Iowa Living Will Declaration Form

Iowa Living Will Declaration Form

Laws

• Signing Requirements – Two (2) witnesses or a notary public (§ 144.A.3(2)) must be present and also sign the document.

• Statutes – Chapter 144A (Life-Sustaining Procedures)

Step by step instructions to write the Iowa living will declaration

Stage 1 – Review of Statements and Organ Donation Decisions – Firstly, the assertions that are found in the first section of the document should be cautiously reviewed by The Declarant/Principal.

• When the assertions have been reviewed and confirmed to be complete, the accompanying selection in respect to the donation of organs should be made by adding initials to the Yes or No line that comes after the assertion. 

• The declarant signature and data should be dated in this  pattern: dd/mm/yyyy

• The following should then be entered:

• The Declarant’s complete name 

• The current residential address

• Street

• City 

• State 

• Postal code

• The declarant date of birth

Stage 2 – The document should be endorsed by two (2) witnesses and should be seen and confirmed by a notary public.

• The notary public will confirm the Declarant’s signature 

• The notary public will then, at that point, complete the necessary data and validate it with the seal of the state. 

Stage 3 – Witness Signatures – The following should be provided if the Declarant wants the witnesses to endorse the document. 

First Witness:

• The first witness’ signature

• The first witness’ complete name

• The residential address including the street, city, state, and postal code

Second Witness:

• The second witness’ signature

• The second witness’ complete name

• The residential address which includes the street, city, state, and postal code