Guidelines for Issuing a Certificate of Incapability under the Patients ...

Appendix 13 – Sample Certificate of Capability
[INSERT YOUR LOGO or HEALTH AUTHORITY LETTERHEAD HERE ]
PROVINCE OF BRITISH COLUMBIA
CERTIFICATE OF CAPABILITY
Issued Pursuant to Section 11(1)(d) of the
Patients Property Act R.S.B.C. 1996, Chapter 349
Date
Patient Name
Date of Birth
Date of Assessment(s)
___________________________________
___________________________________
___________________________________
___________________________________
I hereby certify that I am of the opinion that (full name of adult) is no longer incapable of managing
his/her own affairs.
The effect of the issuance of this Certificate is that the Public Guardian and Trustee of
British Columbia is no longer the Committee of the Estate of (full name of adult) by virtue of s. 11(1)
(d) of the Patients Property Act R.S.B.C., 1996, Chapter 349.
_________________________
SIGNATURE OF DIRECTOR
_________________________
PRINT NAME OF DIRECTOR
[Director for the purposes of the Patients Property Act as authorized by (name of Health Authority)]
cc:
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