AB984,3,1613 (a) An individual specifically designated in a declaration of final disposition or,
14if that individual is unable or unwilling to carry out the declarant's decisions and
15preferences, an alternate individual specifically designated by the declarant in the
16declaration of final disposition to do so.
AB984,3,1717 (b) An individual specified in s. 154.32 (5) (b).
AB984,3,19 18(4) "Incapacitated" means unable to receive and evaluate information
19effectively or to communicate decisions.
AB984,3,25 20154.32 Declaration of final disposition. (1) Who may execute. An
21individual who is of sound mind and has attained age 18 may voluntarily execute a
22declaration of final disposition, which shall take effect on the date of execution. An
23individual for whom an adjudication of incompetence and appointment of a guardian
24of the person is in effect under ch. 880 is presumed not to be of sound mind for
25purposes of this subsection.
AB984,4,1
1(2) Effect. A declaration of final disposition does any of the following:
AB984,4,32 (a) Expresses the declarant's decisions and preferences concerning any of the
3following:
AB984,4,44 1. Arrangements for a viewing.
AB984,4,55 2. Funeral ceremony, memorial service, graveside service, or other last rite.
AB984,4,76 3. Burial, cremation and burial or other disposition, or donation of the
7individual's body after death.
AB984,4,118 (b) Requires that any decisions and preferences of the declarant expressed in
9the declarant's declaration of final disposition be carried out as expressed unless the
10decisions or preferences exceed available resources from the declarant's estate or
11there is no realistic possibility of compliance.
AB984,4,14 12(3) Limitations. A declaration of final disposition may not supercede any
13conflicting provisions of a burial agreement under s. 445.125 that is made before
14execution of the declaration of final disposition.
AB984,4,22 15(4) Signature; witnesses. A declaration of final disposition shall be signed
16voluntarily by the declarant in the presence of 2 witnesses or in the presence of a
17notary public and shall be acknowledged by the signature of the final disposition
18agent or any alternate, if designated. If the declarant is physically unable to sign a
19declaration of final disposition, the declaration shall be signed in the declarant's
20name by an individual at the declarant's express direction and in his or her presence;
21such a proxy signing shall take place or be acknowledged by the declarant in the
22presence of 2 witnesses or a notary public.
AB984,5,3 23(5) Final disposition agent. In the declaration of final disposition, a declarant
24may, but need not, designate an individual to act as final disposition agent in the
25declarant's behalf with respect to the declarant's decisions and preferences

1concerning the matters specified in sub. (2), and designate an alternate individual
2to serve as his or her final disposition agent in the event that the final disposition
3agent first designated is unable or unwilling to act as intended.
AB984,5,6 4154.34 Declaration of final disposition; form. (1) A printed form of a
5declaration of final disposition shall contain the following statement in not less than
610-point boldface type:
AB984,5,7 7"NOTICE TO PERSON MAKING THIS DOCUMENT
AB984,6,38 YOU HAVE THE RIGHT TO MAKE DECISIONS ABOUT ANY DISPOSITION
9THAT IS TO BE MADE OF YOUR BODY AFTER DEATH. YOU MAY SIGN THIS
10LEGAL DOCUMENT TO SPECIFY THE PERSON WHOM YOU WANT TO MAKE
11DECISIONS ABOUT THAT DISPOSITION OR TO CARRY OUT YOUR SPECIFIC
12DECISIONS AND PREFERENCES IN THIS REGARD. THAT PERSON IS
13KNOWN AS YOUR FINAL DISPOSITION AGENT AND MAY BE ANYONE YOU
14CHOOSE, INCLUDING A FAMILY MEMBER, A FRIEND, OR A FUNERAL
15DIRECTOR OR CREMATORY AUTHORITY. YOU MAY ALSO SPECIFY AN
16ALTERNATE FINAL DISPOSITION AGENT, TO SERVE IF THE FIRST FINAL
17DISPOSITION AGENT IS UNABLE OR UNWILLING TO ACT. YOU SHOULD
18TAKE SOME TIME TO DISCUSS YOUR THOUGHTS AND BELIEFS ABOUT
19FINAL DISPOSITION WITH THE PERSON OR PERSONS WHOM YOU HAVE
20SPECIFIED. YOU MAY STATE IN THIS DOCUMENT ANY TYPES OF VIEWING
21ARRANGEMENTS, FUNERAL CEREMONY OR OTHER LAST RITE, BURIAL,
22CREMATION, OR DONATION OF ALL OR PART OF YOUR BODY THAT YOU DO
23OR DO NOT DESIRE, OR YOU MAY SPECIFY A FINAL DISPOSITION AGENT
24AND ALLOW THAT PERSON TO MAKE THOSE DECISIONS. THE DECISIONS
25OR PREFERENCES THAT YOU EXPRESS IN THIS DOCUMENT WILL BE

1CARRIED OUT UNLESS THEY EXCEED AVAILABLE RESOURCES FROM
2YOUR ESTATE OR THERE IS NO REALISTIC POSSIBILITY THAT THEY CAN
3BE COMPLIED WITH.
AB984,6,114 SIGNING THIS DOCUMENT REVOKES ANY PRIOR DECLARATION OF
5FINAL DISPOSITION THAT YOU MAY HAVE MADE. IF YOU WISH TO
6CHANGE THIS DECLARATION OF FINAL DISPOSITION, YOU MAY REVOKE
7THIS DOCUMENT AT ANY TIME BY DESTROYING IT, BY DIRECTING
8ANOTHER PERSON TO DESTROY IT IN YOUR PRESENCE, OR BY SIGNING A
9WRITTEN AND DATED STATEMENT. IF YOU REVOKE, YOU SHOULD NOTIFY
10YOUR AGENT AND ANY OTHER PERSON TO WHOM YOU HAVE GIVEN A
11COPY.
AB984,6,1412 IF YOUR AGENT IS YOUR SPOUSE AND YOUR MARRIAGE IS
13ANNULLED OR YOU ARE DIVORCED AFTER SIGNING THIS DOCUMENT,
14THIS DOCUMENT IS INVALID.
AB984,6,2115 YOU MAY ALSO USE THIS DOCUMENT TO MAKE OR REFUSE TO MAKE
16AN ANATOMICAL GIFT UPON YOUR DEATH. IF YOU USE THIS DOCUMENT
17TO MAKE OR REFUSE TO MAKE AN ANATOMICAL GIFT, THE DOCUMENT
18REVOKES ANY PRIOR DOCUMENT OF GIFT THAT YOU MAY HAVE MADE.
19YOU MAY LATER REVOKE OR CHANGE ANY ANATOMICAL GIFT THAT YOU
20MAKE BY THIS DOCUMENT BY CROSSING OUT THE ANATOMICAL GIFTS
21PROVISION IN THIS DOCUMENT.
AB984,6,2322 DO NOT SIGN THIS DOCUMENT UNLESS YOU CLEARLY UNDERSTAND
23IT.
AB984,7,3
1IT IS SUGGESTED THAT YOU KEEP THE ORIGINAL OF THIS
2DOCUMENT ON FILE WITH YOUR FINAL DISPOSITION AGENT OR
3FUNERAL DIRECTOR OR CREMATORY AUTHORITY.".
AB984,7,15 4(2) The department shall prepare and provide copies of the declaration of final
5disposition form and accompanying information for distribution in quantities to
6funeral directors, crematory authorities, hospitals, nursing homes, county clerks,
7and local bar associations and individually to private persons. The department shall
8include, in information accompanying the declaration of final disposition form, at
9least the statutory definitions of terms used in the form, a statement explaining that
10valid witnesses acting in good faith are statutorily immune from civil or criminal
11liability, and an instruction to potential declarants to read and understand the
12information before completing the form. The department may charge a reasonable
13fee for the cost of preparation and distribution. The declaration of final disposition
14form distributed by the department shall be easy to read, in type size no smaller than
1510-point, and in the following form:
Declaration of final disposition
AB984,7,2016 I, .... (print name, address, and date of birth), being of sound mind, intend by
17this document to specify the disposition that is to be made of my body after death and
18that my decisions and preferences in this regard be honored. My executing this
19document is voluntary. In addition, I may, by this document, specify my wishes with
20respect to making an anatomical gift upon my death.
Designation of final disposition agent (Optional)
AB984,8,621 I hereby designate .... (print name, address, and telephone number) to be my
22final disposition agent for the purpose of complying with or otherwise carrying out,
23in my behalf, the decisions or preferences concerning the disposition that is to be

1made of my body after death that are expressed in this document. If he or she is ever
2unable or unwilling to do so, I hereby designate .... (print name, address, and
3telephone number) to be my alternate final disposition agent for the purpose of
4complying with or otherwise carrying out, in my behalf, the decisions or preferences
5concerning the disposition that is to be made of my body after death that are
6expressed in this document.
General statement of authority granted
AB984,8,77 Upon my death,
AB984,8,108 .... I authorize my final disposition agent to make all decisions concerning the
9disposition that is to be made of my body after death, unless the decisions exceed
10available resources from my estate.
AB984,8,1612 .... I authorize my final disposition agent to comply with or otherwise carry out
13my following decisions or preferences concerning the disposition that is to be made
14of my body after death, unless the decisions or preferences that I express exceed
15available resources from my estate or there is no realistic possibility of compliance
16with the decisions or desires:
AB984,8,1717 1. Arrangements for a viewing .... (print decisions and preferences).
AB984,8,1918 2. Funeral ceremony, memorial service, graveside service, or other last rite ....
19(print decisions and preferences).
AB984,8,2120 3. Burial, cremation and burial or other disposition, or donation of my body
21after death .... (print decisions and preferences).
AB984,8,2322 4. Any additional desires, special provisions, or limitations .... (print decisions
23and preferences).

OR
AB984,9,61 .... Although I do not wish to authorize a specific final disposition agent to
2comply with or otherwise carry out my decisions and preferences concerning the
3disposition that is to be made of my body after death, the following are my decisions
4and preferences, unless the decisions or preferences that I express exceed available
5resources from my estate or there is no realistic possibility of compliance with the
6decisions or desires:
AB984,9,77 1. Arrangements for a viewing .... (print decisions and preferences).
AB984,9,98 2. Funeral ceremony, memorial service, graveside service, or other last rite ....
9(print decisions and preferences).
AB984,9,1110 3. Burial, cremation and burial or other disposition, or donation of my body
11after death .... (print decisions and preferences).
AB984,9,1312 4. Any additional desires, special provisions, or limitations .... (print decisions
13and preferences).
AB984,9,14 14(The declarant and the witnesses must sign the document at the same time.)
Signature of declarant
(Person creating the declaration of final disposition)
AB984,9,1515 Signature............................................................Date...........................................
AB984,9,1716 (The signing of this document by the declarant revokes all previous
17declarations of final disposition.)
Statement of witnesses
AB984,9,2018 I know the declarant personally and I believe him or her to be of sound mind
19and at least 18 years of age. I believe that his or her execution of this declaration of
20final disposition is voluntary. I am at least 18 years of age.
AB984,9,2121 Witness No. l:
AB984,9,2222 (print) Name.................................................Date.................................................
AB984,10,1
1Address..................................................................................................................
AB984,10,22 Signature...............................................................................................................
AB984,10,33 Witness No. 2:
AB984,10,44 (print) Name....................................................Date..............................................
AB984,10,55 Address..................................................................................................................
AB984,10,66 Signature...............................................................................................................
Statement of final disposition agent and alternate final disposition agent
AB984,10,107 I understand that .... (name of declarant) has designated me to be his or her final
8disposition agent or alternate final disposition agent after his or her death. .... (name
9of declarant) has discussed his or her decisions and preferences regarding final
10disposition with me.
AB984,10,1111 Agent's signature...................................................................................................
AB984,10,1212 Alternate's signature............................................................................................
Anatomical gifts (Optional)
AB984,10,1313 Upon my death:
AB984,10,1614 .... I wish to donate only the following organs or
15parts:..............................................................................................................................
16(specify the organs or parts).
AB984,10,1717 .... I wish to donate any needed organ or part.
AB984,10,1818 .... I wish to donate my body for anatomical study if needed.
AB984,10,2119 .... I refuse to make an anatomical gift. (If this revokes a prior commitment that
20I have made to make an anatomical gift to a designated donee, I will attempt to notify
21the donee to which or to whom I agreed to donate.)
AB984,10,2322 Failing to check any of the lines immediately above creates no presumption
23about my desire to make or refuse to make an anatomical gift.
AB984,11,1
1Signature...............................................................................................................
AB984,11,22 Date........................................................................................................................
AB984,11,10 3154.36 Anatomical gift. A declarant may, if the requirements of s. 157.06 (2)
4are met, make, or refuse to make, an anatomical gift in a declaration of final
5disposition. An anatomical gift that is made in a declaration of final disposition
6supercedes a prior, conflicting, unrevoked anatomical gift or a prior, unrevoked
7refusal to make an anatomical gift made by the declarant under s. 157.06 (2). A
8refusal to make an anatomical gift that is made in a declaration of final disposition
9supercedes a prior, conflicting, unrevoked anatomical gift made by the declarant
10under s. 157.06 (2).
AB984,11,14 11154.38 Reports of death, autopsies, inquests. This subchapter is subject
12to the powers and duties of coroners, medical examiners, and other physicians
13licensed to perform autopsies with respect to the reporting of certain deaths,
14performance of autopsies, and inquests under ch. 979.
AB984,11,16 15154.40 Revocation of declaration. A declarant may revoke a declaration of
16final disposition at any time by any of the following methods:
AB984,11,20 17(1) Canceling, defacing, obliterating, burning, tearing, or otherwise destroying
18the declaration of final disposition or directing some other person to cancel, deface,
19obliterate, burn, tear, or otherwise destroy the declaration of final disposition in the
20presence of the declarant.
AB984,11,22 21(2) Revoking in writing the declaration of final disposition. The declarant shall
22sign and date any written revocation under this subsection.
AB984,11,23 23(3) Executing a subsequent declaration of final disposition.
AB984,12,3
1154.42 Immunities. (1) No funeral director, cemetery, crematory authority,
2final disposition agent, or alternate final disposition agent may be held civilly or
3criminally liable, or charged with unprofessional conduct, for any of the following:
AB984,12,54 (a) Complying with or otherwise carrying out, in good faith, the decisions or
5preferences expressed in a declaration of final disposition.
AB984,12,76 (b) Failing to act upon a revocation of a declaration of final disposition unless
7the person or facility has actual knowledge of the revocation.
AB984,12,11 8(2) No individual who acts in good faith as a witness to a declaration of final
9disposition under this subchapter may be held civilly or criminally liable for
10complying with or otherwise carrying out the decisions or preferences expressed in
11the declaration.
AB984,12,15 12154.44 Penalties. (1) Any person who intentionally conceals, cancels,
13defaces, obliterates, or damages the declaration of final disposition of another
14without the declarant's consent may be fined not more than $500 or imprisoned not
15more than 30 days or both.
AB984,12,20 16(2) Any person who knowingly disposes of a body in a manner that is
17inconsistent with a declaration, unless the decisions or preferences expressed by the
18declarant exceed available resources from the declarant's estate or if there is no
19realistic possibility of compliance with the decisions or preferences, may be fined not
20more than $500 or imprisoned not more than 30 days or both.
AB984,12,2121 (End)
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