Mandate in case of incapacity
(Province of Quebec only)
(Also known as Power of attorney)
Price : $24.50 + taxes
Special couple : $45.00 + taxes

Receive your Mandate form by e-mail immediately after payment

Also available:

Complete package including Quebec Will, Mandate, Living Will and
Funeral arrangements

This detailed form enables you to draft a thorough and high quality Mandate in case of incapacity made specifically for Quebec civil law

Order by Internet (secure order form)
Order by telephone
Pay by cheque or money order

Table of contents of the Mandate: This complete Mandate form provides the legal tools necessary to meet the needs of most individuals: Identification of mandator (person doing the mandate) and civil status Identification of mandatory (person who will act for the mandator in case of incapacity) Identification of substitute mandatory Provisions relating to the Person General Medical record Home care Extraordinary medical measures (artificial life support) Required authorisations Provisions relating to Property Financial transactions Access to safety deposit box, mail Reports Insurance Clauses if tenant Clauses if apartment building owner Clauses if condominium owner Clauses if home owner Power to sell moveables and real estate Releases and receipts Inventory Rendering of account Guardian to minor children Payment for mandatory Other clauses Consultation of other close relatives Revocation Resignation and replacement of mandatory Signature Witness' statements Affidavit that can be filled in by witnesses to your Mandate (filling in is optional); Instructions and recommendations to the mandator PLEASE NOTE: This is NOT the "Canadian Legal Will Kit", much criticised by the "Chambre des notaires" and consumer protection groups. Our Mandate is a thorough and detailed Mandate, the work of Quebec lawyers and notaries. Press review Comments from our clients Jurismedia inc. Since 1997 Among our institutional clients... Four easy steps to making your Mandate in Quebec: After placing your order, the appropriate file(s) will be sent to you by e-mail. The file can be opened by any word processor (Word, WordPerfect, etc…) Complete the Mandate form. Save the file, print two paper copies and sign them before two witnesses. Retain a copy of the Mandate for yourself and give another original copy to a trusted person. ORDER FORM Please complete the following: City : Province : Country : E-mail : (1) Gender of the person making the Mandate:  Male  Female Second Mandate (Optional) To order one English Mandate AND one French Mandate (English-French couple), please give us a call (450 621-8283 or 1 877 683-1815). We will place your order manually. I would like to have a second Mandate (option for couples). (1) Gender for second Mandate:  Male  Female Please make sure that your e-mail address is correct. This is where the Mandate form will be sent. Please enter the letters below before submitting the form. (Why we ask a validation code?) By clicking "Submit" you agree to respect the terms and conditions of the Purchase contract with Jurismedia, Inc. You will be transferred to a secure server hosted by our partner Desjardins (Desjardins Credit Federation) for payment by credit card Visa, Mastercard or American Express. You will receive the mandate(s) and the receipt by e-mail as soon as the transaction is authorized. If you do not receive the Mandate(s) form(s), please contact us by e-mail or telephone. Order by telephone Pay by credit card: 450 621-8283 or 1 877 683-1815 (toll free) You will receive your Mandate form by email only Open during business hours or leave a telephone number where you can be reached on our voice mail Payments by cheque You can pay by cheque. To do so, you must include: Your first name and family name Complete address Your e-mail address if you wish to receive by e-mail The form required: Male of female (or both)     E-mail Single   $ * Couple   $ * * taxes included Send this information and payment (cheque or money order) to: Jurismedia Inc. 5 Place Rambercourt Lorraine, Québec J6Z 4M7 By mailing your order, you agree to respect the terms and conditions of the Purchase contract with Jurismedia, Inc. Further information about Mandates in Quebec (French) Why draft a Mandate? Ten good reasons and "disaster cases" (French) This Mandate form was produced by Jurismedia inc. and Marc Gelinas, Attorney, based in Greater Montreal, in collaboration with several other lawyers and notaries specialized in this field. If you have questions or comments, please do not hesitate to contact : Jurismedia inc. 5 Place Rambercourt Lorraine, Quebec J6Z 4M7 Telephone : 450 621-8283 Toll free : 1 877 683-1815 (outside Montreal only) Fax : 450 621-4452 E-mail : infos@avocat.qc.ca Return to the Quebec Law Network English Home page Return to the French Home page