Guidance

Lasting power of attorney: valid examples

Official samples of different versions of registered lasting powers of attorney and an explanation of what makes them valid.

From:
Office of the Public Guardian
Published
30 August 2016
Last updated
30 November 2017 — See all updates

Documents

Sample registered LP1F for property and financial affairs

PDF, 193 KB, 2 pages

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Sample registered LP1H for health and welfare

PDF, 212 KB, 2 pages

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Sample registered LPA117 for property and financial affairs

PDF, 258 KB, 1 page

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Sample registered LPA114 for health and welfare

PDF, 237 KB, 1 page

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Sample registered LPA PA for property and affairs

PDF, 212 KB, 1 page

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Sample registered LPA PW for health and welfare

PDF, 211 KB, 1 page

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Details

The documents on this page are part samples of registered lasting powers of attorney (LPAs) and are for reference only. An LPA is a legal instrument allowing someone (the ‘attorney’) to make decisions for another person (the ‘donor’) because that person lacks mental capacity or for another reason.

LPAs must always be registered by the Office of the Public Guardian (OPG) before they can be used. A registered LPA is simply the LPA form with certain marks added by OPG.

You can tell if an LPA is registered by looking at the front page (reproduced here) of the document. Every version of a registered LPA will have a perforated stamp at the bottom of the front page, saying ‘Validated’. A stamp or box – or both – on the front page of the form will also show the date of registration. OPG’s marks are shown circled in red on the sample documents here.

Note that an actual LPA will be longer than these samples. Always make sure you have the entire document when using or receiving an LPA, and verify the name of the donor and of the attorney(s) within the document. Some LPAs will also state specific powers for attorneys, or impose certain limits, beyond the general authority that standard LPAs provide.

OPG has released 3 versions of LPA forms since 2007, when they were introduced. You can find the version number of each form at the bottom of the front page.

Each version of the LPA includes one form for decisions about health and welfare (also called ‘personal welfare’ on the LPA PW form) and another for decisions about property and financial affairs (also called ‘property and affairs’ on the LPA PA form).

The 3 versions of the LPA, all shown on this page, are:

  • LPA PW and LPA PA
  • LPA114 and LPA117
  • LP1F and LP1H

You can also search the Office of the Public Guardian register to confirm that someone has a deputy acting for them.

See this page on acting as an attorney for more information about the power an LPA gives people to make decisions for someone else.

There is a separate page showing examples of enduring powers of attorney, which LPAs replaced, and deputy orders, which also give decision-making powers.

Published 30 August 2016
Last updated 30 November 2017 + show all updates

  1. Added translation

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  4. First published.

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