Free California Living Will Form

A California Living Will is also called an Advanced Healthcare Directive. Normally, you can explain to your doctor which procedures you approve or disapprove of, which you want to avoid. California Living Will Form is issued for the circumstances when you can no longer personally take care of your health treatment.

With a living will form, you can resolve two important matters. You can name an agent, someone you trust who can take responsibility for making medical decisions for you, and you can state your wishes for health care and for organ or body donation after death. If desired, you can limit the powers of your trusted person.

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What Is a California Living Will?

A California living will, also called an advance health care directive, is a written legal document that records your health care wishes in advance.[2] It lets you name an agent to make medical decisions for you if you cannot make them yourself, and it becomes valid once you date it, sign it, and have it signed by two qualified witnesses or a notary public.[2]

Signing Requirements and Laws

A California living will must be dated and signed to take effect, and it must be signed by two qualified witnesses or acknowledged before a notary public.[2] California law also provides a combined statutory form that pairs a power of attorney for health care with specific care instructions.[2]

Last Updated: September 2026. This guide is reviewed and updated regularly to reflect current California law. If you notice an error or outdated information, please contact us.

You must date and sign the form and have it signed by two competent witnesses or acknowledged before a notary public.[2]

Each witness must be an adult.[1] People connected to your medical care cannot serve as a witness.[1] The excluded people are:

  • your health care provider, or an employee of your health care provider
  • the operator, or an employee, of a community care facility
  • the operator, or an employee, of a residential care facility for the elderly
  • your named health care agent

Aside from those restrictions, most adults you know can serve as a witness.

One witness must be independent. At least one of your two witnesses cannot be related to you by blood, marriage, or adoption, and cannot be entitled to any part of your estate under a will that exists when you sign or under state law.[1] This rule applies only when you use two witnesses. It does not apply if you choose notarization instead.

After signing, give a signed copy of the form to your physician and to any other health care providers you use. Also give a copy to any health care institution where you receive care, and to any health care agent you have named.

Each witness signs a declaration under penalty of perjury.[1] The declaration confirms that you signed or acknowledged the form in the witness's presence, and that you appeared to be of sound mind and free from duress, fraud, or undue influence. It also confirms that the witness is not your named agent or a person excluded above.[1] The witness meeting the independence rule also declares that they are not related to you and do not stand to inherit from you.[1]

I declare under penalty of perjury under the laws of California that the individual who signed or acknowledged this advance health care directive is personally known to me, or that the individual's identity was proven to me by convincing evidence, that the individual signed or acknowledged this advance directive in my presence, that the individual appears to be of sound mind and under no duress, fraud, or undue influence, that I am not a person appointed as agent by this advance directive, and that I am not the individual's health care provider, an employee of the individual's health care provider, the operator of a community care facility, an employee of an operator of a community care facility, the operator of a residential care facility for the elderly, nor an employee of an operator of a residential care facility for the elderly.
Witness declaration required by Cal. Prob. Code § 4674[1]

California Living Will Form Details

Document Name California Living Will Form
State Form Name California Advance Health Care Directive
Signing Requirements Two Witnesses or Notary Public
Avg. Time to Fill Out 13 minutes
# of Fillable Fields 48
Available Formats Adobe PDF; Microsoft Word
State Laws: California Probate Code §§ 4674[1] and 4701[2] (see Sources below)

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How to Create a Living Will in California?

To create a California living will, write your health care wishes and, if you choose, name a health care agent on the statutory form, then date and sign it.[2] The form takes effect once two qualified witnesses sign the declaration described above, or once a notary public acknowledges your signature instead.[1]

Common Mistakes to Avoid

A few mistakes can undo an otherwise valid living will, and each one traces back to the signing and witness rules already covered above. Choosing an ineligible person, skipping a required signer, or leaving a date blank can each cause a problem. Review the list below before you sign.

  • Naming someone as both witness and agent, which state law does not allow.[1]
  • Using two related witnesses, when at least one must be independent.[1]
  • Signing without a witness present, or without a date, since both are required.[2]
  • Forgetting to give a signed copy to your physician or agent afterward.

Steps to Fill the Form

Filling out a California living will means working through five parts of the statutory form. Those parts are your declaration, your health care agent, that agent's authority, your end-of-life and organ-donation choices, and your signature. The steps below walk through each part in order, using our online builder, or download a blank copy to fill out by hand.

  1. Complete the declaration. Start on page 2 of the form and fill in the declaration section that identifies you as the person making the directive.
  2. Initial your health care and end-of-life care choices. On page 2, initial the choice that matches your wishes about prolonging life-sustaining treatment and about relief from pain.
    Section for choosing end of life instructions of living will form for California
  3. Add additional instructions (optional). Page 3 has space to add any wishes not already covered by the printed choices, in your own words.
  4. Name your health care agent. On page 3, name the person you trust to make health care decisions for you if you cannot make them yourself.
    Agents designation part of California living will template
  5. Name a substitute agent. Page 4 lets you name a substitute agent who steps in if your first choice is not willing or able to serve.
  6. Review your agent's granted powers. Page 4 lists the powers and authority your agent will hold. Read through them and cross out any power you do not want to grant.
    Agent's authority specification section of a living will for California
  7. Review the remaining Medical Power of Attorney terms. Pages 4 through 6 spell out the rest of the power of attorney terms. Read them before you sign.
  8. Sign and date the document. On page 8, sign and date the document in the presence of your two witnesses or a notary public.
    Signing part of living will form for California
  9. Have your two witnesses sign the Witness Acknowledgment. Still on page 8, your witnesses complete and sign the Witness Acknowledgment section.
  10. Complete the independent witness declaration, if used. On page 9, the witness who meets the independence rule signs the separate declaration described above.

General information, not legal or tax advice.

Sources

Unless noted otherwise, the sources below are from the California Probate Code, published by the California Legislative Information.

  1. California Legislative Information. California Probate Code § 4674.
  2. California Legislative Information. California Probate Code § 4701.

Published: Jun 20, 2022
Mara Erlach
Mara Erlach
Writer & Attorney
Mara has been practicing estate planning and trust law in California since 2003, taking pride in helping clients of all backgrounds and asset profiles form a complete and customized estate plan. Her specialties are: estate planning, wills and trusts, trust and probate administration.