Completing all fields is mandatory Do you need a Power of Attorney for Property/Financial matters, Personal Care matters, or both?Property/FinancialPersonal CareBothOtherHave you previously made a Power of Attorney?YesNoDo you have Capacity?Please Note: Generally, capacity is defined as the ability to make decisions, and to understand the consequence of those decisions.YesNoDo you have any medical conditions which would affect your Capacity?YesNoWill you be signing the Power of Attorney voluntarily of your own free will without fear, threat, duress, coercion, compulsion, and/or undue influence?YesNoWhen would you like the Attorney to be able to act on your behalf?After SigningOnly After I Become IncapacitatedClient Information RequiredPRINCIPALPlease Note: The Principal is the person providing the Power of Attorney, so that someone else can act on their behalf with respect to Property/Financial matters and/or Personal Care matters.ATTORNEYPlease Note: The Attorney is the person appointed by the Principal to act on their behalf with respect to Property/Financial matters and/or Personal Care matters.Act JointlyAct SeverallyAct Jointly/SeverallySUBSTITUTE ATTORNEYOptional: If you would like to list a Substitute Attorney, in the event that the first Attorney is unable or unwilling to act on your behalf, please do so here.Act JointlyAct SeverallyAct Jointly/SeverallySUBSTITUTE ATTORNEY 2Optional: If you would like to list a second Substitute Attorney, in the event that Substitute Attorney 1 is unable or unwilling to act on your behalf, please do so here.Act JointlyAct SeverallyAct Jointly/SeverallyIdentification VerificationIDENTIFICATION VERIFICATIONStatus:SingleMarriedSeparatedDivorcedFirst Time Home Buyer:YesNoCriteria: https://www.fin.gov.on.ca/en/bulletins/ltt/1_2008.htmlTHE TWO FORMS OF ID MUST BE THE FOLLOWINGDriver's LicencePassportPermanent Resident CardCitizenship CardSocial Insurance Number CardONE FORM OF ID MUST BE PHOTO ID WITH SIGNATUREUpload ID 1Upload ID 2You must upload the front and back side of your IDAdditional InformationClient Consent re: CommunicationPlease list any other person or persons that our office may discuss information regarding your file. By filling in the below, you acknowledge the risks associated with various forms of client communication such as emails and phone calls. There is a potential loss of confidentiality should the client(s) share lawyer/client emails with othersExample: Parent(s), Children, etc.Opt Out re: CommunicationPlease list any person or persons, which you are specifically not authorizing our office to communicate with regarding your matter.Signed thisNameNameClick 'Submit' once and allow 30 seconds for processing; refrain from multiple clicks to ensure successful submission.Privacy IssuesPlease note that our office will normally correspond with you by e-mail. However, there are risks to solicitor-client privilege and various privacy issues inherent in communicating details by e-mail and/or other electronic media. By completing this form, you are acknowledging these risks, and agreeing for our law office to communicate with you by e-mail.Reliance on Information ProvidedWe are relying on the accuracy of the information you have provided in this form in completing your transaction, which has the same risks with solicitor-client privilege as identified in the “Privacy Issues” section, and our law office will not be held liable as a result of any information you have incorrectly inputted into this online form.