Free Vermont Living Will Form

A Vermont living will is a written document, called an advance directive under state law, that states your medical treatment preferences if you become unable to communicate them yourself.[1]

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 If you notice an error or outdated information, please contact us.

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Creating a Vermont living will lets your health care providers and family follow your medical wishes about end-of-life treatment instead of guessing. You can also register your advance directive with the Vermont Advance Directive Registry so providers can find it when they need it. Registration is optional and free, whether you do it online or by mail.

Signing Requirements and Laws

Vermont Statutes Annotated Title 18, Chapter 231 sets the rules for a valid advance directive. The advance directive must be dated and signed by the principal, the legal term for the person making the directive, or by someone else at the principal’s direction if the principal cannot sign. At least two witnesses who are 18 or older must also sign, confirming that the principal appeared to understand the advance directive and signed it free from duress.[1]

State law also limits who can serve as a witness. These people cannot witness your advance directive:[1]

  • The health care agent you name in the advance directive, or an alternate agent.
  • Your spouse, parent, adult sibling, adult child, or adult grandchild.

State law also sets out what your witnesses confirm, and when they need to be with you in person. Since April 1, 2024, a witness can sign remotely instead of in person if you already know each other and the witness confirms your medical care understanding over a live video or phone call.[1]

On and after April 1, 2024, the principal shall have either signed in the physical presence of the witness or the following conditions shall have been met if the witness is a remote witness: the principal and the remote witness were known to each other; based on communication between the principal and the remote witness through a live, interactive, audio-video connection or by telephone, the remote witness attested that the principal seemed to understand the nature of the document and to be free from duress or undue influence at the time the advance directive was signed; and the principal included on the advance directive the name and contact information for the remote witness and the nature of the principal’s relationship to the remote witness.
18 V.S.A. § 9703

You, your witnesses, or the person who explains the directive (see below) can each sign using a digital signature, as long as a remote witness still meets the conditions above.[1]

If you are being admitted to, or are already a patient or resident in, a hospital, nursing home, or residential care facility when you sign, your advance directive is not automatically valid. A qualified person must explain the advance directive to you first and sign a statement confirming they did.[1]

In a hospital, that explanation must come from one of these people:

  • An ombudsman.
  • A member of the clergy.
  • A Vermont-licensed attorney.
  • A designee of the Probate Division of the Superior Court.
  • A person the hospital designates for this role.
  • A mental health patient representative.

In a nursing home or residential care facility, the same six roles qualify, plus two more: an unpaid, trained volunteer at the facility, or a clinician who does not work for that facility.[1]

In practice, you can change your mind about an advance directive whenever you want. Common ways to do this are signing a new statement that cancels the old one, telling your doctor directly, or destroying the paper copy.

Under 18 V.S.A. § 9704(b), you may suspend or revoke all or part of your advance directive, including the designation of an agent, whether or not you have capacity, by a signed statement, by personally informing your clinician, or by burning, tearing or obliterating the document. A provision made under § 9707(h) can be suspended or revoked only while you have capacity.[2]

Vermont Living Will Form Details

Document Name Vermont Living Will Form
State Form Name Vermont Advance Directive
Signing Requirements Two Witnesses
Validity Requirements 18 V.S.A. § 9703[1]
State Laws: Vermont Statutes Annotated, Title 18, Chapter 231

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Steps to Fill Out the Form

Your Vermont advance directive needs your signature and two witnesses who are 18 or older to be valid, so follow these steps as you fill out the health care power of attorney form FormsPal provides.[1]

  1. Date and Personal Information (page 2). Fill in the date, then your name and address in the opening declaration.
  2. Health Care Treatments to Refuse (page 2). Initial next to each treatment, such as CPR, artificial nutrition and hydration, ventilation, dialysis, blood transfusions, organ transplants, or any life-sustaining treatment, that you want withheld if you become incapacitated.
  3. End-of-Life Care Conditions (pages 2 to 3). Initial the conditions, such as being unable to communicate, diagnosed mental deterioration, an end-stage condition, a terminal condition, or a persistent vegetative state, under which you do not want your life artificially extended.
  4. Additional Instructions, optional (page 3). Use the blank lines to add any other instructions about your care, or leave this part blank.
  5. Appoint Your Health Care Agent (page 3). Enter your agent’s name, address, and phone number.
  6. Name a Successor Agent, optional (page 4). If you want a backup agent, list their name, address, and phone number here.
  7. Review the Powers You Are Granting (page 4). Read the listed powers your agent will have. No entries are required on this page.
  8. Review the General Provisions (page 6). Read the sections on when the advance directive takes effect, HIPAA medical records access, and how to revoke it. No entries are required here either.
  9. Sign and Date (page 8). Sign and date the document, and print your name.
  10. Witness Signatures (page 8). Have your two witnesses read the acknowledgment, then print their names and addresses, sign, and date the form.
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Frequently Asked Questions

What Makes a Living Will Valid?

A Vermont living will is valid when you sign and date it, or have someone else sign at your direction if you cannot. At least two witnesses who are 18 or older must also sign, confirming you appeared to understand the advance directive and signed it free from duress. If you are in a hospital, nursing home, or residential care facility when you sign, a qualified person must also explain the advance directive to you first and confirm that explanation in writing.[1]


General information, not legal or tax advice.

Sources

  1. 18 V.S.A. § 9703.
  2. 18 V.S.A. § 9704.
Published: Jun 19, 2024
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.