Get (your Name And Address) - Health Ny

Filling out the (Your Name And Address) - Health Ny form is an important step in ensuring that your wishes regarding the disposition of your remains are respected. This guide will provide you with clear and concise instructions on how to complete the form accurately and effectively.

Follow the steps to complete the form successfully.

1. Click ‘Get Form’ button to access the form and open it in the editing interface.
2. In the first section, provide your full name and address. Ensure that all information is accurate as this identifies you as the individual making the appointment.
3. Next, identify the person you wish to appoint as your agent by filling in their name. This person will be responsible for controlling the disposition of your remains.
4. In the special directions section, include any specific wishes or limitations you want your agent to follow regarding the disposition of your remains.
5. Indicate whether you have entered into a pre-funded pre-need agreement for funeral services by selecting 'Yes' or 'No' and providing the name of the funeral firm if applicable.
6. Fill in the details for your agent, including their name, address, and telephone number, ensuring all contact details are correct.
7. If desired, appoint successors by providing their names, addresses, and telephone numbers in case your primary agent is unable to fulfill their duties.
8. Sign and date the document to validate your wishes. This signature confirms that you are of sound mind and acting voluntarily.
9. Include the witness section by having two witnesses sign the document, confirming your identity and sound mind.
10. Finally, save your changes. You can download, print, or share the completed form as needed.

Complete your forms online today to ensure your wishes are respected.