Selected Plan: Young Adult
Registration Info
Your Details
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Young Adult Info
Are you a parent filling this out for your college student? *
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Yes
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No

Financial Power of Attorney
Do you wish to use same agents as your Executor? *
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Yes
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No
* Click "+" to add agent

Would like your Primary Power of Attorney to serve jointly?
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Yes
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No
* Click "+" to add agent

Would you like your successor agent(s) to serve jointly or independently?
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Yes
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No
Would you like your successor agent(s) to serve jointly only?
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Yes
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No
Medical Power of Attorney
Do you wish to use same agents as your Financial Power of Attorney? *
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Yes
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No
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HIPAA Agents
Please provide a list of individuals that will have access to your medical records:
In addition to the health care agents that you nominated on the previous screens, are there any other individuals that you wish to add to your HIPAA Authorization? (See side panel for further guidance.) *
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Yes
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No
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Registration Info Young Adult Info Financial Power of Attorney Medical Power of Attorney HIPAA Agents Summary