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Statute – Nebraska Revised Statutes – Rights of the Terminally Ill Act (§ 20-401 – 20.416)
Definition – “Declaration” shall mean a writing executed in accordance with the requirements of subsection (1) of section § 20-404 (§ 20-403(3)).
Signing Requirements – Confirmation from either two (2) acceptable witnesses or one (1) licensed notary is needed to finalize the obligations created by the agreement (§ 20-404(1)).
Revocation – § 20-406
Other Versions
Everplans Version
Download: Adobe PDF
Spanish Version
Download: Adobe PDF
Additional Resources
- Boone County Health Center – Advance Directives in Nebraska Guide
- Gold Crest Retirement Center – Advance Directives
- Memorial Community Health – Patient’s Rights to Make Health Care Decisions in NE
- Nebraska Medicine – Set Up a Living Will or Power of Attorney
- Nebraska Organ Recovery – Organ Donation
- University of Nebraska-Omaha – Living Wills and Advance Directives for Medical Decisions
Related Forms (6)
- Advance Directive (Medical POA & Living Will)
- Advance Directive Wallet Card
- Durable (Financial) Power of Attorney Form
- Emergency Treatment Declaration
- Physician’s DNR Order
- Psychiatric Advance Directive
Advance Directive (Medical POA & Living Will)
Download: Adobe PDF
Download: Adobe PDF
Durable (Financial) Power of Attorney
Download: Adobe PDF
Emergency Treatment Declaration (also available for a Minor)
Download: Adobe PDF
Information: Adobe PDF
Physician’s Do-Not-Resuscitate (DNR) Order
Download: Adobe PDF
Download: Adobe PDF
Information: Adobe PDF
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