Comprehensive Fiduciary Authorization for High-Net-Worth Client Accounts

Account Holder Full Legal Name

Account Holder Date of Birth

Primary Account Number(s) - Comma Separated

Account Holder Registered Address

Account Holder Primary Identification Document Number

Account Holder Tax Identification Number

Designated Attorney-in-Fact Full Legal Name

Attorney-in-Fact Date of Birth

Attorney-in-Fact Primary Identification Document Number

Attorney-in-Fact Tax Identification Number

Attorney-in-Fact Residential Address

Attorney-in-Fact Professional Occupation

Attorney-in-Fact Professional License/Registration Number

Nature of Attorney-in-Fact Appointment

Corporate Jurisdiction of Incorporation

Trust Registration/Identification Number

Court Order Reference Number

Relationship to Account Holder

Has this Attorney-in-Fact previously acted in fiduciary capacity for other clients of this institution?

Provide details of previous fiduciary appointments including client references and tenure:

Attorney-in-Fact Direct Phone Number

Attorney-in-Fact Secure Email Address

Rationale for Attorney-in-Fact Appointment

Upload Attorney-in-Fact Government-Issued Photo Identification

Upload Attorney-in-Fact Proof of Residential Address

Upload Account Holder Consent or Board Resolution Authorizing Appointment

Power of Attorney Type

Specify Limitations and Restricted Activities in Detail:

Define Triggering Event(s) for Activation:

Authorized Transaction Categories (Select All That Apply)

Transaction Authorization Ceilings by Category

Does the Attorney-in-Fact have authority to establish new accounts or sub-accounts in the Account Holder's name?

Specify Permitted Account Types and Jurisdictional Limitations:

Are there specific investment product restrictions?

Investment Product Authorization Matrix

Geographic Restrictions on Transactions (if any)

Is the Attorney-in-Fact authorized to delegate powers to sub-agents?

Specify Delegation Parameters and Sub-Agent Oversight Requirements:

Power of Attorney Effective Date

Power of Attorney Expiration Date (if applicable)

Does the POA terminate upon Account Holder incapacitation?

Special Conditions or Contingencies for POA Activation/Termination

Power of Attorney Document Execution Date

POA Document Jurisdiction of Execution

Is the Power of Attorney document duly notarized by a licensed notary public?

Notary Jurisdiction

Explain Alternative Authentication Method and Provide Supporting Legal Justification:

Were independent witnesses present during POA execution?

Provide Witness Full Names, Addresses, and Contact Information:

Does the POA require legalization or apostille for international recognition?

Issuing Apostille Authority

I confirm that the POA document has been verified against original primary source documents and certified copies have been created

Has a legal opinion been obtained regarding POA validity and enforceability?

Upload Legal Opinion Letter from Qualified Counsel

Fraud Prevention Verification Level Applied

Document Custody Location and Access Control Protocol

Are there any amendments, codicils, or supplemental agreements to the primary POA?

Upload All Amendments and Supplemental Documents

Detailed Source of Wealth Declaration for Attorney-in-Fact

Is the Attorney-in-Fact a Politically Exposed Person (PEP) or closely associated with a PEP?

Provide PEP Details: Position Held, Jurisdiction, Relationship Nature, and Risk Mitigation Measures:

Sanctions and Watchlist Screening Results

Has adverse media screening been conducted?

Summarize Adverse Media Findings (if any) and Resolution Actions:

Beneficial Ownership Transparency - Attorney-in-Fact Corporate Structure (if applicable)

Does the Attorney-in-Fact maintain accounts with institutions in high-risk jurisdictions?

List Jurisdictions and Account Purposes with Enhanced Monitoring Requirements:

Overall AML Risk Rating for this Fiduciary Appointment

Is Enhanced Due Diligence (EDD) required based on risk assessment?

Detail EDD Measures Implemented and Additional Controls:

Transaction Monitoring Profile - Expected Activity Patterns

I confirm that all AML screening has been completed in accordance with institutional policies and regulatory requirements

Upload Comprehensive AML Screening Report and Supporting Documentation

Has Wealth Management Legal Counsel reviewed all documentation for legal sufficiency?

Legal Counsel Comments and Conditions:

Explain Legal Concerns and Required Remedial Actions:

Does Legal Counsel approve activation of fiduciary authority?

Specify Legal Objections and Recommended Next Steps:

Wealth Management Legal Counsel Signature

Legal Counsel Approval Date

Legal Counsel Name and Professional Designation

Has Compliance Director completed all regulatory and AML clearance checks?

Compliance Director Summary of Risk Assessment and Ongoing Monitoring Plan:

Identify Outstanding Compliance Issues and Resolution Timeline:

Does Compliance Director grant final clearance for fiduciary onboarding?

Document Compliance Objections and Escalation Path:

Compliance Director Signature

Compliance Director Approval Date

Compliance Director Name and Title

Does this appointment require escalation to the Institutional Risk Committee?

Risk Committee Approval Date

I confirm that all required documentation is complete, properly filed, and ready for activation

I acknowledge that this fiduciary authorization will be subject to periodic review and may be suspended pending re-verification

Final Activation Notes and Special Handling Instructions

Fiduciary Authority Activation Date/Time