What Health Care Consent Act Form C asks for — and how to autofill 014-2976-04 with my-id.ca
Apply to appoint a representative under alternate HCCA provisions without retyping details
Applications to the Consent and Capacity Board to appoint a representative under subsection 33(2), 51(2), or 66(2) repeat the patient's name, proposed representative details, and applicant contact information on Form C. This guide is an example of storing them once in my-id.ca.
Official form and source
Start from the official source and always use the current version — form numbers and links can change:
- Service page: Mental capacity — ontario.ca
- Form (Central Forms Repository): Form C — Application to Appoint a Representative (HCCA subsections 33(2), 51(2), 66(2)) — 014-2976-04
What this form is about
Form 014-2976-04 is Form C — Application to the Board to Appoint a Representative under subsection 33(2), 51(2) or 66(2) of the Health Care Consent Act.
Before you start: what to gather
- Patient full legal name and date of birth.
- Proposed representative name, address, and contact.
- Applicant name and contact details.
- Treatment decision context — confirm on ontario.ca.
Confirm the current process on ontario.ca.
How my-id.ca makes it faster
- Save it once. Store your patient name and representative or applicant details in your my-id.ca profile.
- Keep documents ready. Upload supporting documents to my-id.ca Files so you are not searching at form time.
- Autofill the form. Use the my-id.ca Chrome extension on a web form, or fill a PDF from your saved profile inside my-id.ca.
- Review and submit yourself through the official channel.
Why do it in my-id.ca
Related Ontario forms repeat the same personal details. Captured once in my-id.ca — stored in Canada, with AI on its own servers — every form starts mostly complete.
Frequently asked questions
- When is Form C used instead of Form B?
- When subsection 33(2), 51(2), or 66(2) applies rather than the subsection (1) provisions — confirm on ontario.ca.
- How does my-id.ca help?
- It autofills patient, representative, and applicant contact details across HCCA Board forms.
- Can the same representative appear on both forms?
- Each application must match the statutory pathway — confirm with the Board or on ontario.ca.
Fill it once. Reuse it everywhere.
Save your information in my-id.ca once, then autofill this form and the next one — web forms with the Chrome extension, PDFs right in the app. Your data is stored in Canada and AI runs on my-id.ca's own servers, never sent to third-party AI providers.