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Florida Living Will Template PDF Free Download
Florida Living Will
The Florida Living Will is a crucial written instrument when it comes to establishing certain end-of-life protocols.
This should not be confused with the “last will & testament” document which describes what is to occur upon the passing of a declarant.
The living will rather express their desires regarding life-sustaining medical treatment if they are ever in a state where they are still alive but unable to communicate their preferences.
Individuals who are interested in accomplishing a living will should be prepared to indicate their medical preferences, supply their personal details, and offer any additional instructions regarding their healthcare priorities.
After transcribing all the needed information to the corresponding fields, the declarant must endorse the form under the observation of two (2) witnessing parties who may then supply their acknowledgement accordingly
Definition
§ 765.101(13)
“Living will” or “declaration” means:
(a) A witnessed document in writing, voluntarily executed by the principal in accordance with s. 765.302; or
(b) A witnessed oral statement made by the principal expressing the principal’s instructions concerning life-prolonging procedures.
Laws
Statutes – § 765.301 – § 765-309
Definition – § 765.101(13)
Signing Requirements – Must be signed in the presence of two (2) witnesses, one (1) of whom is neither a spouse nor a blood relative of the principal (§ 765.302)
How to Write
Step 1 – Establishment of Principal – At the beginning of the first paragraph, enter the following information:
Date the document in dd/mm/yyyy format
Enter the full legal name of the Principal
Read the remainder of the statement and initial your selection as follows:
I have a terminal condition
OR
I have an end-stage condition
OR
I am in a persistent vegetative state
Step 2 – Continue to carefully review the remainder of the declaration, if in agreement enter the following:
Name
Physical Address
City
State
Zip Code
Telephone Number
Step 3 – If the Principal would like to make a list of additional instructions, they may do so in the space provided.
If more room is required, add a continuation sheet to the document.
Once the additional instructions have been added (if any), enter the following:
Principal’s Signature
Step 4 – Witness Signatures – Once the witnesses have had the opportunity to review the document completed by the Principal they must then enter the following information:
Witness 1 –
Witness Signature
Street Address
City
State
Zip Code
Phone Number
Witness 2 –
Witness Signature
Street Address
City
State
Zip Code
Phone Number
No notarization is required unless otherwise decided by the Principal
| Author | – |
| Language | English |
| No. of Pages | 3 |
| PDF Size | 1 MB |
| Category | Form |
| Source/Credits | eforms.com |
Florida Living Will Template PDF Free Download