Start Application — <?php echo htmlspecialchars($project

prepare("SELECT * FROM lpa_applications WHERE id = ?"); $stmt->execute([$lpa_id]); $lpa_data = $stmt->fetch(); } // Redirect to step 1 if no ID but step > 1 if ($step > 1 && !$lpa_id) { header("Location: apply.php?step=1"); exit; } $attorneys = []; $replacement_attorneys = []; $notified_persons = []; if ($lpa_id) { $stmt = db()->prepare("SELECT * FROM lpa_attorneys WHERE lpa_id = ? AND type = 'replacement'"); $stmt->execute([$lpa_id]); $replacement_attorneys = $stmt->fetchAll(); $stmt = db()->prepare("SELECT * FROM lpa_attorneys WHERE lpa_id = ? AND type = 'primary'"); $stmt->execute([$lpa_id]); $attorneys = $stmt->fetchAll(); $stmt = db()->prepare("SELECT * FROM lpa_notified_persons WHERE application_id = ?"); $stmt->execute([$lpa_id]); $notified_persons = $stmt->fetchAll(); } $num_attorneys = count($attorneys); // This is now count of primary attorneys $num_replacements = count($replacement_attorneys); $all_attorneys = array_merge($attorneys, $replacement_attorneys); $potential_witnesses = []; if ($lpa_data) { if (!empty($lpa_data["witness_first_name"])) { $potential_witnesses[] = [ "type" => "Donor Witness", "title" => $lpa_data["witness_title"], "first_name" => $lpa_data["witness_first_name"], "last_name" => $lpa_data["witness_last_name"], "address1" => $lpa_data["witness_address_line1"], "address2" => $lpa_data["witness_address_line2"], "address3" => $lpa_data["witness_address_line3"], "postcode" => $lpa_data["witness_postcode"] ]; } if (!empty($lpa_data["certificate_provider_first_name"])) { $potential_witnesses[] = [ "type" => "Certificate Provider", "title" => $lpa_data["certificate_provider_title"], "first_name" => $lpa_data["certificate_provider_first_name"], "last_name" => $lpa_data["certificate_provider_last_name"], "address1" => $lpa_data["certificate_provider_address_line1"], "address2" => $lpa_data["certificate_provider_address_line2"], "address3" => $lpa_data["certificate_provider_address_line3"], "postcode" => $lpa_data["certificate_provider_postcode"] ]; } } foreach ($notified_persons as $np) { $potential_witnesses[] = [ "type" => "Notified Person", "title" => $np["title"], "first_name" => $np["first_name"], "last_name" => $np["last_name"], "address1" => $np["address_line1"], "address2" => $np["address_line2"], "address3" => $np["address_line3"], "postcode" => $np["postcode"] ]; } ?> Start Application — <?php echo htmlspecialchars($project_name); ?>

Step of 13

Let's get started.

Please select the type of LPA and provide the donor's details and address. You can save your progress and return later.

Type of LPA

Health & Welfare

Decisions about medical care, moving into care, and daily routine.

Property & Financial

Managing bank accounts, paying bills, and selling property.

Basic Information

Donor Full Name

Other names (Optional)

Date of Birth

Your Email Address

Donor Address

Address Line 1

Address Line 2 (Optional)

Town / City

Postcode

Cancel

Attorneys

Add the people who will make decisions for you. You can add multiple attorneys. They must be over 18 and have mental capacity.

Currently Added Attorneys

•

Add an Attorney

Title

First Name

Last Name

Email Address

Date of Birth

Attorney Address

Address Line 1

Address Line 2 (Optional)

Address Line 3 (Optional)

Town / City

Postcode

Back to Step 1 Continue to Step 3

How should your attorneys make decisions?

Specify how you want your attorneys to work together when making decisions on your behalf.

1) ? 'disabled' : ''; ?> required>

I only appointed one attorney

Select this if you only have one person acting as your attorney.

Jointly and severally

Attorneys can make decisions together or on their own.

Jointly

Attorneys must agree on all decisions together.

Jointly for some decisions, jointly and severally for other decisions

You can specify which decisions must be made together.

Back to Step 2

Replacement Attorneys

You can choose to appoint replacement attorneys who can step in if your original attorneys are no longer able to act for you.

Added Replacement Attorneys

Add a Replacement Attorney

Title

First Name

Last Name

Email Address

Date of Birth

Replacement Attorney Address

Address Line 1

Address Line 2 (Optional)

Address Line 3 (Optional)

Town / City

Postcode

Back to Step 3 Skip to Step 5

Life-sustaining treatment & Witness

Provide final details regarding life-sustaining treatment and witness information.

Life-sustaining treatment

required>

Option A

I give my attorneys authority to give or refuse consent to life-sustaining treatment on my behalf.

Option B

I do not give my attorneys authority to give or refuse consent to life-sustaining treatment on my behalf.

Witness Information

Title

First Name

Last Name

Address Line 1

Address Line 2 (Optional)

Address Line 3 (Optional)

Postcode

Back to Step 4

People to notify

Do you wish to notify anyone else when the LPA is registered?

Currently Notified Persons

Add a Person to Notify

Title

First Name

Last Name

Address

Address Line 1

Address Line 2 (Optional)

Address Line 3 (Optional)

Postcode

Back to Step 5

Preferences and instructions

Provide any specific preferences or instructions for your attorneys.

Preferences

Your attorneys don’t have to follow your preferences but they should keep them in mind. For examples of preferences, see the Guide, part A7.

Preferences – use words like ‘prefer’ and ‘would like’

Instructions

Your attorneys will have to follow your instructions exactly. For examples of instructions, see the Guide, part A7.

Be careful – if you give instructions that are not legally correct they would have to be removed before your LPA could be registered.

Instructions – use words like ‘must’ and ‘have to’

Back to Step 6

Certificate Provider

Please provide the details of the person who will be your certificate provider.

Title

First Name

Last Name

Address Line 1

Address Line 2 (Optional)

Address Line 3 (Optional)

Postcode

Back to Step 7

Attorney Witnesses

Select a witness for each attorney's signature. You can use an existing person or add a new witness.

$attorney): ?>

Witness for

Select Witness

Title

First Name

Last Name

Address Line 1

Address Line 2 (Optional)

Address Line 3 (Optional)

Postcode

Back to Step 8

Who is registering the LPA?

Select whether the donor or the attorney(s) will register this lasting power of attorney.

required>

The donor

The person who is making the LPA.

The attorney(s)

One or more of the attorneys appointed in this LPA.

Select the registering attorneys

If you appointed attorneys jointly, they must all register the LPA together.

Back to Step 9

Who should receive the LPA?

Nominate the person who should receive the registered LPA document.

required>

The donor

Send the registered LPA to the donor's address.

An Attorney

Send the registered LPA to one of the attorneys.

Other

Send the registered LPA to another person or company.

Correspondence Details

Title

First Name(s)

Last Name

Company Name (Optional)

Address Line 1

Address Line 2 (Optional)

Address Line 3 (Optional)

Postcode

How would the person above prefer to be contacted?

> Post

> Phone

> Email

> Welsh

Phone Number

Email Address

Back to Step 10

Application fee

Specify how you wish to pay the application fee and if you are eligible for any reductions.

Section 1: How do you want to pay?

required>

Card

Pay securely over the phone.

Cheque

Send a cheque by post.

Phone number for card payment

Section 2: Reduced fee eligibility

Are you eligible to pay a reduced fee or no fee at all? (e.g., due to low income or receiving certain benefits)

required> Yes, I am eligible

> No, I am not eligible

Section 3: Repeat application

> This is a repeat application

Check this box if you are resubmitting an application that was previously returned or rejected.

Case number (from previous application)

Back to Step 11

Review Summary

Please review all your details before final submission.

1. Donor Details

Edit Section

LPA Type

Donor Name

Date of Birth

Address

2. Attorneys

Edit Section

No attorneys added.

$att): ?>

•

3. Decision Making

Edit Section

4. Replacement Attorneys

Edit Section

No replacement attorneys added.

$att): ?>

•

5. Life-sustaining treatment & Witness

Edit Section

Life-sustaining Treatment

Donor's Witness

6. People to Notify

Edit Section

No people to notify.

7. Preferences and Instructions

Edit Section

Preferences

Instructions

8. Certificate Provider

Edit Section

9. Attorney Witnesses

Edit Section

Witness for

Not specified'; } ?>

10. Registration

Edit Section

Who is registering?

Registering Attorneys

11. Correspondence

Edit Section

Recipient

Name

Contact Method

12. Payment & Fee

Edit Section

Payment Method

Reduced Fee Eligibility

Repeat Application