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How to register your lasting power of attorney

Helpline
0300 456 0300
 direct.gov.uk/mentalcapacity
LPA110 09.11
© Crown copyright 2011
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?
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0300 456 0300  publicguardian.gov.uk
page 1 of xx
How to register your lasting power of attorney
Guidance for people who want to register a lasting power of attorney
Need help?
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0300 456 0300  direct.gov.uk/mentalcapacity
page 2 of 11
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
07.11
LPA002
Notice of intention to apply for registration
of a Lasting Power of Attorney
09.11
Office of the Public Guardian
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
Place a cross (x) against one option
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.
Return your completed form to:
Office of the Public Guardian
PO Box 16185
Birmingham
B2 2WH
Application to register a
Lasting Power of Attorney
Miss
Other
If other, please
specify
Details of the person to be told
Name
Last name
Address
First name
Telephone no.
Middle name
Postcode
Address 1
To the person to be told - 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.
Address 2
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
Financial Affairs
Health and Welfare
(You must complete separate applications for each
LPA you wish to register.)
On what date did the donor sign the LPA?
County
Daytime
Tel. no.
Postcode
D
D
M
M
Y
Y
Y
Y
If the exact date is unknown
please state the year of birth
Date of birth
Details of the donor
Full name
D D M M Y
Address
Y
Y
Y
e-mail
address
Please do not write below this line - For office use only
Telephone no.
Postcode
LPA002 Application to register a lasting power of attorney (09.11)
1
© Crown Copyright 2011
© Crown copyright 2011
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?

0300 456 0300  direct.gov.uk/mentalcapacity
page 3 of 11
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
07.11
How to object to the registering of a Lasting Power of Attorney (LPA)
Notice of intention to apply for registration
of a Lasting Power of Attorney
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 LPA007 which is available from the
OPG and by providing evidence to accompany it. You must send us the completed LPA007 form within five
weeks from the date this notice was given. Failure to tell us could result in the LPA being registered.
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 application to register may be made by the donor or the attorney(s).
• The Attorney is bankrupt or interim bankrupt (for property and affairs LPAs only)
Where attorneys are appointed to act together they all must apply to register.
• The Attorney is a trust corporation and is wound up or dissolved (for property and affairs LPAs only)
• The Donor is dead
Details of the person to be told
Name
• The Attorney is dead
Address
• 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)
• The Attorney(s) lack the capacity to be an attorney under the LPA
• The Attorney(s) have disclaimed their appointment
Telephone no.
Form LPA007 is available from the OPG on 0300 456 0300 or www.direct.gov.uk/mentalcapacity
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 person to be told - 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.
Details of the Lasting Power of Attorney (LPA)
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.
Who is applying to register the LPA?
the donor
the attorney(s)
Which type of LPA is being registered?
Property and
Financial Affairs
Health and Welfare
(You must complete separate applications for each
LPA you wish to register.)
On what date did the donor sign the LPA?
‘Details of the person to be told’: fill in here the details of
your person to be told. 2007 versions of the LPA form use
the term ‘Named people’.
Full name
(B) Prescribed grounds – you can only object to the Court of Protection against registration of the LPA on the
following grounds:
• 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.
D
D
M
M
Y
Y
Y
• 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.
Y
• That fraud or undue pressure was used to induce the donor to make the power.
Details of the donor
Completion tips
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 LPA008 that the Court will send you. Failure to notify the OPG of an
objection may result in registration of the LPA.
• The attorney proposes to behave in a way that would contravene his authority or would not be in the
donor’s best interests.
Address
Note:
* The instrument means the LPA made by the donor.
Telephone no.
** Some of the terms used in the 2007 version of the LPA forms are different to those used in this form and in
the LPA002.
Postcode
‘Together’ means the same as ‘Jointly’. ‘Independently’ means the same as ‘Severally’.
Details of the donor = the person who made the lasting
power of attorney.
© Crown copyright 2011
!
To avoid rejection of your LPA when
applying to register …
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 0300 456 4600.
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.
Guidance for people who want to register a lasting power of attorney
Need help?

0300 456 0300  direct.gov.uk/mentalcapacity
page 4 of 11
How to register your lasting power of attorney
LPA001: completed examples
Example: completed LPA001
LPA 001
07.11
Signature and date
Details of the attorney(s)
Notice of intention to apply for registration
of a Lasting Power of Attorney
Name of 1st attorney
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.
The application to register may be made by the donor or the attorney(s).
Telephone no.
07666 123 321
solely
Where attorneys are appointed to act together they all must apply to register.
45 LANDSBROOKE ROAD
BATH, AVON
B A9 9 2 P P
• 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 Attorney is a trust corporation and is wound up or dissolved (for property and affairs LPAs only)
jointly in some matters and jointly and severally in others
JANE HUGO
Telephone no.
07666 123 321
Postcode
To the person to be told - 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.
Details of the Lasting Power of Attorney (LPA)
Who is applying to register the LPA?
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?
ALISON LOUISE WILSON
Telephone no.
07666 123 123
ANDREW DAVIES
Telephone no.
07666 123 333
jointly
the attorney(s)
D
D
M
M
Y
Y
07666 123 444
Y
jointly
L L9
M
M
Y
Y
Y
• The Attorney is dead
Y
• 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)
• The Attorney(s) lack the capacity to be an attorney under the LPA
• The Attorney(s) have disclaimed their appointment
Form LPA007 is available from the OPG on 0300 456 0300 or www.direct.gov.uk/mentalcapacity
8 LL
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 LPA008 that the Court will send you. Failure to notify the OPG of an
objection may result in registration of the LPA.
 jointly and severally
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.
27 GEORGES MEWS
NEWCASTLE,
N E1 2 9 Z Z
(B) Prescribed grounds – you can only object to the Court of Protection against registration of the LPA on the
following grounds:
• 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.
Postcode
• 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.
jointly in some matters and jointly and severally in others
• 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.
Address
38 LONDON ROAD
POST TOWN
COUNTY
OP 3 2 5 Y P
Postcode
Name of 4th attorney
© Crown copyright 2011
Address
Note:
* The instrument means the LPA made by the donor.
** Some of the terms used in the 2007 version of the LPA forms are different to those used in this form and in
the LPA002.
Telephone no.
Postcode
jointly
Page 1
P
Postcode
D
Address
PAUL DAVIES
Telephone no.
Y
19 VICTORIA ROAD
WREXHAM, CLWYD
• The Donor is dead
27 1 0 20 0 9
D
together in some matters and jointly and severally in others
Health and Welfare
2 6 1 020 0 9
Address
jointly and severally
Name of 3rd attorney
the donor
and
Property
Financial Affairs
Details of the donor
Full name
Name of 2nd attorney
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 LPA007 which is available from the
OPG and by providing evidence to accompany it. You must send us the completed LPA007 form within five
weeks from the date this notice was given. Failure to tell us could result in the LPA being registered.
(A) Factual grounds – you can ask the Office of the Public Guardian to stop registration if:
Dated
43 CLIFTON TERRACE
NEWCASTLE,
NE 1 4 1 S W
ALISON LOUISE WILSON
Postcode
Details of the person to be told
Address
Print name
alison wilson
Signed
 jointly and severally**
jointly
Name
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.
‘Together’ means the same as ‘Jointly’. ‘Independently’ means the same as ‘Severally’.
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 0300 456 4600.
jointly and severally
jointly in some matters and jointly and severally in others
Page 2
Guidance for people who want to register a lasting power of attorney
Page 3
Page 4
Need help?
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page 5 of 11
How to register your lasting power of attorney
Form LPA002: Guidance
Notes for completing the
application form LPA002
In summary
Office of the Public Guardian
Application to register a Lasting Power of Attorney
Guidance Notes for completing the application form LPA002
Please complete the form LPA002 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.
Return your completed form to:
Office of the Public Guardian
PO Box 16185
Birmingham
B2 2WH
Part 1 - The donor
Mr.
Mrs.
Ms.
Miss
Other
• Form LPA002 cannot be used for registration of an Enduring Power of Attorney.
• If you are registering more than one LPA you must complete a separate form LPA002 for each LPA you
are registering.
If other, please
specify
Last name
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 financial affairs or health and 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.
To avoid rejection of your LPA when
applying to register …
• Please Note: The donor’s surname should be
inserted in the line where it says, ‘last name’.
Remember to send:
• Your made LPA form.
• Your completed Application form (LPA002).
• Your payment or signed application for a fee remission
or exemption.
• 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.
Completion tips
• Please Note: Include the donor’s postcode in
the boxes provided after the address details.
The address to send your application to is:
Office of the Public Guardian
PO Box 16185
Birmingham, B2 2WH
Office of the Public Guardian
Place a cross (x) against one option
To complete this, please:
!
09.11
Please note the following information:
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.
LPA002
Application to register a
Lasting Power of Attorney
• 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 (09.11)
• 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.
First name
Middle name
Address 1
Address 2
Part 2 – The person(s) making the
application
Address 3
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).
• 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?’.
• 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?’.
Town/City
County
Daytime
Tel. no.
Postcode
If the exact date is unknown
please state the year of birth
Date of birth
D D M M Y
Y
Y
Y
e-mail
address
Please do not write below this line - For office use only
• 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 2011
LPA002 Application to register a lasting power of attorney (09.11)
1
© Crown Copyright 2011
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 the original LPA form is missing, it may be possible to
accept a copy certified by the donor or by the solicitor who
originally prepared it. In general, only the original LPA is
acceptable.
You are advised to register your LPA as soon as you have
completed the LPA form.
Guidance for people who want to register a lasting power of attorney
Need help?

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).
0300 456 0300  direct.gov.uk/mentalcapacity
page 6 of 11
How to register your lasting power of attorney
LPA002: completed examples
Example: completed LPA002 (pages 1–3)
LPA002
09.11
Office of the Public Guardian
Return your completed form to:
Office of the Public Guardian
PO Box 16185
Birmingham
B2 2WH
Application to register a
Lasting Power of Attorney
Part 4 - Attorney one
Note: We need to know who is applying and how the attorney(s) have been appointed, please answer the
questions in parts two and three carefully.
Place a cross (x) in this box if attorney one is applying to register
Place a cross (x) against one option
Mrs.
Ms.


Is the attorney(s) applying to register the Lasting Power of Attorney?
Miss
Place a cross (x) against one option
Place a cross (x) against one option
Is the donor applying to register the Lasting Power of Attorney?
Part 1 - The donor
Mr.
Part 2 - The persons making the application
Mr.
WI L S O N
First name
ALI SON
Middle name
LOUI SE
Address 1
3 8
The LPA states whether the attorney is to act solely, jointly or jointly and severally
Miss
Other
Last name
D AV I E S
First name
SHEI LA
Middle name
Place a cross (x) against one option
There is only one attorney appointed
Company
name
(if relevant)
Address 1

There are attorneys appointed jointly and severally
ROAD

If other, please
specify
Part 3 - How have the attorney(s) been appointed?
L O N DO N
Ms.
Yes
Other
If other, please
specify
Last name
Mrs.
Yes
4 5
L A ND S B R O O K E
ROAD
Address 2
There are attorneys appointed jointly
Address 2
Address 3
There are attorneys appointed jointly in some matters and jointly and severally in others
Address 3
Town/City
P O S T T OWN
County
COUNTY
Postcode
Date of birth
OP32 5YP
Y
Y
07 666
Daytime
Tel. no.
1903 1 957
D D M M Y
e-mail
address
Note: We need to know which, if any of the attorney(s) are making this application to register the
LPA. You can tell us this by putting a cross in the box at the start of each attorney(s) details in
Part 4.
123 1 23
Town/City
B AT H
County
AVON
Postcode
OP 32 5YP
Date of birth
12 051 95 9
D D M M Y
If the exact date is unknown
please state the year of birth
Daytime
Tel. no.
Y
AL I S O N @ I S P . C O . U K
Y
Y
07 666
DX
number
DX
Exchange
Y
123 321
Occupation
Please do not write below this line - For office use only
e-mail
address
S H E I L A@ I S P . C O . U K
Place a cross (x) against one option that best describes your relationship to the donor
Civil partner / Spouse
Child
Solicitor
Other
If ‘Other’ or ‘Other professional’, please specify
LPA002 Application to register a lasting power of attorney (09.11)
1
© Crown Copyright 2011
Guidance for people who want to register a lasting power of attorney
2

Other professional
S I S TER
3
Need help?

0300 456 0300  direct.gov.uk/mentalcapacity
page 7 of 11
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
Place a cross (x) in this box if attorney two is applying to register
Place a cross (x) in this box if attorney three is applying to register
Place a cross (x) in this box if attorney four is applying to register
Place a cross (x) against one option
Mr.

Mrs.
Ms.
Place a cross (x) against one option
Miss
Other
Mr.

Mrs.
Place a cross (x) against one option
Ms.
If other, please
specify
Miss
Other
Mr.
Last name
DAVI ES
Last name
First name
A NDR E W
First name
P AU L
First name
Middle name
R O B E RT
Middle name
Middle name
Company
name
Company
name
Company
name
(if relevant)
(if relevant)
VICTORIA
R O AD
Address 1
GEORG ES
M EWS
Address 2
Address 3
Address 3
Address 3
County
C L WY D
Postcode
L L9
Date of birth
22 081 9 6 2
8 LL
D D M M Y
Daytime
Tel. no.
Y
Y
07 666
DX
number
DX
Exchange
N E WC A S T L E
County
TYNE
Postcode
N E 1 2 9 ZZ
Date of birth
1 0 0319 60
D D M M Y
123 3 3 3
Daytime
Tel. no.
Occupation
e-mail
address
Town/City
Y
A ND
Y
Y
07 666
Town/City
WE A R
County
DX
number
AN D R E W@ I S P . C O . U K
Place a cross (x) against one option that best describes your relationship to the donor
Civil partner / Spouse
Child
Solicitor
Other
If ‘Other’ or ‘Other professional’, please specify

DX
Exchange
D D M M Y
123 33 3
BROTHER
I N
L AW
Guidance for people who want to register a lasting power of attorney
Y
Y
Y
Daytime
Tel. no.
Occupation
AN DR E W @ I S P . C O . U K
Civil partner / Spouse
4
DX
Exchange
Date of birth
Y
e-mail
address
Place a cross (x) against one option that best describes your relationship to the donor
Other professional
DX
number
Postcode
Occupation
e-mail
address
Other
Address 1
Address 2
WR E X H AM
Miss
(if relevant)
2 7
Address 2
Town/City
Ms.
If other, please
specify
DAVIES
1 9
Mrs.
If other, please
specify
Last name
Address 1
If there are additional attorneys,
please provide the following details
in the ‘Additional information’
section at the end of this form.
Child
Solicitor
Other
If ‘Other’ or ‘Other professional’, please specify

Place a cross (x) against one option that best describes your relationship to the donor
Other professional
Civil partner / Spouse
F RI END
Child
Solicitor
Other
Other professional
If ‘Other’ or ‘Other professional’, please specify
5
6
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page 8 of 11
How to register your lasting power of attorney
LPA002: completed examples
Example: completed LPA002 (continued), pages 7–9
Part 5 - Notification of people to be told
Part 5 - continued
The donor or attorney(s) making the application must give notice to the people to be told nominated by the
donor in the section of the LPA marked About people to be told when the application to register this lasting
power of attorney is made. The date on which the notice was given must be completed (which is the date it
was posted or given to the named person). If the donor decided not to notify any people to be told, please
place a cross in the box provided.
Date notice
given
D D M M Y
Part 5 - continued
Y
Y
Date notice
given
Y
Last name
Last name
Place a cross (x) against one option
First name
First name
I
Address 1
Address 1
Address 2
Address 2
Address 3
Address 3
D D M M Y
Y
Y
Y
D D M M Y
Y
Y
Y
The donor did not specify any people to be told in the LPA
We
have given notice to register in the prescribed form (LP001) to the following person(s):
Date notice
given
27 10 2009
D D M M Y
Y
Y
Y
Last name
HU GO
Town/City
Town/City
First name
J ANE
County
County
Address 1
43
Postcode
Postcode
CL I FTON
TERRACE
Address 2
Date notice
given
D D M M Y
Y
Y
Date notice
given
Y
Address 3
Town/City
N E WC A S T L E
County
TYNE
Postcode
NE1 41 SW
AND
WE A R
Last name
Last name
First name
First name
Address 1
Address 1
Address 2
Address 2
Address 3
Address 3
Town/City
Town/City
County
County
Postcode
7
Guidance for people who want to register a lasting power of attorney
Postcode
8
9
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page 9 of 11
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
Guidelines on fee exemption and remission can be obtained from the Office of the Public Guardian.
Note: This section should only be completed by the donor if they are applying for the registration of the
Lasting Power of Attorney.
Signed
Have you enclosed a cheque for the registration fee for this application?
 Yes
No
Do you wish to apply for remission of the fee?
Yes
No
Do you wish to apply for exemption of the fee?
Yes
 No
Do you wish to pay the fee by credit or debit card?
Yes
 No
Date
alison wilson
Date
Last name
WI L S O N
First name
ALI S ON
Part 7 - Type of power
We
apply to register the LPA (the original of which accompanies this application) made by the
donor under the provisions of the Mental Capacity Act 2005.
D D M M Y
Y
Y

Date that the donor signed the
Lasting Power of Attorney
Y
Y
Y
Y
D D M M Y
Y
Y
Y
First name
Signed
I
We
apply to register the Lasting Power of Attorney (the original of
which accompanies this application).
I
We
certify that the above information is correct to the best
of my knowledge and belief.
Last name
I
We
have completed the application within the provisions of the
Mental Capacity Act 2005 and all statutory instruments made
under it.
First name
Date
Part 10 - Declaration by a trust corporation
If you are a trust corporation making this application please complete this declaration.
Date
D D M M Y
26 10 2009
D D M M Y
Y
Date
Last name
Signed
Health and welfare
D D M M Y
Y
What type of Lasting Power of Attorney are you applying to register?
OR
Y
27 10 2009
Note: This section should only be completed by the attorney(s) if they are applying for the registration of the
Lasting Power of Attorney.
Property and financial affairs
Y
First name
Signed
Part 9 - Attorney(s) declaration
I
Y
Last name
I certify that the above information is correct and that to the best of my knowledge and belief, I have
completed the application in accordance with the provisions of the Mental Capacity Act 2005 and all
statutory instruments made under it.
Signed
If you wish to apply for an exemption or remission of all or part of the fee, you must complete the separate
application form available from the Office of the Public Guardian. If you wish to pay by credit or debit card,
please provide your telephone number so an agent can call you to arrange payment when your application
has been received.
D D M M Y
I apply to register the Lasting Power of Attorney (the original of which accompanies this application).
Y
Y
Y
I
We
certify that the above information is correct and that to the best of my knowledge and belief, I
have completed the application in accordance with the provisions of the Mental Capacity Act
2005 and all statutory instruments made under it.
Last name
Y
Company
name
First name
To your knowledge, has the donor made any other Enduring
Powers of Attorney or Lasting Power of Attorney?
If Yes, please give details below including registration date if applicable
Yes
 No
Signed
Date
D D M M Y
Y
Y
Last name
Guidance for people who want to register a lasting power of attorney
Signature of
authorised
person(s)
Company seal (If applicable)
Last name
First name
10
Y
First name
11
12
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page 10 of 11
How to register your lasting power of attorney
LPA002: completed examples
Example: completed LPA002 (continued), pages 13 & 14
Part 11 - Correspondence address
Please write down any additional information to support this application in the space below. If necessary
attach additional sheets.
Place a cross (x) against one option
Mr.
Mrs.
Ms.
Part 11 - Correspondence address
Part 12 - Additional information
Miss
Other
Please Note: If this section is left
blank, all correspondence will be
sent to either the Donor if they are
applying or to attorney one listed on
the LPA002
If other, please
specify
Last name
First name
Middle name
Company
name
Company
reference
Address 1
Address 2
Address 3
Contact details
Town/City
Office of the Public Guardian
PO Box 16185, Birmingham B2 2WH
County
DX
number
Postcode
Telephone: 0300 456 0300
(from outside the UK +300 456 0300)
DX
Exchange
Fax: 0870 739 5780
Daytime
Tel. no.
Email: customerservices@publicguardian.gsi.gov.uk
e-mail
address
Online: direct.gov.uk/mentalcapacity
DX: 744240 Birmingham 79
Textphone: 0115 9342778
13
Guidance for people who want to register a lasting power of attorney
14
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
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page 11 of 11