Canadian Power of Attorney

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Housing

If your health prevents you from living at home do you have any wishes for your mandatary regarding your housing?

Yes No

Describe any wishes you have regarding your housing:

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Health Care Decisions

Do you want someone other than your mandatary to consent to health care decisions when you are unable to do so?

Yes No

Name:

Address: e.g. Street, City, Province, Postal Code

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Clinical Trials

Do you authorize your mandatary to enter you into clinical trials?

Yes No

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Last Wishes

In all decisions concerning care at the end of my life, my mandatary must consider:

My opposition to any therapy that needlessly worsens or prolongs my suffering and death

My wish to die with dignity, with the required care and comfort and medication to reduce suffering, even if it may accelerate my death

Other details or wishes

Describe any other details or wishes:

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Attorneys Powers

Do you wish to grant your Attorneys General Authority?

Yes No

Do you also want to give specific powers?

Yes No

Select the powers that the Attorneys will have:

Real Estate Home Expenses Family Expenses Tax Matters Gifts for Family Gifts for Charity Business Investments Stocks and Bonds Employ Required Professionals

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Limited Powers

Select Additional Limited Powers

Sale of Specific Property Purchase of Specific Property Collect Rent Bank Accounts

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Specific Attorneys Powers

Do you wish to create a customized Attorneys power?

Yes No

Additional Power

Describe the power using complete sentences:

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Frequently Asked Questions

What is meant by granting General Authority?

What is meant by granting General Authority?

By granting General Authority you are authorizing your Attorneys the ability to act for you in all areas, and to be able to do any act or thing that you could possibly do if you were yourself personally present. If you decide to grant such authority, the next page will outline the specific areas in which your Attorneys will have the ability to act on your behalf. Some important areas include: Real Estate Transactions and Personal Property Transactions.

What powers can be included?

What powers can be included?

You can not utilize this archive to exchange care of your kids. You can not give your Attorneys the power to make health care decisions for you or your family; these powers can only be granted by a Health Care Directive or Living Will document.