Illinois Living Will Form (Advance Directive)

The Illinois Durable Power Of Attorney For Health Care Will Form is applicable in the state of Illinois allowing the principal to nominate an agent who is then able to make their health care decisions if they become no longer able to themselves through illnesses such as unconscious or brain-damaged. This document requires attestation by two (2) witnesses in accordance with 755 ILCS 35/3(b), 755 ILCS 45/4-10.

How to Write

Illinois Living Will Act

The principal must carefully read the document and complete the required blank fields.


The principal must enter their personal details.

  • Date.
  • Name of principal.
  • Signature of principal.
  • Address of principal.



Two witnesses are required to enter their signatures.