Revocation of Living Will Form


This revocation of living will form can be used to revoke or terminate a living will that you previously signed. There are several reasons for which you might want to execute a revocation of living will. Perhaps you want to change a few of the decisions you made in the first document. Perhaps you changed your mind about the methods of life-sustaining medical treatment you would like to receive. You may want to donate certain organs that you previously thought were not important.

Completing the revocation of living will form is extremely simple. On the very top line enter the name of the living will or advance directive that you previously signed. Enter your full legal name as well as the city and state in which you live. On the second and third full lines enter the name of the document as you did at the top of the form as well as the date on which the original living will was signed. Next date the revocation. Do not sign the document until you are in the presence of two witnesses. The witnesses should sign the document and print their names as well as addresses.


We offer the free Revocation of Living Will Form in Microsoft Word and PDF formats. The Word file will automatically download so check the folder where downloads are saved on your computer or mobile device. The PDF will open in a new window so you can print or save it.

Click the link below to download the Revocation of Living Will Form in Microsoft Word or PDF format for free. Members also have access to our extensive library of Fillable PDFs as well as our EZ Online Forms. The EZ Online Forms take all the guesswork out of which information goes on what line.



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This particular Revocation of Living Will Form as well as a great number of other legal instruments provided on this webpage are provided “as is” without having express or implied warranties. This includes, yet is not confined to, warranty of merchantability or fitness for any type of type of specific usage.

This free Revocation of Living Will Form was not formed by an attorney or law practice. It is your responsibility to figure out if the document is legally ideal for your necessities. You need to likewise verify that the form is correctly submitted and additionally notarized and/or witnessed if required.

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