Our Indiana Living Will form can be used by an adult to direct the withholding, withdrawal or providing of life-prolonging procedures if this adult ever has a terminal or end-state condition, or is in a persistent vegetative state. You may generally revoke a Living Will.
A Living Will can sometimes be part of an Advance Health Care Directive. It is not the same as a Health Care Power of Attorney which allows another person to make medical decisions on your behalf.
- Living Will: Allows you to state your wishes in the event you become terminally ill, injured, or permanently unconscious
- Signature: Confirms that these are the wishes of the person whose name appears on the document.
- Witnesses: Declares that the person whose name is on the document is of sound mind.
Protect your Rights and Property, by using our professionally prepared up-to-date forms.
This form prepared by lawyers includes:
- Information, Instructions and Statutory References for the Living Will
- Indiana Living Will Form
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Product Specifications
| Product | Indiana Living Will |
| Country | United States |
| State | Indiana |
| Pages | 6 |
| Dimensions | Designed for Letter Size (8.5" x 11") |
| Printer compatibility | Designed to print on all ink-jet and laser printers |
| Editable | Yes (.doc, .wpd and .rtf) |
| Format |
Microsoft Word Adobe PDF WordPerfect Rich Text Format |
| Platform | Windows Compatible Mac Compatible Linux Compatible |
| Availability | In Stock. Instant Download |
| Usage | Unlimited number of prints |
| Category | Living Wills |
| Product number | #19730 |
| Download time | Less than 1 minute (approx.) |
| Document Access | Via secret online address Email with download links Email with attachment upon request |
| Refund Policy | 60 days, no-questions asked, 100% money back guarantee |
| Support | Customer support 1-800-959-5899 Online support Additional Help |
| Also known as | Indiana living will, Indiana living wills, Indiana advance directives, Indiana advance decisions, Indiana advance health care directives |
Our Promise to You:
We provide accurate, legal and secure forms. All of our forms are prepared by lawyers, can be downloaded and accessed immediately, and are backed by a 100% money back guarantee – if you are dissatisfied, in any way, you get your money back.
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Customer Reviews
Average Rating:
Reviews: 6
E S -
Philadelphia,
PA
This was the most reasonably priced and easy-to-use site I visited, and I checked out a number of them. It totally accomplished what I needed to be done, and I would highly recommend this site.
D E -
Las Vegas,
NV
Thank you for this service.
J L -
Overgaard,
AZ
Printed with no problems.
P C -
Mount Juliet,
TN
I was very satisfied. I will be back. Thanks
C N -
Belen,
NM
We had to take our estate wills to an attorney after completing them so we also had him go over our living will. He was very impressed that we had completed a very accurate document.
Living Will Laws - Indiana
State Website: www.in.gov/legislative/ic/code/
State Law Reference: Indiana Code Annotated.
Living Will Form: Indiana Living Will Declaration (Section 16-36-4-10).
Other Directives: An organ donation form is provided on this site as part of the state-specific Advance Health Care Directive under the Anatomical Gift Act (Section 29-2-16-1).
Living Will Effective: Your physician must certify in writing that you are in a terminal condition and your death would occur within a short period of time without the use of life-sustaining medical care. (Section 16-36-4-10).
Living Will/Advance Health Care Directive Witness Requirements: Sign in the presence of two (2) adult witnesses. Witnesses cannot be entitled to any part of your estate, related to you by blood or marriage, financially responsible for your medical care, or be the person who signed the Declaration on your behalf. (Section 16-36-4-8).
Advance Health Care Directive: State-specific form is provided by legislature and is referred to as Indiana Living Will Declaration. (Section 16-36-4-10).
Durable Health Care Power of Attorney: Agent may act in matters affecting the principal’s health care: any care, treatment, service, or procedure to maintain, diagnose, or treat an individual’s physical or mental condition including admission to a health care facility and disclosure of medical records to health care provide; this appointment does not affect individual’s authorization re: life-prolonging measures (i.e. a living will). Individual capable of consenting to health care may revoke appointment at any time by notifying representative or health care provider orally or in writing. Individual who may consent to his own health care may disqualify others from consenting or revoking appointment for the individual (disqualification must be in writing). No criminal, civil, or professional liability for a physician acting in good faith in reliance on the agent’s direction. State-specific form is part of the Advance Health Care Directive. (Section 16-36-4-10). Follow signature, witness, and notary requirements as noted on form.
Durable Financial Power of Attorney: No state-specific form provided by legislature. (Section 29-3-5). Follow signature, witness, and notary requirements as noted on form.
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