Free Ohio Living Will Form

An Ohio Living Will Form is also known as the State of Ohio Living Will Declaration.

The aim of this paper is to outline your choices concerning life support methods. It will provide physicians with instructions in case you are unable to give them in person due to your illness or condition.

According to § 2133.03 of Ohio State law, this declaration operates only to individuals in a terminal condition or a permanently unconscious state. If despite your serious condition, you can provide your decisions, then the document will not be used.

ohio living will form

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Signing Requirements and Laws

An individual who is of sound mind and 18 years old or older can create a living will form.

Following §2133.06 of Ohio State Law, life-sustaining treatment for pregnant applicants can only be stopped in cases when a child cannot be born alive.

Apart from you, two witnesses must sign an Ohio Living Will Declaration. If you don’t have them, then it is necessary to sign it in the presence of a notary, who will certify the document. In case you have two witnesses who meet the requirements listed below, a notary is not needed.

If you decide to choose witnesses, make sure they are suitable for the role. Your spouse, children (including adopted), or blood relatives will not be able to play this role. Also, people who provide you with medical support — the attending physician, the nursing home administrator — cannot act as a witness. The restrictions also apply to any guardians and agents.

After completing the document do not forget to send it to your physician and relatives or friends, so they will be aware of your will.

Ohio Living Will Form Details

Document Name Ohio Living Will Form
State Form Name Ohio Living Will Declaration
Signing Requirements Two Witnesses or Notary Public
Validity Requirements Section 2133.02(A)(1)
Specific Powers Section 2133.02
Avg. Time to Fill Out 13 minutes
# of Fillable Fields 48
Available Formats Adobe PDF; Microsoft Word
State Laws: Ohio Revised Code, Chapter 2133

Template Preview
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Steps to Fill Out the Form

There are seven mandatory steps one needs to take to create an Ohio Living Will:

1. Download the form

To start making a Living Will, you can download the form as a PDF file or open it in your browser to start filling it out immediately. For more correctness and efficiency, use our convenient Online Forms Building Software to fill out the Ohio Living Will form.

2. Input essential info

Put your name, birth date, and read carefully all definitions presented on the first three pages of the Declaration. Indicate if you have filled a Health Care of Attorney. Please note, if you have also completed the Power of Attorney and any clauses of the declaration contradict it, the declaration will be considered first, as stated in §2133.03 of Ohio State Law.
Part for essential information of Ohio living will form

3. State the contacts of close people

Here you can specify up to three people you would like to contact in case the physician decides that life support is not advisable. If you do not want to state anyone’s contacts, cross out this paragraph.
Section for contacts of close people of living wil for Ohio

4. Mark your decision

By writing or checking any mark in the box next to the boldface section on page 5 of the form, you consent to physicians to refrain from any artificial life support, if you are in a terminal condition or a permanently unconscious state. In addition to your attending physician, at least one other physician must report this condition.
Decision indication section of a document of living will for Ohio

5. Leave special instructions

If you have any special instructions, you can state them here or write «None», if you do not have any.
Special instructions part of a living will template for Ohio

6. Indicate your attitude toward the donation of organs

This paragraph is optional, but you can declare your permission to donate the body or organ by filling it out. You can allow the use of the whole body, or only its individual parts, for this you need to check the box next to the corresponding column. You also have the right to limit the purposes of using your anatomical gift.
Attitude towards organs donation sectiong of Ohio living will

7. Provide a signature

For your Ohio Living Will Declaration to be valid, you must sign it in the presence of two witnesses or a notary public. Witnesses or a notary must also leave their signatures.
Signature part of Ohio living will template

Published: Aug 1, 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.