Mandate in case of incapacity: Order here



Price for one person : 25,95 $ + taxes
Special price for couple : 47,50$ + taxes

The choice of thousands since 2000 !

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

Go to order form

Comments from our clients

I found the Mandate via a Google search. It is straightforward and clear. Many thanks for providing this service. It is much appreciated.
- D.R., Verdun
I completed my Mandate and found it very easy to follow, it was easy to read and understand. I was looking to find a notary to do one and found this instead. Thank you! I will be sure to tell my family and friends, it puts my mind at ease and I thank you for offering it in English.
- K.B., Shawinigan
I searched the internet for the mandate and your website looked good. The form was easy to understand and complete. I will recommend it to others.
- J.S., Gatineau

Receive your Mandate form by e-mail immediately after payment

Order here

Aussi disponible en français

Also available:

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

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

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.

Four easy steps to making your Mandate in Quebec:

  1. 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…)
  2. Complete the Mandate form.
  3. Save the file, print two paper copies and sign them before two witnesses.
  4. Retain a copy of the Mandate for yourself and give another original copy to a trusted person.


First mandate

(1) Gender of the person making the Mandate:


Second Mandate

  I would like to have a second Mandate (option for couples). 

(2) Gender for 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.

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)
Single   $ 28.17 *
Couple   $ 51.74 *
* taxes included

Send this information and payment (cheque or money order) to:

Jurismedia Inc. 
75, des Chateaux Boulevard, Suite 102
Blainville, Quebec, Canada
J7B 2A4

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.