Option 1

Download PAD Form and Send to Your Provider/Agent

Step 1: Download a copy of the PAD Form to work with your support system and providers to ensure your wishes are respected and recorded correctly.

Step 2: Once you have gathered your answers, click here for fill out your Fillable PDF PAD Form, which will ensure your form is legible.

Step 3 : Download Your Form to get it signed and dated by two witnesses and/or your Agent (if you have assigned one).

Step 4 : Download, Print and Deliver to your Provider/Agent OR Download & Email to your Provider/Agent.

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