If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org.
Please tell us what format you need. It will help us if you say what assistive technology you use.
Use this form if you no longer want to be an attorney under an enduring power of attorney (EPA) – this is called ‘disclaiming’ responsibility.
If you’re an attorney under a lasting power of attorney (LPA) and no longer want to be an attorney, use form LPA005.