My mandate in case of incapacity - Le Curateur public du Québec ...

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11 ACCEPTANCE BY THE MANDATARY (See note 11)
o The request to homologate this mandate by my mandatary will be deemed his acceptance of this office.
OR
o The mandatary hereby designated in this mandate:
declares the following:
NAME OF MANDATARY
1. I acknowledge that I have read this mandate and agree
to be appointed mandatary to the property or to the person or to both.
2. I agree, in case of the incapacity of , to take the
measures required by law to homologate this mandate in case of incapacity and thereafter assume the
powers and obligations of my office as mandatary.
3. If at such a time I cannot assume the office of mandatary, the substitute mandatary shall carry on in my place.
4. I agree to fulfill my duties in the interest of
and to ensure the protection of this person's rights and autonomy.
SIGNATURE OF ACCEPTING MANDATARY
THE CURATEUR PUBLIC MUST BE NOTIFIED
FULL ADDRESS
NAME OF MANDATOR
• Upon the death of the mandator, the mandatary informs the Curateur public du Québec.
• Upon the death of the mandatary, the liquidator of the succession reports the death
to the Curateur public du Québec.
Please initial the margin whenever you change a printed text.
Initials of the mandator and witnesses
OCCUPATION
NAME OF MANDATOR