Blue Line Law Firm

Welcome to the Blue Line Young Adult Incapacity Plan!

Here are a few tips before you begin:

1. Do not overthink this! These questions are designed to get you thinking. All answers will be reviewed with a qualified and licensed attorney and can be changed.

2. This is designed to be quick and easy! Typically taking people about 15-20 minutes to complete.

3. You can revisit the site if you need to make changes or updates at any time (just use the username and password you created).

4. After you are satisfied with your answers, you will click to submit them. You will then be directed to pay for your plan.

5. Once completed and paid, our attorney will review them and prepare them for signing.

If you run into any issues or problems, reach out to our team for assistance at (888) 611-9511

Registration Info

Provide your details below to get started on your Young Adult Incapacity Plan

First Name *

Middle Name

Last Name *

Email *

Password *

Cell *

Young Adult Info

Are you a parent filling this out for your college student? *

✓

Yes

✓

No

Please select "Are you a parent filling this out for your college student?".

Your Contact Details

Name:

Date Of Birth *

Also known as(optional)

Suffix(optional)

✓

Jr

✓

Sr

✓

II

✓

III

✓

Other

Gender

✓

Male

✓

Female

Your Address

Full Address: *

State

Financial Power of Attorney

Provide the information of one or more individuals who will serve as your agent under the Durable Power of Attorney:

Primary Agent: *

Phone Number *

Email *

Address *

Health Care POA

Please provide the information of one or more individuals who will serve as your health care agent:

Do you wish to use the same agents as your Financial Durable POA? *

✓

Yes

✓

No

Primary Agent: *

Phone Number *

Email *

Address *

Would like your Agents to serve jointly? *

✓

Yes

✓

No

Submission Screen

If you would like to review your responses, you can select each screen and review your answer or select the previous button which will open a print screen page. Click the “Submit” button below to be directed to a page where you will be able to pay for your chosen plan. After payment is received, your information will be securely sent to our office for preparation of your documents.

Preview Answers

Your Progress