
After considering the application, the supporting/additional documentation and the Hearing Panel’s recommendations, the Commissioner will decide whether or not the individual needs a substitute decision maker.
The Commissioner’s decision is based on the following criteria:
If all of the criteria are met, then a substitute decision maker appointment is made and the Commissioner decides:
If any of the above criteria are not met, the application is dismissed.
Normally the Commissioner’s decision will be issued within two weeks following the hearing. Delays may occur where the necessary documentation (For example Child Abuse Registry Check and Criminal Record Check) has not been received from the proposed substitute decision maker(s).
All parties who received notice of the hearing will also receive notice of the Commissioner’s decision.
The substitute decision maker’s authority takes effect on the date stated in the Appointment Document.
A substitute decision maker shall be appointed for as long as is appropriate given the decision(s) to be made. The maximum length is five years. If at the end of the appointment, the vulnerable person continues to require decisions to be made and is unable to make them, the appointment may be renewed (see Changes and Reviews of an Appointment section - Can an existing appointment be renewed or extended beyond the initial appointment period?).
The scope of the appointment is outlined in the Appointment Document. It includes:
For more detailed information on the powers that may be granted to a substitute decision maker see pages 7, 8, and 9 of the Guide to Completing the Substitute Decision Maker Application.
Other relevant information can also be found under SDM Duties and Responsibilities.
The Appointment Document issued by the Commissioner is the legal document that the substitute decision maker will use to provide verification of their role and authority to make a decision or decisions on behalf of the vulnerable person. The substitute decision maker is provided with the original signed Appointment Document and the vulnerable person receives a copy.
This Appointment Document outlines the scope of the substitute decision maker’s appointment and his or her specific authority. Below is a sample of a substitute decision maker’s Appointment Document for personal care. An Appointment Document for property would look similar but would be specific to the area of managing the vulnerable person’s property matters.

If The Public Trustee is appointed to act as the substitute decision maker, he or she will assign a person called a Client Administration Officer (CAO). That person will be the contact on behalf of The Public Trustee.
Please refer to the “A Client Guide to The Public Trustee’s Client Administration Section” for more information on what The Public Trustee will do if appointed as the substitute decision maker and how they make decisions.