This is Ohio’s statutory form for choosing who will make decisions about your funeral, burial, or cremation, and for recording your preferences and how they should be paid for. This is Ohio’s statutory form for choosing who will make decisions about your funeral, burial, or cremation, and for recording your preferences and how they should be paid for.
For Ohio residents and families: disposition of remains.
What you'll need
Read the supplied packet before filling in its fields.
Follow this document's signing, identification, witness and filing instructions.
How to complete it
Name your representative (Page 1) Enter your representative and a successor, plus your preferences and sources of funds.
Sign and accept (Page 2) Sign and date. Your representative may also sign the optional acceptance.
Two witnesses or a notary (Page 3) Ohio requires the declaration to be signed before two adult witnesses who are not related to you and not your representative, or acknowledged before a notary. We can provide witnesses for an additional fee.
An Ohio declaration for mental health treatment lets you state your treatment preferences in advance and name a proxy to make mental health decisions if a crisis leaves you unable to decide.
An Ohio health care power of attorney names someone (your “attorney in fact”) to make health care decisions for you if you lose the capacity to decide. It does not cover finances.
Federal privacy law (HIPAA) limits who doctors, hospitals, and insurers can talk to about you. This authorization lets the people you name receive your health information so they can help you.
An Ohio living will tells your doctors whether to withhold or withdraw life-sustaining treatment if you are in a terminal condition or permanently unconscious and cannot decide for yourself.
These forms are a free convenience, not legal advice. First Choice Mobile Notary & Apostille is not a law firm. Consult an attorney licensed in the relevant state for legal questions.