INSTRUCTIONS: MONTANA DECLARATION OF LIVING WILL APPOINTMENT

To appoint someone with living will power concerning life-sustaining treatment in Montana or to create a living will to direct a doctor or nurse to withhold this treatment if it will only prolong life with no hope of recovery, use the documents discussed in this article. These documents can be obtained from the website maintained by the Montana Department of Public Health & Human Services.

Montana Declaration Of Living Will Appointment Step 1: The first page contains the form used to appoint someone to make decisions concerning life-sustaining treatment on your behalf in the event that you are unable to. Enter the name of the person being appointed on the first blank line.

Montana Declaration Of Living Will Appointment Step 2: Enter the name of an alternate appointee on the second blank line.

Montana Declaration Of Living Will Appointment Step 3: Enter the date of the day on the third blank line.

Montana Declaration Of Living Will Appointment Step 4: Enter the month on the fourth blank line.

Montana Declaration Of Living Will Appointment Step 5: Enter the last two digits of the year on the fifth blank line.

Montana Declaration Of Living Will Appointment Step 6: Enter your signature on the sixth blank line.

Montana Declaration Of Living Will Appointment Step 7: Print your name on the seventh blank line.

Montana Declaration Of Living Will Appointment Step 8: Enter your address on the next two blank lines.

Montana Declaration Of Living Will Appointment Step 9: Two witnesses should enter their names and addresses at the bottom of the page.

Montana Declaration Of Living Will Appointment Step 10: The second page contains a living will expressing your desire to have life-sustaining treatment withheld in the event that there is no hope of recovery and you are unable to express your wishes. On the first blank line, enter the date of the day.

Montana Declaration Of Living Will Appointment Step 11: Enter the month on the second blank line.

Montana Declaration Of Living Will Appointment Step 12: Enter the last two digits of the year on the third blank line.

Montana Declaration Of Living Will Appointment Step 13: Enter your signature and printed name on the next two blank lines.

Montana Declaration Of Living Will Appointment Step 14: Have two witnesses enter their names and addresses where indicated.