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Fill and Sign the Declaration Relating to Life Sustaining and Durable Power of Attorney for Form

Fill and Sign the Declaration Relating to Life Sustaining and Durable Power of Attorney for Form

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
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REVOCATION OF DECLARATION CONCERNING THE USE OF LIFE SUSTAINING TREATMENT I, ___________________________________________________________________, Declarant, executed a Declaration Concerning the Use of Life Sustaining Treatment on the ________ day of ________________________, 20____, regarding my decisions and choice that my life not be prolonged by extraordinary means or by artificial nutrition or hydration if my condition were to be determined to be terminal or if I were diagnosed as being in a permanent unconscious state.Ohio Revised Code § 2133.04 provides that I may revoke my Declaration at any time and in any manner. This is my written revocation of my Declaration Concerning the Use of Life Sustaining Treatment and is provided to all persons to whom I have provided a copy of my Declaration.DATED this the _________ day of ______________________________, 20____.Signature of Declarant: ________________________________________________Printed Name of Declarant: ________________________________________________Address of Declarant: ________________________________________________ ________________________________________________

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The best way to complete and sign your declaration relating to life sustaining and durable power of attorney for form

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How to Sign a PDF Online How to Sign a PDF Online

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How to Sign a PDF on a Mobile Device How to Sign a PDF on a Mobile Device How to Sign a PDF on a Mobile Device

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How to complete and sign forms on iOS

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How to Sign a PDF on Android How to Sign a PDF on Android

How to complete and sign forms on Android

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