Nova Scotia Public Trustee Office - Forms and Guides
Applications to have the Public Trustee administer the finances of an incompetent individual under the Hospitals Act, Involuntary Psychiatric Treatment Act and Personal Directives Act requires the following forms completed in full.
Refer to the guidelines documents for further details on completing applications.
Financial Referrals
- Quick Reference Guide for making a Referral to the Public Trustee for Financial Services (PDF)
- Form 1: Referral to Public Trustee (Personal Directives Act) Regarding Finances of Person Requiring Continuing-Care or Home-Services Care (Public Trustee Act) (PDF)
- Form 2: Declaration of Competency to Administer Estate Regarding Person Requiring Continuing-Care or Home-Services Care (PDF)
- Form C Declaration of Competency (Hospitals Act) (PDF)
- Form E Section 59 Notice to Public Trustee (Hospitals Act) (PDF)
- Adult Living Estate Questionnaire (PDF)
Health Care Referrals
Substitute Decision Maker Identification Form (SDM-ID)
Health Care, Home Care, and Placement to a Continuing Care Home (Personal Directives Act)
- Request for Decision for Health Care, Home Care, or Placement Public Trustee Office Pursuant to the Personal Directives Act (PDF)
- Form 1 – Assessment of Capacity to Make decisions about a Personal Matter (Personal Directives Act) (PDF)
Medical and Surgical Treatment (Hospitals Act)
- Quick Reference Guide for referrals pursuant to the Hospitals Act (PDF)
- Referral form for Medical and Surgical Treatment (PDF)
- Referral form for Subsequent Medical Treatment (PDF)
- Form A – Declaration of Capacity to Consent to Treatment (Hospitals Act) (PDF)
Psychiatric Treatment and Community Treatment Orders (Involuntary Psychiatric Treatment Act)
- Quick Reference Guide for referrals pursuant to the Involuntary Psychiatric Treatment Act (PDF)
- Referral form for Psychiatric Treatment and Community Treatment Orders (PDF)
- Subsequent Psychiatric Treatment Form (PDF)
- Form 4 - Declaration of Involuntary Admission (PDF)
- Form 5 - Declaration of Renewal of Involuntary Admission (PDF)
- Form 9 - Community Treatment Order and Community Treatment Plan (PDF)
- Form 10 - Renewal of Community Treatment Order (PDF)
Deceased Estate Referrals
Personal Directives
- Form 1: Assessment of Capacity to make Decisions about a Personal Care Matter (PDF)
- Personal Directives Act Allied Health Roster (PDF)
Adult Capacity and Decision-Making Act (ACDMA)
Allied Health Roster
Forms and Reports
- Form 1 - Capacity Assessment Report (PDF)
- Form 2 - Representation Plan (PDF)
- Form 3 - Complaint Respecting a Representative (PDF)
- Form 4 - Financial Accounts (PDF)
- Form 5 - Personal Care/Health Care Report (PDF)
- Form 6 - Request for Payment of capacity Assessment Report (PDF)
- Guide - If you need representation (PDF)
- Guide - Adult Representation (PDF)
- Guide - Applying for a Review (PDF)
- Becoming a Representative for a Loved One brochure - print version (PDF)
Capacity Assessment Education Program
Applications are closed.