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Page 1 of 3NICKI A. BURKE, Surrogate ADMINISTRATION AD PROSEQUENDUM FACT SHEETTODAYS DATE: Surrogates Court docket number SLM2017 ESTATE OF: (as it appears on the Death Certificate)a/k/a: a/k/a: Legal

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What is burke surrogate?

Burke Surrogate is a legal document used to appoint a surrogate decision-maker for medical treatment decisions in the event of incapacity.

Who is required to file burke surrogate?

Any individual who wants to ensure that their medical treatment preferences are followed if they become incapacitated.

How to fill out burke surrogate?

Burke Surrogate can be filled out by completing the necessary information, including the appointment of a surrogate decision-maker and the individual's medical treatment preferences.

What is the purpose of burke surrogate?

The purpose of Burke Surrogate is to provide a legal document that appoints a surrogate decision-maker and outlines an individual's medical treatment preferences in the event of incapacity.

What information must be reported on burke surrogate?

Burke Surrogate must include the appointment of a surrogate decision-maker, the individual's medical treatment preferences, and any specific instructions for medical care.

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