PART B — PENDING TERMINATION OF YOUR APPOINTMENT
Your appointment as the person’s representative is to terminate on the date shown below because:
Place a cross in the relevant box below (B1–B6) Ø
B1 The standard authorisation will expire on that date.
B2 The person selected you to be their representative and they have informed the
supervisory body that they now object to you continuing to be their representative.
B3 A donee of a lasting power of attorney or deputy appointed by the Court of Protection who
selected you has now informed the supervisory body that they now object to you
continuing to be the person’s representative.
B4 The supervisory body is satisﬁ ed that you are not maintaining sufﬁ cient contact with
the person in order to support and represent them.
B5 The supervisory body is satisﬁ ed that you are not acting in the best interests
of the person.
B6 The supervisory body is satisﬁ ed that you are no longer eligible, or were not eligible
at the time of appointment, to be a representative.
PART C — DATE ON WHICH YOUR APPOINTMENT TERMINATES
Your appointment will terminate at the end of the day on:
Enter date above ×
If you wish to make any representations as to why your appointment should not terminate on this date then
please make them to the supervisory body before then.
PART D — THE SUPERVISORY BODY’S REASONS
If your appointment is to be terminated on ground B4, B5 or B6 above, the supervisory body’s reasons for
deciding that the particular ground applies are as follows:
(on behalf of the supervisory body)
GFSB-Liberty Form 26.indd 2 19/2/09 13:27:48
Please Use Continuation Sheet
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