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STATE OF CALIFORNIA
PUBLIC EMPLOYMENT RELATIONS BOARDUNFAIR PRACTICE CHARGE
DO NOT WRITE IN THIS SPACE:Case No:Date Filed:INSTRUCTIONS: File the original and one copy of this charge form in the appropriate
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What is do not write in?
Do not write in is a legal document used to declare someone's wishes regarding their end-of-life medical treatment.
Who is required to file do not write in?
Any individual who wants to make their end-of-life medical preferences known is required to file a do not write in form.
How to fill out do not write in?
To fill out a do not write in form, one must carefully consider their medical treatment preferences and clearly document them on the form.
What is the purpose of do not write in?
The purpose of do not write in is to ensure that an individual's end-of-life medical wishes are respected and followed.
What information must be reported on do not write in?
The do not write in form must include information about the individual's preferred medical treatments, resuscitation preferences, and designated healthcare proxy.
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