New York: Living Will
|
|
|
- Clare Miller
- 5 years ago
- Views:
Transcription
1 New York: Living Will NOTE: This form is being provided to you as a public service. The attached forms are provided as is and are not the substitute for the advice of an attorney. By providing these forms and information, Everplans is not providing legal advice to you. Consult an attorney if you need legal advice of any nature. Read more and get more forms at Everplans Advance Directive page.
2 A NOTE ABOUT THIS DOCUMENT TheStateofNewYorkdoesnothaveastatutegoverningLivingWills,buttheCourtofAppeals, NewYork shighestcourt,hasstatedthatlivingwillsarevalidaslongastheyprovide clear andconvincing evidenceofyourwishes.ifyouare18yearsofageorolder,youmayexpress yourwishesinwritingaboutyourhealthcarebysigningalivingwill. ThereisnostandardformforaLivingWillinNewYork,butwehaveprovidedthisformasan examplebasedonlivingwillformsfromotherstates.youmaymakechangestothisformor useanyotherformtobetterexpressyourhealthcarewishes. PART 1: TREATMENT PREFERENCES A. Statement of Goals and Values Optional:Formvalidifleftblank Iwanttosaysomethingaboutmygoalsandvalues,andespeciallywhat smostimportantto meduringthelastpartofmylife: B. Preference in Case of Terminal Condition Ifyouwanttostatewhatyourpreferenceis,initialoneonly.Ifyoudonotwanttostateapreference here,crossthroughthewholesection. Ifmydoctorscertifythatmydeathfromaterminalconditionisimminent,eveniflife sustainingproceduresareused: 1. Keepmecomfortableandallownaturaldeathtooccur.Idonotwantanymedical interventionsusedtotrytoextendmylife.idonotwanttoreceivenutritionandfluidsby tubeorothermedicalmeans. 2. Keepmecomfortableandallownaturaldeathtooccur.Idonotwantmedical interventionsusedtotrytoextendmylife.ifiamunabletotakeenoughnourishmentby mouth,however,iwanttoreceivenutritionandfluidsbytubeorothermedicalmeans. 3. Trytoextendmylifeforaslongaspossible,usingallavailableinterventionsthat inreasonablemedicaljudgmentwouldpreventordelaymydeath.ifiamunabletotake enoughnourishmentbymouth,iwanttoreceivenutritionandfluidsbytubeorother medicalmeans. LearnmoreaboutAdvance(Directivesandotherend.of.lifetopicsatwww.everplans.com Page 1 of 4
3 C. Preference in Case of Persistent Vegetative State Ifyouwanttostatewhatyourpreferenceis,initialoneonly.Ifyoudonotwanttostateapreference here,crossthroughthewholesection. IfmydoctorscertifythatIaminapersistentvegetativestate,thatis,ifIamnotconsciousand amnotawareofmyselformyenvironmentorabletointeractwithothers,andthereisno reasonableexpectationthatiwilleverregainconsciousness: 1. Keepmecomfortableandallownaturaldeathtooccur.Idonotwantanymedical interventionsusedtotrytoextendmylife.idonotwanttoreceivenutritionandfluidsby tubeorothermedicalmeans. 2. Keepmecomfortableandallownaturaldeathtooccur.Idonotwantmedical interventionsusedtotrytoextendmylife.ifiamunabletotakeenoughnourishmentby mouth,however,iwanttoreceivenutritionandfluidsbytubeorothermedicalmeans. 3. Trytoextendmylifeforaslongaspossible,usingallavailableinterventionsthat inreasonablemedicaljudgmentwouldpreventordelaymydeath.ifiamunabletotake enoughnourishmentbymouth,iwanttoreceivenutritionandfluidsbytubeorother medicalmeans D. Preference in Case of EndStage Condition Ifyouwanttostatewhatyourpreferenceis,initialoneonly.Ifyoudonotwanttostateapreference here,crossthroughthewholesection. IfmydoctorscertifythatIaminanendstatecondition,thatis,anincurableconditionthat willcontinueinitscourseuntildeathandthathasalreadyresultedinlossofcapacityand completephysicaldependency: 1. Keepmecomfortableandallownaturaldeathtooccur.Idonotwantanymedical interventionsusedtotrytoextendmylife.idonotwanttoreceivenutritionandfluidsby tubeorothermedicalmeans. 2. Keepmecomfortableandallownaturaldeathtooccur.Idonotwantmedical interventionsusedtotrytoextendmylife.ifiamunabletotakeenoughnourishmentby mouth,however,iwanttoreceivenutritionandfluidsbytubeorothermedicalmeans. 3. Trytoextendmylifeforaslongaspossible,usingallavailableinterventionsthat inreasonablemedicaljudgmentwouldpreventordelaymydeath.ifiamunabletotake enoughnourishmentbymouth,iwanttoreceivenutritionandfluidsbytubeorother medicalmeans. LearnmoreaboutAdvance(Directivesandotherend.of.lifetopicsatwww.everplans.com Page 2 of 4
4 E. Pain Relief Nomatterwhatmycondition,givemethemedicineorothertreatmentIneedtorelievepain. F. In Case of Pregnancy Optional,forwomenofchildbearingyearsonly;formvalidifleftblank IfIampregnant,mydecisionconcerninglife.sustainingproceduresshallbemodifiedas follows: G. Effect of Stated Preferences Readbothofthesestatementscarefully.Then,initialoneonly. 1. IrealizeIcannotforeseeeverythingthatmighthappenafterIcannolonger decideformyself.mystatedpreferencesaremeanttoguidewhoeverismakingdecisions onmybehalfandmyhealthcareproviders,butiauthorizethemtobeflexibleinapplying thesestatementsiftheyfeelthatdoingsowouldbeinmybestinterest. >>OR(<<( 2. IrealizeIcannotforeseeeverythingthatmighthappenafterIcannolonger decideformyself.still,iwantwhoeverismakingdecisionsonmybehalfandmyhealth careproviderstofollowmystatedpreferencesexactlyaswritten,eveniftheythinkthat somealternativeisbetter. LearnmoreaboutAdvance(Directivesandotherend.of.lifetopicsatwww.everplans.com Page 3 of 4
5 PART 2: SIGNATURE AND WITNESSES BysigningbelowastheDeclarant,IindicatethatIamemotionallyandmentallycompetentto makethisadvancedirectiveandthatiunderstanditspurposeandeffect.ialsounderstand thatthisdocumentreplacesanysimilaradvancedirectiveimayhavecompletedbeforethis date. By: SignatureofDeclarant Date: Month/Day/Year TheDeclarantsignedoracknowledgedsigningthisdocumentinmypresenceand,basedupon personalobservation,appearstobeemotionallyandmentallycompetenttomakethisadvance directive. Date: SignatureofWitness1 Month/Day/Year PhoneNumber(s) Date: SignatureofWitness2 Month/Day/Year PhoneNumber(s) Note:AnyoneselectedasahealthcareagentinPartIshouldnotbeawitness.Also,atleastoneofthe witnessesshouldbesomeonewhowillnotknowinglyinheritanythingfromthedeclarantorotherwise knowinglygainafinancialbenefitfromthedeclarant sdeath.moststatesdonotrequirethisdocumentto benotarized. LearnmoreaboutAdvance(Directivesandotherend.of.lifetopicsatwww.everplans.com Page 4 of 4
Wisconsin: Living Will
Wisconsin: Living Will NOTE: This form is being provided to you as a public service. The attached forms are provided as is and are not the substitute for the advice of an attorney. By providing these forms
Arkansas: Advance Directive
Arkansas: Advance Directive NOTE: This form is being provided to you as a public service. The attached forms are provided as is and are not the substitute for the advice of an attorney. By providing these
ADVANCED DIRECTIVE DOCUMENTS
ADVANCED DIRECTIVE DOCUMENTS Advance directive is a general term used to describe both a Living Will and a Durable Power of Attorney for Healthcare. These two legal documents protect your right to refuse
Need some help filling out your Living Will document below?
! Need some help filling out your Living Will document below? You can now fill out a customized step-by-step version of this form and many others (your Will, Health Care Power of Attorney, and more) completely
Advance Directive Forms
Advance Directive Forms The following forms include a Health Care Directive and a Durable Power of Attorney. These are considered advance directives. It is helpful to talk with those you are close to when
AN OVERVIEW OF AUTHORIZED DECISION-MAKERS AND ADVANCE DIRECTIVES IN WISCONSIN
Greater Wisconsin Agency on Aging Resources, Inc. Guardianship Support Center Helpline: (855) 409-9410 guardian@gwaar.org www.gwaar.org AN OVERVIEW OF AUTHORIZED DECISION-MAKERS AND ADVANCE DIRECTIVES
Secretary s Certificate (General)
(General) Document 1358B Access to this document and the LeapLaw web site is provided with the understanding that neither LeapLaw Inc. nor any of the providers of information that appear on the web site
DOWNLOAD COVERSHEET:
DOWNLOAD COVERSHEET: This is a standard advance directive for your state, made available to you as a courtesy by Lifecare Directives, LLC. You should be aware that extensive research has demonstrated that
DURABLE POWER OF ATTORNEY FOR HEALTH CARE DECISIONS WARNING TO PERSON EXECUTING THIS DOCUMENT
DURABLE POWER OF ATTORNEY FOR HEALTH CARE DECISIONS WARNING TO PERSON EXECUTING THIS DOCUMENT THIS IS AN IMPORTANT LEGAL DOCUMENT. BEFORE EXECUTING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT FACTS:
Instructions: SS-9424
Instructions: Form SS-9424 Application for Amendment of Registration of Foreign Limited Partnership Business Services Division Tre Hargett, Secretary of State Submission Options An Application for Amendment
(No. 160) (Approved November 17, 2001) AN ACT
(H. B. 386) (No. 160) (Approved November 17, 2001) AN ACT To legally acknowledge the right of all persons of legal age in the full use of their mental faculties to state their will in advance with regard
Urgent Applications in the Court of Protection
Urgent Applications in the Court of Protection Second Edition Her Honour Nazreen Pearce District Judge Sue Jackson Nominated Judge of the Court of Protection Published by Jordan Publishing Limited 21 St
CHAPTER 2: CONSENT AND CAPACITY TO MAKE DECISIONS
(800) 692-7443 (Voice) (877) 375-7139 (TDD) www.disabilityrightspa.org CHAPTER 2: CONSENT AND CAPACITY TO MAKE DECISIONS I. BACKGROUND OF THE DOCTRINE 2 OF CONSENT II. SIMPLE CONSENT VS. INFORMED CONSENT
School District of Horicon Horicon, Wisconsin
School District of Horicon Horicon, Wisconsin Clerical Employment Application Date Send Completed Application to: School District of Horicon 611 Mill St. Horicon, Wisconsin 53032 If you require accommodation
2018 Bill 9. Fourth Session, 29th Legislature, 67 Elizabeth II THE LEGISLATIVE ASSEMBLY OF ALBERTA BILL 9
2018 Bill 9 Fourth Session, 29th Legislature, 67 Elizabeth II THE LEGISLATIVE ASSEMBLY OF ALBERTA BILL 9 PROTECTING CHOICE FOR WOMEN ACCESSING HEALTH CARE ACT THE MINISTER OF HEALTH First Reading.......................................................
PRACTICE DIRECTION HOW TO START PROCEEDINGS. This practice direction supplements Part 9 of the Court of Protection Rules 2007
PRACTICE DIRECTION HOW TO START PROCEEDINGS This practice direction supplements Part 9 of the Court of Protection Rules 2007 PRACTICE DIRECTION E APPLICATIONS RELATING TO SERIOUS MEDICAL TREATMENT General
REQUEST FOR DS-2019/J1 VISA SPONSORSHIP
To be completed by the Brooklyn College Department sponsoring international professors and research scholars on a J-1 visa. At least two months prior to the visitor's proposed appointment date (including
AddendumtoApplication
115EastChoctaw P.O. Box525 Sallisaw, OK74955 Ph. 918-775-6241 Fax918-775-9550 www.sallisawok.org AddendumtoApplication Haveyoubeenconvictedofafelony? Yes No DoyouhaveanyrelativesemployedbytheCityofSallisaw?
Georgia Petition for Change of Name
Georgia Petition for Change of Name [ ] These forms are not intended and are not a substitute for legal advice. These forms should only be a starting point for you and should not be used without consulting
GUIDELINES FOR COUNTY AND DISTRICT INITIATIVES
GUIDELINES FOR COUNTY AND DISTRICT INITIATIVES REGISTRAR OF VOTERS 1225 FALLON STREET G-1 OAKLAND, CA 94612 510-272-6933 This guide was developed in an effort to provide answers to questions frequently
DOWNLOAD COVERSHEET:
DOWNLOAD COVERSHEET: This is a standard advance directive for your state, made available to you as a courtesy by Lifecare Directives, LLC. You should be aware that extensive research has demonstrated that
The Health and Elder Law Clinic: A Medical Legal Partnership with the Miller School of Medicine
The Health and Elder Law Clinic: A Medical Legal Partnership with the Miller School of Medicine What is a Medical Legal Partnership? Healthcare delivery model that integrates legal assistance as a vital
Gender Marker Change: Social Security Card
8911EN October 2017 Gender Marker Change: Social Security Card You must be able to prove your gender, identity, and immigration status to the Social Security Administration. How do I prove my identity?
BERMUDA TRAFFIC OFFENCES PROCEDURE AMENDMENT ACT : 54
QUO FA T A F U E R N T BERMUDA TRAFFIC OFFENCES PROCEDURE AMENDMENT ACT 2010 2010 : 54 TABLE OF CONTENTS 1 2 3 4 5 6 7 8 Citation Amends section 10 Repeals and replaces sections 15 to 20 Amends section
DUDLEY CUPIDO Applicant. GLAXOSMITHKLINE SOUTH AFRICA (PTY) LTD Respondent JUDGMENT
IN THE LABOUR COU R T OF SOUTH AFRICA H ELD AT CAPE TOWN CASE NO: C222/2004 In the matter between: DUDLEY CUPIDO Applicant and GLAXOSMITHKLINE SOUTH AFRICA (PTY) LTD Respondent JUDGMENT MURPHY, AJ 1. The
DECLARATION OF A DESIRE FOR A NATURAL DEATH STATE OF SOUTH CAROLINA
DECLARATION OF A DESIRE F A NATURAL DEATH STATE OF SOUTH CAROLINA COUNTY OF I, Social Security Number,, being at least eighteen years of age and a resident of and domiciled in the City of County of, State
NOTICE OF CHANGE OF ADDRESS F-5. The District Court Filing Office is located on the first floor at: 75 Court Street Reno, NV 89501
NOTICE OF CHANGE OF ADDRESS F-5 The District Court Filing Office is located on the first floor at: 75 Court Street Reno, NV 8950 NOTICE OF CHANGE OF ADDRESS PACKET F-5 INSTRUCTIONS FOR COMPLETING FORMS
SOCIAL SECURITY (MEDICAL CERTIFICATION) (JERSEY) ORDER 1974
SOCIAL SECURITY (MEDICAL CERTIFICATION) (JERSEY) ORDER 1974 Revised Edition Showing the law as at 1 January 2015 This is a revised edition of the law Social Security (Medical Certification) (Jersey) Order
1976 No. 615 SOCIAL SECURITY. The Social Security (Medical Evidence) Regulations 1976
S.I. 1976/615 Social Security (Medical Evidence) Regulations 1976 Regulation 1 The Social Security Subsidiary Legislation (Application) (No. 3) Order 1977 was made 30 September 1977 and approved by Tynwald
ALVORD UNIFIED SCHOOL DISTRICT CLAIM FOR DAMAGES TO PERSON OR PROPERTY
Business and Noninstructional Operations E (1) 3320(a) CLAIM FOR DAMAGES TO PERSON OR PROPERTY Business and Noninstructional Operations E (1) 3320(b) CLAIM FOR DAMAGES TO PERSON OR PROPERTY (continued)
BERMUDA STATUTORY INSTRUMENT SR&O 45/1975 BERMUDA BAR ASSOCIATION (ORGANIZATION) RULES 1975
BERMUDA STATUTORY INSTRUMENT SR&O 45/1975 BERMUDA BAR ASSOCIATION (ORGANIZATION) RULES 1975 [made under section 9 of the Bermuda Bar Act 1974 [title 30 item 3] and brought into operation on 3 May 1975]
Restrictions on Political Activities
Restrictions on Political Activities Sean O Day General Counsel Reminders This training is not a substitute for legal advice. The law is constantly evolving. Consult your City Attorney when faced with
The Emergency Protection for Victims of Child Sexual Abuse and Exploitation Regulations
1 OF CHILD SEXUAL ABUSE AND EXPLOITATION E-8.2 REG 1 The Emergency Protection for Victims of Child Sexual Abuse and Exploitation Regulations being Chapter E-8.2 Reg 1 (effective October 1, 2002). NOTE:
WASHINGTON HEALTH CARE DIRECTIVE (LIVING WILL / HEALTH CARE POWER OF ATTORNEY) SAMPLE. John Doe
WASHINGTON HEALTH CARE DIRECTIVE (LIVING WILL / HEALTH CARE POWER OF ATTORNEY) OF John Doe Directive made this day of, 20. I, John Doe, being of sound mind and disposing mind and memory, do hereby make
, a person of the full age of majority and a resident of the Parish of, State of Louisiana, and residing at
SPECIAL LIMITED MEDICAL POWER OF ATTORNEY BY: TO: STATE OF LOUISIANA PARISH OF CITY OF BEFORE ME, the undersigned Notary Public, duly commissioned and qualified in and for the State of Louisiana, and in
DOWNLOAD COVERSHEET:
DOWNLOAD COVERSHEET: This is a standard advance directive for your state, made available to you as a courtesy by Lifecare Directives, LLC. You should be aware that extensive research has demonstrated that
North Carolina Declaration Of A Desire For A Natural Death
North Carolina Declaration Of A Desire For A Natural Death I,, being of sound mind, desire that, as specified below, my life not be prolonged by extraordinary means or by artificial nutrition or hydration
The Employment Law Changes Introduced on 6 April 2012
The Employment Law Changes Introduced on 6 April 2012 1) April is normally a time for change in employment law and this April was no exception. On 6 April some significant procedural changes and amendments
2018 Bill 8. Fourth Session, 29th Legislature, 67 Elizabeth II THE LEGISLATIVE ASSEMBLY OF ALBERTA BILL 8 EMERGENCY MANAGEMENT AMENDMENT ACT, 2018
2018 Bill 8 Fourth Session, 29th Legislature, 67 Elizabeth II THE LEGISLATIVE ASSEMBLY OF ALBERTA BILL 8 EMERGENCY MANAGEMENT AMENDMENT ACT, 2018 THE MINISTER OF MUNICIPAL AFFAIRS First Reading.......................................................
PROTECTING CHOICE FOR WOMEN ACCESSING HEALTH CARE ACT
Province of Alberta Statutes of Alberta, Current as of June 11, Office Consolidation Published by Alberta Queen s Printer Alberta Queen s Printer Suite 700, Park Plaza 10611-98 Avenue Edmonton, AB T5K
Family Law Arbitration Group
Family Law Arbitration Group FORM A AGREEMENT TO ARBITRATE 1. First Party 2. Second Party Name of First Party Name of Second Party Address Address Contact tel no Contact tel no First Party s Agent Second
BERMUDA 2010 : 5 CRIMINAL CODE AMENDMENT ACT 2010
BERMUDA 2010 : 5 CRIMINAL CODE AMENDMENT ACT 2010 [Assent Date: 19 March 2010] [Operative Date: 19 March 2010] ARRANGEMENT OF SECTIONS 1 Short title 2 Amends section 3 3 Inserts sections 110A to 110C 4
Information or instructions: Motion Consent of Client & Order to substitute counsel PREVIEW
Information or instructions: Motion Consent of Client & Order to substitute counsel 1. This motion allows attorneys to substitute on a case. 2. See TRCP 8, which states that the leading counsel shall be
DOWNLOAD COVERSHEET:
DOWNLOAD COVERSHEET: This is a standard advance directive for your state, made available to you as a courtesy by Lifecare Directives, LLC. You should be aware that extensive research has demonstrated that
NEBRASKA ADVANCE DIRECTIVE PAGE 1 OF 7. Part I: Power of Attorney for Health Care I,, appoint, whose address is,
NEBRASKA ADVANCE DIRECTIVE PAGE 1 OF 7 Part I: Power of Attorney for Health Care PRINT YOUR NAME PRINT THE NAME, ADDRESS, AND TELEPHONE NUMBER OF YOUR ATTORNEY IN FACT I,, appoint, whose address is, and
MINOR GUARDIANSHIP SUPPLEMENTAL PACKET MINOR S CONSENT IN SUPPORT OF PETITION FOR GUARDIANSHIP
Mandatory Electronic Filing Starting on October 18th, 2018 Please disregard the filing instructions in this packet. You will need to sign up for an eflex account at www.washoecourts.com. Contact the Law
Form 503 General Information (Assumed Name Certificate) Commentary
Form 503 General Information (Assumed Name Certificate) The attached form is drafted to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information
Page 2. Name Street Address Telephone Occupation. 1. Contractor. 2. Contractor. 3. Supplier. 4. Customer. 5. Customer
NOTICE TO ALL APPLICANTS FOR CONTRACTOR'S OCCUPATIONAL REGISTRATION Attached is an application packet for a contractor's occupational registration. The following information is required: Completed Application
DOWNLOAD COVERSHEET:
DOWNLOAD COVERSHEET: This is a standard advance directive for your state, made available to you as a courtesy by Lifecare Directives, LLC. You should be aware that extensive research has demonstrated that
Witness Application CRIME VICTIM ASSISTANCE PROGRAM. Before You Apply
CRIME VICTIM ASSISTANCE PROGRAM Witness Application The Crime Victim Assistance Program (CVAP) provides benefits to Witnesses of an injured or deceased victim of violent crime in accordance with the Crime
2014 Bill 3. Third Session, 28th Legislature, 63 Elizabeth II THE LEGISLATIVE ASSEMBLY OF ALBERTA BILL 3
2014 Bill 3 Third Session, 28th Legislature, 63 Elizabeth II THE LEGISLATIVE ASSEMBLY OF ALBERTA BILL 3 PERSONAL INFORMATION PROTECTION AMENDMENT ACT, 2014 MR. QUADRI First Reading.......................................................
J-1 VISITING SCHOLAR INFORMATION REQUEST FORM
J-1 VISITING SCHOLAR INFORMATION REQUEST FORM The J-1 Exchange Visitor Program operates under the auspices of the United States Department of State s Bureau of Educational and Cultural Affairs. The purpose
The University of Texas System System Administration Internal Policy. Procedures for the Handling of an Allegation of Retaliation
1. Title 2. Policy Procedures for the Handling of an Allegation of Retaliation Sec. 1 Sec. 2 Purpose. The purpose of this Policy is to set forth the procedures adopted by The University of Texas System
DÁIL ÉIREANN AN BILLE UM CHOMHROINNT AGUS RIALACHAS SONRAÍ, 2018 DATA SHARING AND GOVERNANCE BILL 2018 LEASUITHE COISTE COMMITTEE AMENDMENTS
DÁIL ÉIREANN AN BILLE UM CHOMHROINNT AGUS RIALACHAS SONRAÍ, 2018 DATA SHARING AND GOVERNANCE BILL 2018 LEASUITHE COISTE COMMITTEE AMENDMENTS [No. 55a of 2018] [05 December, 2018] DÁIL ÉIREANN AN BILLE
(Geneva, 196k) Referred to the Conference by the Governing Body at Its 157th Session)
5 Instruments for the Amendment of the Constitution of the International Labour Organisation, Adopted by the International Labour Conference at Its 48th Session (Geneva, 196k) Instrument for the Amendment
STATE OF MICHIGAN OPINION
STATE OF MICHIGAN IN THE PROBATE COURT FOR THE COUNTY OF WAYNE In the Matter of HELEN M. SULLIVAN, a legally incapacitated individual Case No. 2006-702648-GA and ELEANOR HUDGENS, a legally incapacitated
State Bar of Michigan. office use only. client protection. und. claim application CLIENT PROTECTION FUND
State Bar of Michigan office use only client protection f claim application und CLIENT PROTECTION FUND All members of the State Bar of Michigan are urged to give assistance, without fee, to any claimant
2ND SESSION, 41ST LEGISLATURE, ONTARIO 66 ELIZABETH II, Bill 68. An Act to amend various Acts in relation to municipalities
2ND SESSION, 41ST LEGISLATURE, ONTARIO 66 ELIZABETH II, 2017 Bill 68 An Act to amend various Acts in relation to municipalities The Hon. B. Mauro Minister of Municipal Affairs Government Bill 1st Reading
INFORMATION ON FILING A PETITION FOR JUDICIAL REVIEW
INFORMATION ON FILING A PETITION FOR JUDICIAL REVIEW (Board of Parole and Post Prison Supervision) In response to your request, we have enclosed information on how to file a petition for judicial review
Agreement to an investigation, procedure or treatment by a patient with mental capacity
D CONSENT FORM ONE (1) Addressograph Patient s surname / family name: Patient s first name(s): Date of birth: Hospital number: NHS number: Agreement to an investigation, procedure or treatment by a patient
CRIMINAL JUSTICE ACTS AMENDMENT BILL 2011
IN THE KEYS CRIMINAL JUSTICE ACTS AMENDMENT BILL 2011 Explanatory Memorandum 1. This Bill is promoted by the Department of Home Affairs. 2. Clause 1 states the Bill s short title. 3. Clause 2 amends the
Federal Act on Gender Equality. (Gender Equality Act, GEA)
English is not an official language of the Swiss Confederation. This translation is provided for information purposes only and has no legal force. Federal Act on Gender Equality (Gender Equality Act, GEA)
Third Parties Making Health Care and End of Life Decisions
Third Parties Making Health Care and End of Life Decisions I. Judgment of Third Parties II. Who Are the Third Parties? III. Types of Documents Third Parties Need to Make Health Care Decisions I am mainly
2ND SESSION, 41ST LEGISLATURE, ONTARIO 66 ELIZABETH II, Bill 68. (Chapter 10 of the Statutes of Ontario, 2017)
2ND SESSION, 41ST LEGISLATURE, ONTARIO 66 ELIZABETH II, 2017 Bill 68 (Chapter 10 of the Statutes of Ontario, 2017) An Act to amend various Acts in relation to municipalities The Hon. B. Mauro Minister
Merger Agreement. This Packet Includes: 1. General Information 2. Instructions and Checklist 3. Merger Agreement. Merger Agreement 1
Merger Agreement This Packet Includes: 1. General Information 2. Instructions and Checklist 3. Merger Agreement Merger Agreement 1 General Information Merger Agreement This Merger Agreement will effectively
REPLY TO COUNTERCLAIM A 1. The District Court Filing Office is located on the first floor at: 75 Court Street Reno, NV
REPLY TO COUNTERCLAIM A 1 The District Court Filing Office is located on the first floor at: 75 Court Street Reno, NV 89501 www.washoecourts.com REPLY TO COUNTERCLAIM PACKET A-1 USE THIS REPLY PACKET ONLY
of 24 March 1995 (Status as of 1 January 2017)
English is not an official language of the Swiss Confederation. This translation is provided for information purposes only and has no legal force. Federal Act on Gender Equality (Gender Equality Act, GEA)
Addressograph Patient s surname / family name: Patient s first name(s): Date of birth: Hospital number: NHS number:
Patient s surname / family name: Male Female Agreement to an investigation, procedure or treatment by a patient with mental capacity PROCEURAL SPECIFIC Name of Proposed Investigation, Procedure or Treatment
City of Lansing Department of Human Resources EDUCATION AND EXPERIENCE QUESTIONNAIRE Police Officer/Police Recruit/Detention Officer
City of Lansing Department of Human Resources EDUCATION AND EXPERIENCE QUESTIONNAIRE Police Officer/Police Recruit/Detention Officer Please print all information legibly and in ink. Answer all questions
How to file a PETITION TO EXPUNGE Summary offenses MDJ Level
How to file a PETITION TO EXPUNGE Summary offenses MDJ Level **You must remain arrest free for a period of 5 years after your conviction to qualify for this type of expungement** Disclaimer Neither the
How to file a PETITION TO EXPUNGE Nolle Prossed, WITHDRAWN or DISMISSED CHARGES
How to file a PETITION TO EXPUNGE Nolle Prossed, WITHDRAWN or DISMISSED CHARGES Disclaimer Neither the staff in Court Administration nor the staff in any Court office will be able to give you legal advice
THE ASSAM GAZETTE ±Ò±1Ì
Û?œˆ Mê Ú 1-768 97 Registered No.-768/97 1±Ê ÛS THE ASSAM GAZETTE ±Ò±1Ì EXTRAORDINARY õ ±5 fl M «Q1 Z±1± õ fl ±ø Ó PUBLISHED BY THE AUTHORITY Ú 614 øapple Û 1, qsê ı±1, 27 À" ± ı1, 2017, 5 fl ±øó, 1939
2008 No LAND REGISTRATION, ENGLAND AND WALES. The Land Registration (Electronic Conveyancing) Rules 2008
STATUTORY INSTRUMENTS 2008 No. 1750 LAND REGISTRATION, ENGLAND AND WALES The Land Registration (Electronic Conveyancing) Rules 2008 Made - - - - 2nd July 2008 Laid before Parliament 4th July 2008 Coming
Application for Classification as a Resident Student at Ball State University for Fee-Paying Purposes
Ball State University Office of the Registrar Lucina Hall, Room B43 Muncie, Indiana 47306-0725 (765)285-1722 email registrar@bsu.edu Application for Classification as a Resident Student at Ball State University
The essential guide to planning for your family s future, with real, useful legal documents to get you started. Health surrogate form
FREE RESOURCES! ELDER PLANNING PACKET WITH THREE FREE FORMS! The essential guide to planning for your family s future, with real, useful legal documents to get you started. Durable power of attorney form
THE LAW SOCIETY OF UPPER CANADA APPLICATION FOR A PERMIT AS A FOREIGN LEGAL CONSULTANT UNDER BY-LAW 14
THE LAW SOCIETY OF UPPER CANADA LSFORMS@LSUC.ON.CA COMPLAINTS & COMPLIANCE 130 QUEEN STREET WEST, TORONTO, ON M5H 2N6 PHONE: 416-947-3315 OR 1-800-668-7380 EXT. 3315 THE LAW SOCIETY OF UPPER CANADA APPLICATION
PRE-DECREE TEMPORARY ORDERS WITHOUT NOTICE FOR CHILD CUSTODY
PRE-DECREE TEMPORARY ORDERS WITHOUT NOTICE FOR CHILD CUSTODY TO GET PRE-DECREE TEMPORARY ORDERS WITHOUT ADVANCE NOTICE TO THE OTHER PARTY Part 1: Completing and Filing the Court Papers Forms and Instructions
TEXTS OF AMENDMENTS TO FAMILY LAW RULES
TEXTS OF AMENDMENTS TO FAMILY LAW RULES EFFECTIVE July 1, 2018 Rule 3(4)1 Note: On July 1, 2018, paragraph 1 of subrule 3 (4) of the Regulation is revoked and the following substituted: (See: O. Reg. 298/18,
SAINT VINCENT AND THE GRENADINES ELECTRONIC EVIDENCE ACT, 2004 ARRANGEMENT OF SECTIONS SECTION 1. Short title and commencement 2. Interpretation 3.
SAINT VINCENT AND THE GRENADINES ELECTRONIC EVIDENCE ACT, 2004 ARRANGEMENT OF SECTIONS SECTION 1. Short title and commencement 2. Interpretation 3. General admissability 4. Scope of Act 5. Authentication
DYNAM JAPAN HOLDINGS Co., Ltd.
DYNAM JAPAN HOLDINGS Co., Ltd. (incorporated in Japan with limited liability) (Stock Code: 06889) REMUNERATION COMMITTEE Terms of Reference (Remuneration Committee Regulations) Approved by the Board on
RULES OF PRACTICE AND PROCEDURE (Effective December 29, 2015 )
Agency #108.00 RULES OF PRACTICE AND PROCEDURE (Effective December 29, 2015 ) STATE BOARD OF ELECTION COMMISSIONERS 501 Woodlane, Suite 401N Little Rock, Arkansas 72201 (501) 682-1834 or (800) 411-6996
CIVIL UNION DIVORCE DECREE Without Minor and/or Dependent Child(ren)
This document is prepared by: D Attorney for D Plaintiff D Defendant (Full Name) v. PLAINTIFF Name Address City, State, Zip Code (Full Name) DEFENDANT Telephone Numbers Print Presiding Judge s Name Date
Freedom of Information and Data Protection
Devon & Cornwall Police Policy Impact Assessment Assessment Date: 03/05/16 Policy/Working Practice Title and Number D350 Critical and Major Incident Management Policy/Working Practice Version Date 22/02/17
ENDURING POWER OF ATTORNEY
Form 3 Queensland Powers of Attorney Act 1998 (Section 44(1)) ENDURING POWER OF ATTORNEY Long Form Use this document if you wish to appoint an attorney/s for personal matters (including health care) and
Act No. 10 of 2017 BILL
Legal Supplement Part A to the Trinidad and Tobago Gazette, Vol. 56, No. 72, 13th July, 2017 Second Session Eleventh Parliament Republic of Trinidad and Tobago REPUBLIC OF TRINIDAD AND TOBAGO Act No. 10
Reproductive Health (Access to Terminations) Act 2013 (No. 72 of 2013) CONTENTS
Reproductive Health (Access to Terminations) Act 2013 (No. 72 of 2013) CONTENTS Reproductive Health (Access to Terminations) Act 2013 Part 1 - Preliminary 1. Short title 2. Commencement 3. Interpretation
CONTESTANT S LICENCE APPLICATION
CONTESTANT S LICENCE APPLICATION This applica on package contains informa on on obtaining either a contestant s annual licence (for Saskatchewan residents) or a contestant s temporary licence. Note In
Form 503 General Information (Assumed Name Certificate) Commentary
Form 503 General Information (Assumed Name Certificate) The attached form is drafted to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information
GUIDE TO CITIZENS PETITIONS FOR TOWN MEETINGS. Updated February 2013
GUIDE TO CITIZENS PETITIONS FOR TOWN MEETINGS PREPARED BY JAMES B. LAMPKE, ESQ., TOWN COUNSEL Updated February 2013 GUIDE TO CITIZENS PETITIONS FOR TOWN MEETINGS This memo and the accompanying Summary
1 The Service Dogs Qualifications Regulation (AR 197/2008) is amended by this Regulation.
Alberta Regulation 34/2015 Service Dogs Act SERVICE DOGS QUALIFICATIONS AMENDMENT REGULATION Filed: March 4, 2015 For information only: Made by the Minister of Human Services (M.O. 2015-01) on February
Abortion CONTENTS. Bill /1
Abortion CONTENTS 1 Amendment of criminal law in relation to consensual termination of pregnancy 2 Non-consensual termination of pregnancy 3 Conscientious objection to participation in treatment 4 Short
Discrimination and Harassment Policy and Procedure I. Purpose II. General Statement of Policy III. Definitions A. Discrimination
District Code: AC Discrimination and Harassment Policy and Procedure I. Purpose The purpose of this policy is to educate the District on discrimination and harassment, and to prevent, correct, and address
Lw,- 4~ '~'r~
SIXTEENTH CONGRESS OF THE REPUBLIC ) OF THE PHILIPPINES ) First Regular Session ) 'l.i IlCT SEN,;\TE S. No. ].887 Introduced by Senator Miriam Defensor Santiago r EXPLANATORY NOTE Adult persons have the
BYLAWS OF THE OKLAHOMA DENTAL POLITICAL ACTION COMMITTEE (DENPAC)
BYLAWS OF THE OKLAHOMA DENTAL POLITICAL ACTION COMMITTEE (DENPAC) Adopted April 29, 1990; Amended April 25, 1993; Amended May 18, 2008; Amended November 26, 2013. ARTICLE I NAME The name of this organization
130th General Assembly. Substitute House Bill Number 126. An Act
HEALTH CARE POWER OF ATTORNEY-LIVING WILL (Kunze, Stinziano) - To allow a person who creates a durable power of attorney for health care to authorize the attorney in fact to obtain health information about
2017 Bill 17. Third Session, 29th Legislature, 66 Elizabeth II THE LEGISLATIVE ASSEMBLY OF ALBERTA BILL 17 FAIR AND FAMILY-FRIENDLY WORKPLACES ACT
2017 Bill 17 Third Session, 29th Legislature, 66 Elizabeth II THE LEGISLATIVE ASSEMBLY OF ALBERTA BILL 17 FAIR AND FAMILY-FRIENDLY WORKPLACES ACT THE MINISTER OF LABOUR First Reading.......................................................
PROCEDURE FOR USE OF COMMON SEAL. April 2015
PROCEDURE FOR USE OF COMMON SEAL April 2015 Authorship : Yorkshire and Humber Commissioning Support Committee Approved : HaRD CCG Senior Management Team Approved Date : 27 April 2015 Review Date : April
INSTRUCTIONS FOR PREPARING A COMPLAINT IN A NEVADA DISTRICT OR JUSTICE COURT (Generic)
INSTRUCTIONS FOR PREPARING A COMPLAINT IN A NEVADA DISTRICT OR JUSTICE COURT (Generic) If you have already properly evaluated and researched your case, you have decided who to sue, and you know whether
IC Chapter 6. Physician Order for Scope of Treatment (POST)
IC 16-36-6 Chapter 6. Physician Order for Scope of Treatment (POST) IC 16-36-6-1 "Consent" Sec. 1. As used in this chapter, "consent" means authorization to provide, withhold, or withdraw treatment. IC
Need some help filling out your Living Will document below?
! Need some help filling out your Living Will document below? You can now fill out a customized step-by-step version of this form and many others (your Will, Health Care Power of Attorney, and more) completely