Appendix C: Substitute Decisions Act, 1992 Forms

• Author: Richard D. Schneider; Caitlin Pakosh; Lora Patton
• Pages: 636-659

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APPENDIX C

Substitute Decisions Act, 1992 Forms

Form  Application to Replace the Public Guardian and Trustee as Statutory Guardian of Property

under Section 

Form  Management Plan

Form  Guardianship Plan

Form  Request for Assessment of Capacity under Section 

Form  Statement of Grantor under Subsection  ()

Form  Optional Statement to Appoint a Guardian of the Person under Subsection  ()

Form  Optional Statement to Terminate Guardianship of the Person under Subsection  ()

Form  Statement to Appoint a Guardian of Property by Summary Disposition under Section 

Form  Statement to Terminate Guardianship of Property by Summary Disposition under

Section 

Form  Application to the Board for a Review of a Finding of Incapacity to Manage Property

under Subsection .() of the Substitute Decisions Act

Substitute Decisions Act, 1992 Forms Form 

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Ministry of the

Attorney General

Application to Replace the Public Guardian and

Trustee as Statutory Guardian of Property under

Section 

Form 

Substitute Decisions Act, , O. Reg. /

Note: Attach additional pages if more space is needed.

Name of Incapable Person

Last Name First Name Middle Initial

Date of Birth (yyyy/mm/dd) Home Telephone Number

Unit Number Street Number Street Name PO Box

City/Town Province Postal Code

Your relationship to the incapable person is:

* “Spouse” means a person,

a. to whom the person is married, or

b. with whom the person is living in a conjugal relationship outside marriage, if the two persons,

i. have cohabited for at least one year,

ii. are together the parents of a child, or

iii. have together entered into a cohabitation agreement under section  of the Family Law Act;

(“conjoint”)

** Two persons are “partners” if they have lived together for at least one year and have close personal

relationship that is of primary importance in both persons’ lives.

. Spouse* . Partner** . Relative(describe relation)

Or, you are a

. Trust corporation .  Attorney under a continuing power of attorney made prior to the

date the Certicate of Incapacity was issued and which does not give

the attorney authority over all of the incapable person’s property

Attachment(s) required

If box  above is completed, copy of the consent of the incapable person’s spouse or partner

If box  above is completed, copy of continuing power of attorney