Authority to pay gifts or make charitable donations
Please read the following guidance notes before completing this form in BLOCK CAPITALS and black ink.
Client details: Insert the full name of the client and the 8-digit case reference number (this can be found on the order or any other correspondence
that you may have received from the Court of Protection) in the spaces provided.
Gift/donation: Please state the name of person/organisation that the gift or donation is intended for. Please only tick one box to indicate gift/donation
Please tick one box per beneficiary
Name of beneficiary
Total amount requested
I declare the information provided on this form is correct and the gift/donation is a true reflection of the
wishes of the above named client. The amount requested does not exceed the total amount of
gifts/donations permissible within 12 calendar months as stipulated on the order or I have attached the
specific gift/donation order with this form. I have also completed and included Form P with this
Court Funds Office – Form PG Sept 2007