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Power of Attorney/Financial Manager

A person can appoint another person Power of Attorney to execute documents and conduct financial and property matters on their behalf. Alternatively, a formal Financial Manager can be appointed by the Guardianship Tribunal.

Do you have a signed document for:

General Power of Attorney

Appointment Date

If yes to General Power of Attorney, copies of the relevant document must be attached

Enduring Power of Attorney

Appointment Date

If yes to Enduring Power of Attorney, copies of the relevant document must be attached

Financial Manager via Guardianship Tribunal

Appointment Date

If yes to Financial Manager via Guardianship Tribunal, copies of the relevant document must be attached

Name of Person appointed

Phone

e.g. 0412 345 678 or (02) 9123 6535

Guardian or Enduring Guardian / Advance Care Directive or treatment plan

A person can appoint a Guardian or Enduring Guardian to make decisions in relation to accommodation and medical and other care should that person be unable to do so. Alternatively, a Guardian can be appointed by the Guardianship Tribunal

Do you have a signed document for:

Guardian

Appointment Date

If yes to Guardian, copies if the relevant documents must be attached

Enduring Guardian

Appointment Date

If yes to Enduring Guardian copies if the relevant documents must be attached

Guardian via Guardianship Tribunal

Appointment Date

If yes to Guardian via Guardianship Tribunal copies if the relevant documents must be attached

Restrictive Practices Decision Maker

Appointment Date

Name of Person appointed

Phone

e.g. 0412 345 678 or (02) 9123 6535

Do you have a Living Will?

Do you have a Advance Care Directive or Treatment Plan?

If yes to any of the above, copies of the relevant documents must be attached

By signing this form, you undertake to advise Montefiore of any changes made to any of the above contracts and please send copies of all legal documents with your application

Financial information/income and assets

What best describes your finance?

Dept. of Veterans Affairs (specify type)

Other (please specify)

Pension Number

Expiry Date

Will/executor information

The Executor/s under my Will is/are: (This is for the purpose of refunding the Refundable Accommodation Deposit and other financial arrangements.)

First Name

Last Name

Contact Number

e.g. 0412 345 678 or (02) 9123 6535

Address

Suburb

State

Postcode

e.g. 2174

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Contact Information