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Your Substitute Decision Maker Wallet Card 1. Cut along dotted line 2. Fill out the necessary information 3. Carry your wallet card with you at all timescale:Complete Reverse Side. Date:This wallet

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What is your substitute decision-maker wallet?

Your substitute decision-maker wallet contains the information of the person who will make medical or financial decisions on your behalf if you are unable to do so.

Who is required to file your substitute decision-maker wallet?

You are required to file your substitute decision-maker wallet and designate a substitute decision-maker.

How to fill out your substitute decision-maker wallet?

You can fill out your substitute decision-maker wallet by providing the necessary information about your designated substitute decision-maker.

What is the purpose of your substitute decision-maker wallet?

The purpose of your substitute decision-maker wallet is to ensure that there is a designated person who can make decisions on your behalf if you are incapacitated.

What information must be reported on your substitute decision-maker wallet?

Your substitute decision-maker wallet must include the name, contact information, and relationship of your designated substitute decision-maker.

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