Part 2 - The persons making the application
Dateofbirth
123 1 23
B ATH
A V ON
OP 3 2 5 Y P
12 051 95 9
D D M M Y
Daytime
Tel.no.
Iftheexactdateisunknown
pleasestatetheyearofbirth
DX
number
Y
Y
07 666
Y
DX
Exchange
123 321
Occupation
AL I S O N @ I S P . C O . U K
e-mail
address
Pleasedonotwritebelowthisline-Forofficeuseonly
S H E I L A@ I S P . C O . U K
Placeacross(x)againstoneoptionthatbestdescribesyourrelationshiptothedonor
Civilpartner/Spouse
Child
Solicitor
Other
If‘Other’or‘Otherprofessional’,pleasespecify
2
LPA002 Applicationtoregisteralastingpowerofattorney(10.07) 3
✗
Otherprofessional
SI S TER
©CrownCopyright2007
Guidance for people who want to register a lasting power of attorney Need help?
(
0300 456 0300 8 publicguardian.gov.uk
page 6 of 10
How to register your lasting power of attorney
LPA002: completed examples
Example: completed LPA002 (continued), pages 4–6
Part 4 - Attorney two
Part 4 - Attorney three
Part 4 - Attorney four
Placeacross(x)inthisboxifattorneytwoisapplyingtoregister
Placeacross(x)inthisboxifattorneythreeisapplyingtoregister
Placeacross(x)inthisboxifattorneyfourisapplyingtoregister
Placeacross(x)againstoneoption
Mr.
✗
Mrs.
Ms.
Placeacross(x)againstoneoption
Miss
Other
Mr.
✗
Mrs.
Placeacross(x)againstoneoption
Ms.
Ifother,please
specify
Miss
Other
Mr.
DAVIES
Lastname
DAVIES
Lastname
Firstname
A NDR E W
Firstname
P AU L
Firstname
Middlename
R O B E RT
Middlename
(if relevant)
R O AD
Address Company
name
2 7
G E O R GE S
M EWS
Address Address2
Address2
Address2
Address 3
Address 3
Address 3
Town/City
County
Postcode
Dateofbirth
WR E X H AM
C L WY D
L L9 8 L L
22 081 962
D D M M Y
Daytime
Tel.no.
DX
number
Y
Y
07 666
Y
DX
Exchange
Town/City
N E WC AS T L E
County
Postcode
T Y N E A ND
N E 1 2 9 ZZ
Dateofbirth
1 0 0319 60
D D M M Y
Daytime
Tel.no.
123 33 3
Y
Y
07 666
Y
Town/City
WE A R
County
DX
number
DX
Exchange
Dateofbirth
D D M M Y
Occupation
Occupation
e-mail
address
e-mail
address
Civilpartner/Spouse
Child
Solicitor
Other
If‘Other’or‘Otherprofessional’,pleasespecify
4
✗
B R O T HE R
I N
AN DR EW@ I S P . C O . U K
Placeacross(x)againstoneoptionthatbestdescribesyourrelationshiptothedonor
Otherprofessional
LAW
Civilpartner/Spouse
Child
Solicitor
Other
If‘Other’or‘Otherprofessional’,pleasespecify
Guidance for people who want to register a lasting power of attorney 5
Y
Y
Y
DX
Exchange
Daytime
Tel.no.
123 33 3
Occupation
AN DR EW@ I S P . C O . U K
DX
number
Postcode
e-mail
address
Placeacross(x)againstoneoptionthatbestdescribesyourrelationshiptothedonor
Other
(if relevant)
(if relevant)
VICTORIA
Miss
Middlename
Company
name
1 9
Ms.
Ifother,please
specify
Lastname
Address Mrs.
Ifother,please
specify
Company
name
Ifthereareadditionalattorneys,
pleaseprovidethefollowingdetails
inthe‘Additionalinformation’
sectionattheendofthisform.
✗
Placeacross(x)againstoneoptionthatbestdescribesyourrelationshiptothedonor
Otherprofessional
Civilpartner/Spouse
F RI END
Child
Solicitor
Other
Otherprofessional
If‘Other’or‘Otherprofessional’,pleasespecify
Need help?
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0300 456 0300 8 publicguardian.gov.uk
page 7 of 10
How to register your lasting power of attorney
LPA002: completed examples
Example: completed LPA002 (continued), pages 7–9
Part 5 - Notification of named persons
Part 5 - continued
Thedonororattorney(s)makingtheapplicationmustgivenoticetothenamedpersonsnominatedbythe
donorinthesectionoftheLPAmarked‘NotifyingotherswhenanapplicationtoregisteryourLPAismade’.
Thedateonwhichthenoticewasgivenmust becompleted(whichisthedateitwaspostedorgiventothe
namedperson).Ifthedonordecidednottonotifyanynamedpersons,pleaseplaceacrossinthe
boxprovided.
Datenotice
given
ThedonordidnotspecifyanynamedindividualsintheLPA
Placeacross(x)againstoneoption
✗
I
We
D D M M Y
Part 5 - continued
Y
Y
Datenotice
given
Y
Lastname
Lastname
Firstname
Firstname
Address Address Address2
Address2
Address 3
Address 3
D D M M Y
Y
Y
Y
D D M M Y
Y
Y
Y
havegivennoticetoregisterintheprescribedform(LP1)tothefollowingperson(s):
Datenotice
given
27 09 2009
Lastname
HU GO
Town/City
Town/City
Firstname
J ANE
County
County
Address 43
Postcode
Postcode
D D M M Y
Y
Y
Y
C L I F T O N TE R RA C E
Address2
Datenotice
given
Address 3
Town/City
N EWC A S T L E
County
T Y N E AN D WE A R
NE1 41 SW
Postcode
D D M M Y
Y
Y
Datenotice
given
Y
Lastname
Lastname
Firstname
Firstname
Address Address Address2
Address2
Address 3
Address 3
Town/City
Town/City
County
County
Postcode
Postcode
7
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page 8 of 10
How to register your lasting power of attorney
LPA002: completed examples
Completion tips
Where Attorneys have been appointed Jointly it is
necessary for all of the attorneys to apply for registration,
this is achieved by signing the LPA002 declaration form
on page 11 of the application. The application may be
delayed if the OPG needs to clarify and a new LPA002
form may be required.
Example: completed LPA002 (continued),
pages 10–12
Part 6 - Fees
Part 8 - Donor declaration
Part 9 - continued
GuidelinesonfeeexemptionandremissioncanbeobtainedfromtheOfficeofthePublicGuardian.
Note:Thissectionshouldonlybecompletedbythedonoriftheyareapplyingfortheregistrationofthe
LastingPowerofAttorney.
Signed
Haveyouenclosedachequefortheregistrationfeeforthisapplication?
✗
Yes
No
✗ No
Doyouwishtoapplyforremissionofthefee?
Yes
Doyouwishtoapplyforexemptionofthefee?
Yes
Doyouwishtoapplyforpostponementofthefee?
Yes
✗
✗
No
No
Ifyouwishtoapplyforexemption,remissionorpostponementofallorpartofthefee.Youmustcomplete
theseparateapplicationformavailablefromtheOfficeofthePublicGuardian.
Signed
Date
alison wilson
Lastname
WI L S O N
Firstname
ALI S ON
Part 7 - Type of power
We
applytoregistertheLPA(theoriginalofwhichaccompaniesthisapplication)madebythe
donorundertheprovisionsoftheMentalCapacityAct2005.
WhattypeofLastingPowerofAttorneyareyouapplyingtoregister?
Datethatthedonorsignedthe
LastingPowerofAttorney
OR
D D M M Y
Y
Y
Y
Y
Y
Signed
I
We
applytoregistertheLastingPowerofAttorney(theoriginalof
whichaccompaniesthisapplication).
I
We
certifythattheaboveinformationiscorrecttothebest
ofmyknowledgeandbelief.
I
We
havecompletedtheapplicationwithintheprovisionsofthe
MentalCapacityAct2005andallstatutoryinstrumentsmade
underit.
Signed
Y
Y
D D M M Y
Y
Y
Y
Firstname
Part 10 - Declaration by a trust corporation
Ifyouareatrustcorporationmakingthisapplicationpleasecompletethisdeclaration.
Date
Y
Y
Y
I
Company
name
Signed
Signatureof
authorised
person(s)
Date
D D M M Y
Y
Y
Y
Lastname
Companyseal(Ifapplicable)
Lastname
Firstname
Guidance for people who want to register a lasting power of attorney We
certifythattheaboveinformationiscorrectandthattothebestofmyknowledgeandbelief,I
havecompletedtheapplicationinaccordancewiththeprovisionsoftheMentalCapacityAct
2005andallstatutoryinstrumentsmadeunderit.
✗ No
10
Date
Lastname
Firstname
IfYes,pleasegivedetailsbelowincludingregistrationdateifapplicable
Y
Date
Firstname
Lastname
Yes
D D M M Y
Firstname
Y
Toyourknowledge,hasthedonormadeanyotherEnduring
PowersofAttorneyorLastingPowerofAttorney?
Y
Lastname
D D M M Y
26 09 2009
Y
27 09 2009
D D M M Y
Signed
Personalwelfare
Y
Lastname
Icertifythattheaboveinformationiscorrectandthattothebestofmyknowledgeandbelief,Ihave
completedtheapplicationinaccordancewiththeprovisionsoftheMentalCapacityAct2005andall
statutoryinstrumentsmadeunderit.
Note:Thissectionshouldonlybecompletedbytheattorney(s)iftheyareapplyingfortheregistrationofthe
LastingPowerofAttorney.
✗ Propertyandaffairs
D D M M Y
IapplytoregistertheLastingPowerofAttorney(theoriginalofwhichaccompaniesthisapplication).
Part 9 - Attorney(s) declaration
✗I
Date
Firstname
12
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How to register your lasting power of attorney
LPA002: completed examples
Example: completed LPA002 (continued), pages 13 & 14
Part 11 - Correspondence address
Part 12 - Additional information
Pleasewritedownanyadditionalinformationtosupportthisapplicationinthespacebelow.Ifnecessary
attachadditionalsheets.
Placeacross(x)againstoneoption
Mr.
Mrs.
Ms.
Miss
Other
Ifother,please
specify
Lastname
Firstname
Middlename
Company
name
Company
reference
Address Address2
Address 3
Contact details
Town/City
Office of the Public Guardian
PO Box 15118, Birmingham B16 6GX
County
DX
number
Postcode
Telephone: 0300 456 0300
(from outside the UK +44 20 7664 7000)
DX
Exchange
Daytime
Tel.no.
Fax: 020 7664 7705
(from outside the UK +44 20 7664 7705)
e-mail
address
Email: [email protected]
Online: publicguardian.gov.uk
3
14
DX: 744240 Birmingham 79
Textphone: 020 7664 7755
Guidance for people who want to register a lasting power of attorney Need help?
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page 10 of 10