Revocation of Life Prolonging Procedures Declaration - Indiana: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your name as the Declarant at the top of the form. This identifies you as the individual revoking the previous declaration.
In the section that states 'executed a Life Prolonging Procedures Declaration on', enter the date when your original declaration was made. This provides context for your revocation.
Next, indicate the current date in the 'DATED this' section. This shows when you are officially revoking your previous declaration.
Sign your name in the designated area to validate your intent to revoke. Ensure that this signature matches any previous documents for consistency.
Print your name below your signature and provide your address. This information is essential for identification purposes and ensures that all parties are aware of who is revoking the declaration.

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Do you need a lawyer to revoke power of attorney in Indiana?

You can use a simple statement, such as I, (your name), hereby revoke the durable power of attorney that I executed on (date) and appointed (agents name) as my agent. Also, your attorney can draft a revocation. The revocation must be witnessed by a notary public. 2. Notify your agent and other parties.

Can family override a living will?

The Indiana Living Will Act is found at Indiana Code 16-36-4. This law allows you to write one of two kinds of advance directive. Living Will Declaration: This document is used to tell your physician and family that life - prolonging treatments should not be used so that you are allowed to die naturally.

What are the rules for a living will in Indiana?

Indiana Living Wills Statutes (1) Person of sound mind, 18 yrs. old; (2) voluntary; (3) in writing; (4) dated; (5) signed in presence of 2 adult witnesses; (6) notice to declarants attending physician; (7) is presumptive evidence of declarants intent; (8) not enforced if pregnant (sample form 16-36-4-10).

What is the Indiana code for a living will?

Who Gets What in Indiana? If you die with:heres what happens: children but no spouse children inherit everything spouse but no descendants or parents spouse inherits everything spouse and descendants from you and that spouse spouse inherits 1/2 of your intestate property descendants inherit 1/2 of your intestate property5 more rows

What is the main drawback of a living will?

Can family override a Living Will? In short, no, your family cannot override your Living Will. Your Living Will is a legal document thats meant to guide medical professionals (and your family!) about medical decisions.