I, the undersigned, the officer in charge of the designation process, declare that on ________________ the following candidate was designated to the position of member of the board of directors of the above-mentioned institution(s):
□ Only one candidate filed his or her candidacy or filed a valid candidacy;
□ More than one candidate filed his or her candidacy and the designated candidate received the greatest number of votes;
□ Due to a tie vote, the candidate was designated in a drawing of lots held on _________________________.
For members designated by and from among the members of the council of physicians, dentists and pharmacists, the council of nurses, the multidisciplinary council or the users’ committee of the institutions administered by one board of directors pursuant to section 146 of the Act to modify the organization and governance of the health and social services (chapter O-7.2) network, in particular by abolishing the regional agencies:
Following a drawing of lots:
□ the member will sit on the board of directors for the first 6 months;
□ the member will not sit on the board of directors for the first 6 months.
Signed at _________________________, this ____________________________
Name of officer in charge of the designation process