New Jersey Living Will
New Jersey Living Will
I. Introduction
This Living Will is made on [Date] by and between [Your Name] of [Your Company Address], referred to as the "Declarant," and [Your Attorney Name] of [Your Attorney's Address], referred to as the "Attorney."
II. Declaration of Intent
The Declarant declares their intent to make decisions regarding their healthcare and medical treatment in the event of their incapacity. This Living Will is executed under the laws of the State of New Jersey.
III. Appointment of Healthcare Proxy
The Declarant appoints [Healthcare Proxy Name] of [Proxy's Address] as their healthcare proxy to make healthcare decisions on their behalf in the event of incapacity.
IV. Medical Preferences
The Declarant expresses their medical preferences as follows:
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End-of-Life Care: The Declarant does not wish to receive life-prolonging treatments if they are in a terminal condition with no hope of recovery
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Artificial Nutrition and Hydration: The Declarant does wish to receive artificial nutrition and hydration if they are unable to feed themselves and are in a terminal condition.
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Pain Management: The Declarant requests appropriate pain management to ensure their comfort and dignity.
V. Organ Donation
The Declarant expresses their wishes regarding organ donation as follows:
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Organ Donation: The Declarant wishes to donate their organs for transplantation or medical research.
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Specific Instructions: Please ensure that all usable organs are donated to those in need.
VI. Funeral and Burial Instructions
The Declarant provides instructions for their funeral and burial arrangements as follows:
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Funeral Preferences: The Declarant requests a simple funeral service followed by a gathering of family and friends.
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Burial or Cremation: The Declarant wishes to be cremated, and their ashes scattered in their favorite hiking spot.
VII. Miscellaneous Provisions
The Declarant includes any additional provisions or instructions as follows:
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Personal Messages: To my beloved family, I want to express my eternal love and gratitude for your unwavering support throughout my life.
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Guardianship: In the event of my incapacity, I appoint my sister, [Sister Name], as the legal guardian of my children, [Children's Name].
VIII. Revocation
The Declarant reserves the right to revoke or amend this Living Will at any time, provided it is done so in writing and under the laws of New Jersey.
IX. Governing Law
This Living Will shall be governed by and construed under the laws of the State of New Jersey.
X. Execution
The Declarant has executed this Living Will on the date first above written.
Declarant
[Your Name]
[YOUR ADDRESS]
Witness 1
Name: [WITNESS NAME 1]
Address: [WITNESS ADDRESS 1]
Witness 2
Name: [WITNESS NAME 2]
Address: [WITNESS ADDRESS 2]
XI. Acknowledgment
I, [Your Attorney Name], hereby acknowledge that I have assisted the Declarant in the execution of this Living Will and that the Declarant has signed it in my presence.
[Your Attorney Name]
[Date]
