1
Mental Capacity Act 2005
DEPRIVATION OF LIBERTY FORM No. 27
TERMINATION OF A REPRESENTATIVE’S APPOINTMENT
The representative’s appointment expires when the standard authorisation comes to an end. Therefore,
the selection and appointment process must be done afresh if a further standard authorisation is required
because the existing one is coming to an end.
The representative’s appointment may also sometimes terminate before a standard authorisation expires.
Where that happens, the supervisory body must appoint a replacement as soon as is practicable after it is
aware that a vacancy has arisen or will arise.
PART A — BASIC INFORMATION
Name and address of representative previously
appointed for the person
Full name of the person being deprived of
their liberty
Their date of birth (or estimated age if
unknown)
Name and address of the relevant hospital
or care home
Name and address of the supervisory body
Person to contact at the supervisory body
Name
Address
Name
DOB d d m m y y y y
Est. age
Name
Address
Name
Address
Name
Telephone
Email
CASE
NUMBER
GFSB-Liberty Form 27.indd 1 19/2/09 13:28:20
