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South Dakota Living Will Form (Declaration)

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South Dakota Living Will Form (Declaration)

Updated August 03, 2023

A South Dakota living will is a declaration that states a person’s intentions to prolong their life or die a natural death. The declarant can also choose to enter their own end-of-life treatment instructions. After completing, the living will is required to be signed with two (2) witnesses and a notary public. It’s recommended to also complete a medical power of attorney to elect an agent to carry out a declarant’s wishes.


How to Write

Download: PDF

Step 1 – Begin by downloading the document and reviewing the vital information contained within the first section of the document

Step 2 – Addressing, family, caregivers, and physicians – (Establishment of Declarant/Principal)

  • Enter the name of the declarant/principal
  • Selections of Life-Sustaining Treatment – Read the information and selections
  • A declarant may read and select their options, if the options available are not what their true wishes are, enter their wishes in the lines provided on the form
  • Artificial nutrition and hydration – The declarant must read the brief statement and initial their selection as to whether they would or would not like to  have artificial nutrition and hydration

Step 3 – Signatures – After the declarant has completed the document it’s important that they enter their information to include their signature

  • Continue the declaration by entering the date of the execution of the document and signatures of both the declarant and the witnesses in mm/dd/yyyy format at the top of the 3d page
  • Declarant Information- 
  • Enter your signature
  • Enter your physical address
  • Enter your date of birth
  • Enter your printed or typed name
  • In entering the witnesses signatures, you must read the brief statement just prior to providing signatures – If in agreement –

Witness 1 – 

  • Enter Signature
  • Enter Physical Address

Witness 2 – 

  • Enter Signature
  • Enter Physical Address

Step 4 – Notarization – As the notary has witnessed all signatures, he/she will complete the remainder of the document and authenticate with the state seal.

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