Signing Requirements
The form must be signed by two witnesses.[1]
Registration
A resident of Louisiana may register their advance directive by submitting a copy and a check for $20 payable to the ‘Louisiana Secretary of State’ and send to:
Louisiana Secretary of State
Elections Services
P.O. Box 94125
Baton Rouge, LA 70804-9125
Attach an additional $20 if a certified copy is requested.[2]
Revocation
An advance directive can be revoked by the declarant at any time, regardless of their mental state or competency, via a written revocation, an oral expression of their intent to revoke, or the physical destruction of the form by the declarant.[3]
State Definition
A Louisiana advance directive is otherwise referred to as a “declaration.”
“Declaration” means a witnessed document, statement, or expression voluntarily made by the declarant, authorizing the withholding or withdrawal of life-sustaining procedures, in accordance with the requirements of this Subpart. A declaration may be made in writing, orally, or by other means of nonverbal communication.[4]
Statutory Form
A statutory form of an advance directive is available under Louisiana law, but its use is not required for an advance directive to be valid.[5]
Sample
Download: PDF





