Free Nebraska Living Will

In Nebraska, the living will is the Declaration, a document of its own, apart from the healthcare power of attorney.

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An adult of sound mind may execute at any time a declaration governing the withholding or withdrawal of life-sustaining treatment. may make a declaration in Nebraska.

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The state whose law the document is prepared under. In Massachusetts, Michigan, New York and Oregon, treatment instructions are part of the healthcare power of attorney; those state pages lead there.

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Yes. Nebraska prints the form in the statute, published by Nebraska Department of Health and Human Services (form MLTC-PB-3 (99009)). The document prepared here is that form text with your entries in its blanks and your choices marked where the form has you initial them; the agent parts are omitted.

The declarant signs it in the presence of 2 adult witnesses, or acknowledges it before a notary public instead. A declarant who cannot sign may have another adult sign at the declarant's direction and in the declarant's presence.

When you can no longer make your own treatment decisions and your condition is one the statute names: terminal condition; persistent vegetative state, as certified by your physician. Nebraska defines each term in the statute, and the document prints the definitions it uses.

Nebraska's statute carries a pregnancy provision: Life-sustaining treatment shall not be withheld or withdrawn pursuant to a declaration from an individual known to the attending physician to be pregnant so long as it is probable that the fetus will develop to the point of live birth with continued application of life-sustaining treatment.

Nebraska recognizes these ways to revoke it: at any time and in any manner without regard to the declarant's mental or physical condition.

The Living Will in Nebraska

Nebraska treats the living will as a document of its own: the statute calls it the Declaration and gives it its own signing rule, apart from the healthcare power of attorney. The document is that declaration alone; naming an agent is the healthcare power of attorney's work.

Nebraska prints the form in the statute, and Nebraska Department of Health and Human Services (form MLTC-PB-3 (99009)) publishes it; in the statute's words, “A declaration directing a physician to withhold or withdraw life-sustaining treatment may, but need not, be in the form provided in this subsection”. The document reproduces the form's text with the entries in its blanks and the elections marked where the form has the declarant initial them.

Nebraska names the conditions in which the declaration operates: terminal condition; persistent vegetative state. The physician certifies the condition before the declaration takes effect. It applies only once the declarant can no longer make treatment decisions.

Signing in Nebraska takes the declarant's signature before 2 adult witnesses, or a notary acknowledgment in place of the witnesses. Another adult may sign for a declarant who cannot, at the declarant's direction and in the declarant's presence.

Legal Sources

(5)·Updated September 27, 2026

SimplyTrust Editorial

Data sourced from Nebraska statutes and official state code. How we research.

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Free Nebraska Living Will

In Nebraska, the living will is the Declaration, a document of its own, apart from the healthcare power of attorney.

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The Living Will in Nebraska

Free Nebraska Living Will

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Free Nebraska Living Will

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