South Dakota Living Will

Information you will need

• Life Sustaining Treatment Instructions
• Declarant Name
• All Treatments
• Specific Instructions
• No Treatments
• No Artificial Nutrition/Hydration
• All Artificial Nutrition/Hydration
• Declarant Address
• Witness (1) Name
• Witness (2) Name
• Witness (1) Address
• Witness (2) Address
• Declarant Signing Date
• Notary Public Only: Declarant Name
• Notary Public Only: Witness (2) Name
• Notary Public Only: Witness (1) Name
• Notary Public Only: Month
• Notary Public Only: Year
• Notary Public Only: Day
• Notary Public Only: Commission Expiration

Completed by the declarant and the provider.

The form includes 2 signature lines, a witness section.