makes, in a relevant document, an entry or statement which is false; and

does so knowing that the entry or statement is false or being reckless as to whether it is false.

with intent to deceive, the person makes use of an entry or statement in a relevant document;

the entry or statement is false; and

the person knows it to be false.

a statement of incapacity for the purposes of section 13;

a relevant certificate (as defined by section 18) for the purposes of section 16 or 17 (second opinions);

a report under section 39 or any provision of Schedule 1, 2 or 3 (medical reports etc);

an application under Schedule 1, an authorisation granted by a panel under that Schedule, or an extension by a panel of such an authorisation;

an application under paragraph 4 of Schedule 4 (application for registration of lasting power of attorney);

a report under any provision of Part 10 (criminal justice).

on summary conviction, to imprisonment for a term not exceeding 6 months or a fine not exceeding the statutory maximum or both;

on conviction on indictment, to imprisonment for a term not exceeding 2 years or a fine or both.