Homepage Printable Living Will Document Official Living Will Template for Nebraska
Article Structure

When individuals in Nebraska choose to take control of their healthcare decisions, especially in anticipation of a situation where they might not be able to make these decisions themselves, the Nebraska Living Will form becomes a crucial tool. This form allows a person to clearly outline their wishes regarding medical treatments and life-sustaining measures in cases of terminal illness or irreversible coma. It speaks for the individual at a time when they may not be able to communicate, ensuring that their preferences are respected and followed. Completing this form is not just about making medical choices; it's also a gesture of care and consideration towards family members, relieving them of the burden of making these difficult decisions. The form covers various aspects, including the refusal or request of specific medical treatments and the conditions under which these preferences should apply. It is legally binding once properly completed and signed, highlighting its importance in health care planning. By addressing these major aspects, the Nebraska Living Will form empowers individuals, providing them with a voice in their medical care during the most challenging times.

Nebraska Living Will Preview

Nebraska Living Will

This document serves as a Living Will, designed specifically to comply with the statutes of the state of Nebraska. It is a declaration of the undersigned's wishes regarding the use of life-sustaining treatments and artificially provided nutrition and hydration in the event they are unable to express informed consent due to incapacity.

Personal Information

Name of Declarant: ___________________________

Date of Birth: ___________________________

Address: ____________________________________

City:_____________________, State: Nebraska, Zip Code: ___________

Declaration

I, ___________________________ (Name of Declarant), being of sound mind, hereby declare my wishes in the event that I am unable to communicate my healthcare decisions due to incapacity. This living will shall guide my physician and healthcare providers in making decisions about providing, withholding, or withdrawing life-sustaining treatments and artificially provided nutrition and hydration.

Directions for Health Care

  1. In the event that I am in a terminal condition, I direct that my healthcare providers allow my natural death to occur. I do not want life-sustaining treatment, except for the purposes of comfort care.
  2. If I am in a persistent vegetative state or irreversible coma and there is no reasonable expectation of recovery, I do not want life-sustaining treatments to be used. This includes artificially provided nutrition and hydration.
  3. Should I be diagnosed with a serious illness from which I am expected to recover, I desire that all available treatments be used, except in the circumstances described above.

Signature

By signing this document, I affirm that I understand the nature and purpose of this declaration and that my statements reflect my wishes:

Signature of Declarant: ___________________________

Date: ___________________________

Witness Declaration

This Living Will was signed in my presence by the Declarant named above, who appears to be of sound mind and under no duress, fraud, or undue influence. I am not related to the Declarant by blood, marriage, or adoption, and to the best of my knowledge, I am not entitled to any part of the estate of the Declarant under any will or by operation of Nebraska law.

Signature of Witness #1: ___________________________

Date: ___________________________

Print Name: ___________________________

Address: __________________________________________

Signature of Witness #2: ___________________________

Date: ___________________________

Print Name: ___________________________

Address: __________________________________________

File Attributes

Fact Number Detail
1 The Nebraska Living Will is governed by the Rights of the Terminally Ill Act in Nebraska.
2 It allows individuals to outline their medical care preferences in the event they become incapable of making decisions for themselves.
3 This legal document is only applicable when the individual has a terminal condition, as certified by a physician.
4 A Nebraska Living Will becomes effective when it is signed by the individual in the presence of two witnesses or a notary public.
5 The witnesses to a Nebraska Living Will must not be related to the individual by blood, marriage, or adoption and cannot be beneficiaries of the individual's estate.
6 It must be communicated to the attending physician who will make a note of the living will in the individual's medical records.
7 The individual can revoke their Nebraska Living Will at any time in any manner without regard to their mental state.
8 Healthcare providers are legally bound to follow the directives of the living will as long as it is in their possession or the terms are known to them.
9 If there is no living will, Nebraska laws provide a hierarchy of individuals who can make decisions on behalf of the incapacitated individual.
10 Creating a Living Will is advised as part of estate planning to ensure wishes are respected even when one cannot communicate them directly.

Guidelines on Filling in Nebraska Living Will

A living will is a legal document that lets you outline your preferences for medical treatment if you become unable to communicate or make decisions for yourself. In Nebraska, filling out a living will form is a straightforward process that allows you to ensure your healthcare wishes are known and respected. These directions guide you through each step necessary to complete the Nebraska Living Will form, making sure your rights and desires are clearly articulated and legally recognized.

  1. Begin by obtaining the official Nebraska Living Will form. This is available online through Nebraska's Department of Health and Human Services website or at most hospitals and legal offices.
  2. Read the form thoroughly before you start filling it out. This ensures you understand the nature of the document and the implications of your decisions.
  3. Enter your full legal name at the top of the form where indicated to identify yourself as the principal—the person making the living will.
  4. Next, specify your directive regarding life-sustaining treatment in the section provided. This includes decisions about receiving or not receiving treatments that could extend your life in situations where recovery is unlikely.
  5. Decide on your preferences for artificial nutrition and hydration, and indicate your choices in the appropriate section. Consider whether you want to receive these types of sustenance if you cannot eat or drink by yourself.
  6. If applicable, appoint a health care power of attorney by filling in the name, relationship, and contact information of the person you trust to make health care decisions on your behalf if you're unable to do so. This step is optional but recommended.
  7. Review all the information you have provided on the form, ensuring that your wishes are accurately and clearly expressed.
  8. Sign and date the form in the presence of two witnesses or a notary public. Nebraska law requires your living will to be properly witnessed to be legally valid. Your witnesses must be at least 19 years of age, and neither can be someone who stands to inherit from you or who is directly responsible for your healthcare costs.
  9. Make copies of the completed, signed, and witnessed or notarized living will form. Distribute these copies to your healthcare power of attorney (if you have appointed one), your family members, and your primary care physician.
  10. Finally, keep the original signed document in a safe but accessible place. Inform your healthcare power of attorney and close family members where they can find it if needed.

By following these steps, you can create a Nebraska Living Will that reflects your healthcare preferences. This document serves an important role in your overall healthcare planning, providing peace of mind to you and your loved ones by clearly stating your wishes regarding treatment in situations where you might not be able to communicate them yourself.

More About Nebraska Living Will

What is a Nebraska Living Will?

A Nebraska Living Will is a legal document that allows individuals to outline their preferences regarding medical treatment in the event they become unable to communicate their decisions due to illness or incapacity. It specifies the types of life-sustaining treatments they would want, or not want, to prolong their life.

Who should have a Nebraska Living Will?

Any adult in Nebraska who wants to ensure their medical treatment preferences are followed in the event they become incapacitated should consider creating a Living Will. It is especially important for those with strong preferences about end-of-life care or those with serious health conditions.

How can one create a Nebraska Living Will?

To create a Living Will in Nebraska, the individual must complete a specific form that complies with state law. This process involves:

  1. Obtaining the Nebraska Living Will form, which meets state-required standards.
  2. Filling out the form, clearly stating treatment preferences.
  3. Having the form witnessed or notarized, as required by Nebraska law.

It is advisable to consult with a healthcare provider or a legal professional to ensure the document accurately reflects the person's wishes and complies with state law.

Does a Nebraska Living Will need to be notarized or witnessed?

Yes, in Nebraska, a Living Will must be either notarized or witnessed by two individuals who meet specific criteria set forth by the state. The witnesses cannot be related to the person by blood, marriage, or adoption and cannot be beneficiaries of the person’s estate.

Can a Nebraska Living Will be revoked?

Yes, a Nebraska Living Will can be revoked at any time by the person who created it. Revocation can be done in several ways, including:

  • Creating a new Living Will that states the previous one is revoked.
  • Physically destroying the document.
  • Communicating the decision to revoke the document in any manner, such as orally, to a healthcare provider.

What should be done with a Nebraska Living Will after it's completed?

After completing a Nebraska Living Will, it's important to:

  • Provide a copy to a healthcare provider to include in medical records.
  • Inform a healthcare proxy or power of attorney, if one exists, about the document and its contents.
  • Keep the original document in a safe but accessible place and let close family members or friends know where it is.

Does a Nebraska Living Will cover all end-of-life decisions?

No, a Nebraska Living Will generally covers decisions related to life-sustaining treatment and artificial nutrition and hydration. It might not address other types of medical care or situations. For comprehensive end-of-life planning, individuals may also consider creating a Durable Power of Attorney for Health Care, which allows them to appoint someone to make healthcare decisions on their behalf if they become unable to do so.

Are Living Wills the same in every state?

No, the requirements for Living Wills vary from state to state in the United States. While the basic concept is similar across the country, the specifics regarding how to create, execute, and revoke a Living Will can differ. It's important to follow the guidelines and laws specific to Nebraska when creating a Living Will in this state.

Is a lawyer required to create a Nebraska Living Will?

While it is not strictly necessary to have a lawyer to create a Living Will in Nebraska, consulting with a legal professional knowledgeable in state law can be beneficial. A lawyer can help ensure the document clearly expresses the individual’s wishes and meets all legal requirements, potentially avoiding future disputes or misunderstandings.

Common mistakes

Completing a Living Will form is a critical step in ensuring your healthcare preferences are respected and followed in Nebraska. However, errors during its completion can lead to misunderstandings, unintended consequences, or even the document being considered invalid. Here are seven common mistakes people make when filling out the Nebraska Living Will form:

  1. Not reviewing Nebraska-specific requirements: Every state has its own set of rules for living wills. Failing to review and comply with Nebraska's specific requirements can invalidate the document.

  2. Using vague language: It's essential to be as clear and specific as possible about your wishes. Vague language can lead to confusion and interpretation issues when it matters most.

  3. Omitting to appoint a healthcare power of attorney: A living will is crucial, but so is designating someone you trust to make healthcare decisions on your behalf if you're unable to do so.

  4. Failing to update the document: Life changes such as marriage, divorce, the birth of a child, or a change in health status should prompt a review and possible revision of your living will to ensure it still reflects your wishes.

  5. Not discussing your wishes with your family: Even though it might be difficult, talking about your decisions with your family members can prevent stress and confusion later on.

  6. Forgetting to sign and date the document: Without your signature and the date, the living will may not be legally binding. In Nebraska, you also need the signature of a witness or a notarization.

  7. Not distributing copies of the living will: Your healthcare providers, trusted family members, and healthcare power of attorney should have copies of your living will to ensure your wishes are honored.

By avoiding these mistakes, you can help ensure your living will is valid and effectively communicates your healthcare preferences in Nebraska. Taking the time to carefully complete this document can offer peace of mind to both you and your loved ones.

Documents used along the form

When individuals are planning for the future, specifically concerning their healthcare wishes, a Living Will is an important document that helps convey those wishes in Nebraska. However, to ensure comprehensive planning, there are several other documents and forms that often accompany a Living Will. Each serves a unique purpose and complements the directives given in a Living Will, forming a detailed and articulate estate plan that respects an individual's end-of-life care preferences. The following is a list of documents frequently used alongside a Nebraska Living Will.

  • Durable Power of Attorney for Health Care: This legal document allows an individual to appoint someone else to make healthcare decisions on their behalf if they are unable to do so themselves. This is crucial for situations that are not covered by the Living Will.
  • Medical Orders for Scope of Treatment (MOST): A form that specifies the types of medical treatment a patient wishes to receive towards the end of life, including resuscitation, intubation, and mechanical ventilation.
  • Do Not Resuscitate (DNR) Order: A medical order signed by a physician that instructs healthcare providers not to perform CPR if a patient's breathing stops or if the heart stops beating.
  • Organ and Tissue Donation Form: Allows individuals to specify their wishes regarding organ and tissue donation at the time of death, potentially saving or improving the lives of others.
  • Last Will and Testament: A legal document that articulates how a person's property and estate will be distributed after their death. It may also include the appointment of a guardian for minor children.
  • Financial Power of Attorney: Enables an individual to appoint an agent to handle their financial affairs if they become incapacitated. This can include paying bills, managing investments, and other financial decisions.
  • Privacy Release Form: Authorizes healthcare providers to share or withhold specific health information with designated individuals, which is especially important in cases where the healthcare proxy needs access to this information.
  • Emergency Contact Form: Lists individuals who should be contacted in case of an emergency, including their relationship to the person and contact information.
  • Living Trust: Helps manage an individual's assets during their lifetime and distribute them after death. It can also specify certain conditions for distributing assets, potentially avoiding probate.
  • Funeral Planning Declaration: Allows individuals to outline their preferences for funeral arrangements, including burial or cremation, type of service, and handling of remains.

Together, these documents provide a comprehensive framework that ensures an individual's healthcare and personal wishes are honored. By planning ahead and completing these forms, individuals can offer guidance to their loved families and healthcare providers, minimizing uncertainty and stress during difficult times. It's recommended to consult with legal professionals to create a plan that accurately reflects one's wishes and adheres to Nebraska's legal requirements.

Similar forms

The Nebraska Living Will form is similar to other legal documents that allow individuals to make decisions about their future medical treatment in the event they are unable to communicate their wishes due to illness or incapacity. This document is part of a group of advance directives used in healthcare planning. These analogs include the Healthcare Power of Attorney and the Do Not Resuscitate (DNR) Order. Each of these documents serves a unique purpose but collectively they provide a comprehensive approach to manage healthcare decisions proactively.

Healthcare Power of Attorney: The Nebraska Living Will form is similar to a Healthcare Power of Attorney (HCPA) in that both designate the individual's choices regarding medical care. However, the similarity diverges in their functionality. A Living Will typically outlines specific directives regarding end-of-life care, focusing on the types of medical treatments and interventions a person wishes to avoid. In contrast, a Healthcare Power of Attorney appoints another person, known as an agent or proxy, to make healthcare decisions on the individual's behalf should they become incapacitated. This document does not limit discussions to end-of-life situations but encompasses all health care decisions, offering a broader scope of control.

Do Not Resuscitate (DNR) Order: Similarly, the Nebraska Living Will form shares objectives with a Do Not Resuscitate (DNR) Order, with both documents directing medical personnel regarding specific treatments in critical situations. A Living Will provides instructions for a range of life-sustaining treatments one may or may not want in the event of a terminal illness or permanent unconsciousness. On the other hand, a DNR explicitly instructs healthcare providers not to perform CPR (cardiopulmonary resuscitation) if the individual's breathing stops or if the heart stops beating. The DNR is more narrowly focused, applying only to the circumstances surrounding resuscitation efforts.

Dos and Don'ts

When it comes to preparing a Living Will in Nebraska, it's crucial to approach the document with careful attention and an understanding of its significance. A Living Will allows individuals to outline their wishes regarding medical treatment in situations where they can no longer communicate their decisions due to incapacitation. Here are some guidelines to follow (and avoid) to ensure your Living Will accurately reflects your healthcare preferences.

Do:
  1. Review Nebraska's specific requirements for a Living Will. Each state has unique regulations regarding the creation and execution of Living Wills, including witness or notarization requirements.

  2. Be clear and specific about your medical treatment preferences. This includes treatments you want and those you wish to decline, especially in situations involving terminal illness or permanent unconsciousness.

  3. Discuss your wishes with your healthcare provider and your appointed health care power of attorney. It's important that they understand your values and the reasoning behind your decisions.

  4. Keep your Living Will accessible. Inform your family members, healthcare agent, and primary physician of its location so it can be easily found when needed.

Don't:
  • Fill out the form in haste without thoroughly considering your healthcare preferences and values. Your decisions should reflect your beliefs and wishes regarding end-of-life care.

  • Use vague language that can lead to different interpretations. The clarity of your directives directly impacts how effectively your wishes will be followed.

  • Forget to update your Living Will after major life changes. Revisions may be necessary after events such as marriage, divorce, the birth of a child, or a significant change in health status.

  • Fail to sign and date the document according to Nebraska law requirements, which could involve having witnesses or a notarization to make it legally binding. Not adhering to these formalities can result in an invalid Living Will.

Misconceptions

When it comes to preparing for the future, the Nebraska Living Will form is an essential document many people consider. However, misconceptions abound, leading to confusion about its purpose, legal value, and operation. Clearing up these misunderstandings can help individuals make informed decisions about their healthcare planning. Here are six common misconceptions about the Nebraska Living Will form.

  • Misconception 1: It covers all health care decisions. Many believe that a Living Will is a catch-all for all health care decisions. In reality, the Nebraska Living Will is specifically designed to address end-of-life care, particularly the refusal or request for life-sustaining treatment when one is in a terminal condition or permanently unconscious. It does not cover other types of health care decisions, such as those related to mental health or general medical care not related to life-sustaining treatment.

  • Misconception 2: It's only for the elderly. It's a common belief that only the elderly need a Living Will. However, unexpected medical situations can arise at any age, making it prudent for adults of all ages to prepare a Living Will. This document ensures that your health care wishes are known and respected, regardless of your age at the time they need to be implemented.

  • Misconception 3: A Living Will is the same as a Last Will and Testament. Though they sound similar, a Living Will and a Last Will and Testament serve different purposes. A Living Will expresses your wishes regarding medical treatment in specific situations, whereas a Last Will and Testament deals with the distribution of your property after your death. Confusing these documents can lead to significant misunderstandings about their roles in estate and health care planning.

  • Misconception 4: Having a Living Will means you will not receive any medical treatment. Some people worry that a Living Will might lead to being denied all medical treatment in the event of a serious illness or injury. However, this is not the case. A Living Will only addresses the withholding or withdrawal of life-sustaining treatments under specific circumstances, not the refusal of all medical treatment. In situations not covered by a Living Will, medical professionals will still provide appropriate care.

  • Misconception 5: Your family can override your Living Will. In Nebraska, a Living Will is legally binding once properly signed and witnessed (or notarized). Therefore, even if family members disagree with the document's directives, health care providers are legally obliged to follow your expressed wishes regarding life-sustaining treatment. This underscores the importance of discussing your Living Will with family members ahead of time to ensure they understand and respect your wishes.

  • Misconception 6: A Living Will is difficult to revoke. Some people hesitate to execute a Living Will, believing it is irreversible. In fact, a Nebraska Living Will can be revoked at any time by the person who made it, as long as they are mentally competent. Revocation can be done in various ways, including by creating a new Living Will, physically destroying the original document, or making an oral statement expressing the desire to revoke it in the presence of a witness.

Key takeaways

Understanding how to properly fill out and use the Nebraska Living Will form is important for ensuring your health care preferences are respected. Here are some key takeaways to guide you through the process:

  • Definition: A Living Will is a legal document that outlines your wishes concerning medical treatments you want or do not want if you're unable to make decisions due to illness or incapacity.
  • Eligibility: To complete a Living Will in Nebraska, you must be at least 19 years old or an emancipated minor. You also need to be of sound mind, understanding the nature and significance of the document.
  • Witnesses: Your Living Will must be signed in the presence of two witnesses, who also need to sign the document. These witnesses must be at least 19 years old and should not be anyone who is a beneficiary in your will, responsible for your health care costs, or directly involved in providing your health care.
  • Revocation: You can revoke or cancel your Living Will at any time, regardless of your physical or mental condition. This can be done in various ways, including by destroying the document, writing a revocation statement, or orally expressing your intent to revoke.
  • Communication: It’s crucial to discuss your Living Will and health care wishes with your family, close friends, and especially your health care providers to ensure everyone understands your preferences.
  • Legal document but not a will: Remember, a Living Will is specifically related to your health care decisions and does not handle financial matters or the distribution of your property after your death.
  • Storage: Keep the original copy of your Living Will in a safe but accessible place. Provide copies to your attorney, family members, health care proxy (if you have designated one), and primary physician to ensure your wishes are followed.

Taking the time to properly prepare and communicate your Living Will can provide peace of mind and clarity for both you and your loved ones during difficult times.

Please rate Official Living Will Template for Nebraska Form
4.69
Exceptional
180 Votes