West Virginia Living Will

Information you will need

• Year
• Principal Name
• Special Directives / Limitations
• Notary Public: County
• Notary Public: Signing Day
• Notary Public: Signing Month
• Notary Public: Signing Year
• Notary Public: Principal Name
• Notary Public: First WItness Name
• Notary Public: Commision Expiration Date
• Declarant / Principal Address
• First Witness Signing Date
• Second Witness Signing Date
• Day
• Month
• Notary Public: Second Witness Name

Completed by the principal.

The form includes a notary acknowledgment, a witness section.