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Iowa Living Will Declaration

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Iowa Living Will Declaration

Updated August 03, 2023

An Iowa living will is a declaration that states a person’s willingness to die a natural death for incurable or irreversible conditions. This only comes into effect if it’s deemed there is no certainty to recovery. The declarant can also choose whether to be an organ donor and to have life-sustaining methods for only this reason.


How to Write

Download: PDF

Step 1 – Review of Statements and Organ Donation Decisions- The Declarant/Principal must carefully review the statements at the beginning of the form.

  • Once the statements have been reviewed make the following selection with regard to organ donation by initialing the selected Yes or No line preceding the statement
  • Date the Declarant’s signature and information in dd/mm/yyyy format
  • Enter the following:
  • Signature of Declarant
  • Type or Print Name of Declarant
  • Physical Address
  • Street
  • City
  • State
  • Zip Code
  • Date of Birth of Declarant

Step 2 – The document must be signed by two (2) witnesses or witnessed and authenticated by a notary public, if using a notary:

  • The notary will witness the signature of the Declarant
  • The notary will then complete the required information and authenticate with the state seal

Step 3 – Witness Signatures – If the Declarant would like to have witnesses sign the document provide the following

Witness 1 – 

  • Signature of 1st Witness
  • Type or Print Name of Witness
  • Street, City, State, Zip Code

Witness 2 – 

  • Signature of 2nd Witness
  • Type or Print Name of Witness
  • Street, City, State, Zip Code