Living Will, Power of Attorney Forms, Authorization for Final Disposition
The Advance Directives forms available are:
- Declaration to Physicians (Living Will) - F-00060, (PDF, 27 KB)
- Power of Attorney for Health Care - F-00085 (PDF, 193 KB) Hmong, Spanish, Vietnamese
- Power of Attorney for Finance and Property - F-00036 (PDF, 19 KB)
- Authorization for Final Disposition - F-00086 (PDF 29 KB)
Even if you sign a living will, food and water cannot be withdrawn if it would be the only cause of death. Also, if you are pregnant and your health care professional thinks you could have a live birth, your living will cannot go into effect. You can use a standard living will form or write your own. Free State-Specific Living Will. A living will is a directive to physicians and other healthcare providers specifying your wishes with regard to specific treatments or procedures to be used in the event of your incapacity. A living will becomes effective only when you are unable to express your wishes.
![Living will template printable Living will template printable](https://i.pinimg.com/originals/6c/d0/12/6cd0129b33b28f9eab2df77288824dc3.png)
When printing the form from the Internet, please assure that you print and complete all pages of the form you are using. To be valid, the form must be complete and signed.
To request individual printed copies
You may request individual advanced directive forms by mailing a self-addressed, stamped, business-size envelope to:
Please include a note stating which forms you would like to have mailed to you
Living Will Forms Free Printable Illinois
Postage: For a single stamp (current rate) you may request the following:
Four (4) Declaration to Physician (Living Will), OR
One (1) Power of Attorney for Health Care, OR
One (1) Declaration to Physician (Living Will) and One (1) Power of Attorney for Health Care
One (1) Power of Attorney for Health Care, OR
One (1) Declaration to Physician (Living Will) and One (1) Power of Attorney for Health Care
To request the Power of Attorney for Finances and Property, please mail a self-addressed, stamped envelope with postage of at least $0.69 per form requested.
To request 100 or more printed copies
Forms are available in quantities of 100 or more at a cost of:
$15 per hundred for the Power of Attorney for Health Care
$13 per hundred for the Living Will
$13 per hundred for the Living Will
Make check payable to DHS, and mail to:
Free Printable Living Will Forms Washington State
Division of Public Health
ATTN: POA
PO Box 2659
Madison, WI 53701-2659
ATTN: POA
PO Box 2659
Madison, WI 53701-2659