Mental Health Care Act, 2002 (Act No. 17 of 2002)

Regulations

Purchase

ANNEXURE

FORM MHCA 44

DEPARTMENT OF HEALTH

APPLICATION FOR TERMINATION OF TERM OF OFFICE OF AN ADMINISTRATOR AND THE DECISION OF THE MASTER OF THE HIGH COURT

(Section 64 of the Act)

Name of administrator: ......................................................................................

Application made by: .........................................................................................(initials and surname)

(a)	person in respect of whom an administrator was appointed;

(b)	the administrator;

(c)	person who made the application for the appointment of an administrator;

Grounds on which the application is made:

.................................................................................................................................

..................................................................................................................................

N.B. All medical certificates or relevant reports subsequent to appointment of an administrator are to be enclosed.

Estimated property value: .........................................................................................

Signature: .................................................................................................................

(Applicant)

Date: .........................................................................................................................

Place: ........................................................................................................................

Decision of Master of High Court

Having considered the facts relevant to this application I hereby:

(a)	terminate the appointment of the administrator;

(b)	decline to terminate the appointment of the administrator;

(c)	refer the matter for the consideration of a High Court Judge in chambers.

Reasons for decision:

.................................................................................................................................

..................................................................................................................................

Print initials and surname: .........................................................................................

Signature: ..................................................................................................................

(Master of High Court)

Date: .........................................

Place: .......................................................

[Copy to applicant and head of health establishment]