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Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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You may want to ask an attorney in your state but generally the Power of Attorney gives the holder the right to write checks and handle finances for the person involved, as well as make other decisions. The POA dies when the person dies (thus a will is vital - a will with an appointed executor). But the holder does not take on the debts. Still, just in case there is a twist in your state law, if you are worried you may want to check with an attorney. Carol
In a simular situation, what if the person who wants to have power of attorney is the person who has been taking my mom's money and does not have her best interest
Hi Carol, My mom has not appointed anyone, my dad still lives at home but for someone reason my sister feels she is going to be poa. I stepped in last week when my was admitted to the hospital last week (dementia). My dad is afraid and not sure what he should do. I have contacted an attorney who handles these issues and is sending infor for me. But I don't trust my sister, because she has taken money and assets from my mom before and explained her way out of it when my mom was sound minded.
My eldest sister keeps telling me that she will be responsible for my parents debts when they die. I find that hard to believe. Actually, I don't believe it. I can't figure out why she is telling me this. She does handle their funds now and is on the will to divide any inheritance between the 4 of us, but I cannot believe she will be responsible for any debts. I thought debts come out of whatever they do have when they die, or if there is nothing, the debts are just cancelled. Plus, why would SHE be responslible and not all of us?
Your sister is older thats the problem older children always feel that they should take over everthing. If she is the person who pays their bills and is on the will as the head. She'sgoing to feel responsible. but if I were you I would infilrated the situation and push your presents and let her know that tou want to take over some of the debt or you want to be more involved with their matters.
Thank you! An addendum: Are the form generated through, for example, legacywriter.com valid? I want to avoid lawyers as they charge more than either my mother or I can afford. We did get one for when she made out her will - and my sister paid for it - but for the little bit of time and effort she put into the project it seemed to me outrageously priced.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Carol
My mom has not appointed anyone, my dad still lives at home but for someone reason my sister feels she is going to be poa.
I stepped in last week when my was admitted to the hospital last week (dementia). My dad is afraid and not sure what he should do. I have contacted an attorney who handles these issues and is sending infor for me.
But I don't trust my sister, because she has taken money and assets from my mom before and explained her way out of it when my mom was sound minded.
I can't figure out why she is telling me this. She does handle their funds now and is on the will to divide any inheritance between the 4 of us, but I cannot believe she will be responsible for any debts. I thought debts come out of whatever they do have when they die, or if there is nothing, the debts are just cancelled. Plus, why would SHE be responslible and not all of us?