SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • February 2nd, 2022
This Agreement was made under the supervision of Supported Decision-Making New York (SDMNY), a project funded by the New York State Developmental Disabilities Planning Council (DDPC). (See "Attachment A.") The undersigned "Decision-Maker" and "Supporter(s)" have completed a professionally evaluated facilitation process that began on and concluded with the signing of this Agreement. A facilitator trained and supervised by SDMNY assisted the parties in negotiating and fully understanding the terms of this Agreement.
SUPPORTED DECISION-MAKING AGREEMENT SUPPORTED DECISION-MAKING AGREEMENT OF [INSERT NAME]Supported Decision-Making Agreement • March 4th, 2021
This Agreement was made under the supervision of Supported Decision-Making New York (SDMNY), a project funded by the New York State Developmental Disabilities Planning Council (DDPC). (See “Attachment A.”) The undersigned “Decision-Maker” and “Supporter(s)” have completed a professionally evaluated facilitation process that began on ____________________ and concluded with the signing of this Agreement. A facilitator trained and supervised by SDMNY assisted the parties in negotiating and fully understanding the terms of this Agreement.
SUPPORTED DECISION-MAKING AGREEMENT OF Adam JoachimiakSupported Decision-Making Agreement • February 3rd, 2020
This Agreement was made under the supervision of Supported Decision-Making New York (SDMNY), a project funded by the New York State Developmental Disabilities Planning Council (DDPC). (See “Attachment A.”) The undersigned “Decision-Maker” and “Supporter(s)” have completed a professionally evaluated facilitation process that began on February 6th, 2019 and concluded with the signing of this Agreement. A facilitator trained and supervised by SDMNY assisted the parties in negotiating and fully understanding the terms of this Agreement.
Harvey Pacht’s SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • May 1st, 2018
This Agreement was made under the supervision of Supported Decision-Making New York (SDMNY), a project funded by the New York State Developmental Disabilities Planning Council (DDPC). (See “Attachment A.”) The undersigned “Decision-Maker” and “Supporter(s)” have completed a professionally evaluated facilitation process that began on February 10, 2017 and concluded with the signing of this Agreement. A facilitator trained and supervised by SDMNY assisted the parties in negotiating and fully understanding the terms of this Agreement.
SUPPORTED DECISION MAKING AGREEMENTSupported Decision Making Agreement • April 5th, 2019
This agreement must be read aloud or otherwise communicated to all parties to the agreement in a manner that shall be appropriate to the needs and preferences of the person with a disability.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • July 28th, 2020
This Agreement was made under the supervision of Supported Decision-Making New York (SDMNY), a project funded by the New York State Developmental Disabilities Planning Council (DDPC). (See “Attachment A.”) The undersigned “Decision-Maker” and “Supporter(s)” have completed a professionally evaluated facilitation process that began on and concluded with the signing of this Agreement. A facilitator trained and supervised by SDMNY assisted the parties in negotiating and fully understanding the terms of this Agreement.
SUPPORTED DECISION-MAKING AGREEMENT NORTH DAKOTA PROTECTION AND ADVOCACY PROJECT SFN 61881 (10-2020)Supported Decision-Making Agreement • October 13th, 2020
The following format is not mandatory, but any Supported Decision-Making (SDM) Agreement Template must be substantially equivalent as described in North Dakota Century Code (N.D.C.C.), Chapter 30.1-36.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • January 18th, 2018
This form is to be read aloud or otherwise communicated, in the presence of the witnesses and parties to the agreement. The form of communication shall be appropriate to the needs of the individual with the disability, that individual’s language (an interpreter must be present for foreign languages and alternative forms of communication) and sensory processing wants or needs.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • June 30th, 2020
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • August 8th, 2018
This Agreement was made under the supervision of Supported Decision-Making New York (SDMNY), a project funded by the New York State Developmental Disabilities Planning Council (DDPC). (See “Attachment A.”) The undersigned “Decision-Maker” and “Supporter(s)” have completed a professionally evaluated facilitation process that began on and concluded with the signing of this Agreement. A facilitator trained and supervised by SDMNY assisted the parties in negotiating and fully understanding the terms of this Agreement.
SUPPORTED DECISION-MAKING AGREEMENT [NAME]Supported Decision-Making Agreement • April 4th, 2019
SUPPORTED DECISION-MAKING AGREEMENT Important Information For Supporter: DutiesSupported Decision-Making Agreement • May 15th, 2018
When you agree to provide support to an adult with a disability under this supported decision-making agreement, you have a duty to:
SUPPORTED DECISION MAKING AGREEMENTSupported Decision Making Agreement • July 28th, 2017
READ THIS: This agreement is a sample of a Supported Decision Making Agreement. Having this sample is not a substitute for seeking legal advice from an attorney. In South Carolina there is no law that specifically says that a Supported Decision Making Agreement can be enforced. There is no law against having a Supported Decision Making Agreement either. If you have questions about your legal rights, please talk with an attorney.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • May 26th, 2019
Supported Decision-Making (SDM) is a process that helps the person to make his/her own decisions based on his/her wishes and choices, supported by another person.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • February 12th, 2020
(print) Name of supporter Address of supporter City State zip E-mail address of supporter Phone number(s) of supporter Cell Phone
State of WisconsinSupported Decision-Making Agreement • August 19th, 2020
Enclosed is the Supported Decision-Making Agreement form you requested. The Supported Decision-Making Agreement makes it possible for persons to choose trusted people (called supporters) to help them gather and understand information, compare options, and communicate their decisions to others. Supported decision-making agreements DO NOT restrict the person’s rights to make decisions; the person makes all their own decisions.
Supported Decision Making AgreementSupported Decision Making Agreement • September 15th, 2021 • Louisiana
This agreement is governed by the Dustin Gary Act, also known as Supported Decision-Making, R.S. 13:4261.101 through 4 4261.302 of Louisiana Statute. This supported decision-making agreement is to support and accommodate an individual with a disability to make life decisions, including decisions related to where and with whom the individual wants to live, the services, supports, and medical care the individual wants to receive, and where the individual wants to work, without impeding the self- determination of the individual with a disability.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • December 26th, 2022 • Texas
This agreement is governed by the Supported Decision-Making Act, Chapter 1357 of the Texas Estates Code. This supported decision-making agreement is to support and accommodate an individual with a disability to make life decisions, including decisions related to where and with whom the individual wants to live, the services, supports, and medical care the individual wants to receive, and where the individual wants to work, without impeding the self-determination of the individual with a disability. This agreement may be revoked by the individual with a disability or his or her supporter at any time. If either the individual with a disability or his or her supporter has any questions about the agreement, he or she should speak with a lawyer before signing this supported decision-making agreement.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • September 29th, 2022
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • September 9th, 2020
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • February 11th, 2020
For the following everyday life decisions, if I have checked “Yes,” my supporter may help me with that type of decision, but if I have checked “No,” my supporter may not help me with that type of decision:
SUPPORTED DECISION-MAKING AGREEMENT EXAMPLESupported Decision-Making Agreement • June 6th, 2023
SUPPORTED DECISION-MAKING AGREEMENT (Sample)Supported Decision-Making Agreement • December 30th, 2021
This agreement must be communicated to all parties to the agreement in the presence of either a notary or 2 witnesses. The form of communication must be appropriate to the needs and preferences of the person with a disability. Reading the agreement out loud or using a sign language interpreter may be necessary.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • September 4th, 2023
Please note, this sample supported decision making agreement is being provided for informational purposes only and does not serve in place of a legal document.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • August 22nd, 2018 • Texas
This agreement is governed by the Supported Decision-Making Act, Chapter 1357 of the Texas Estates Code. This supported decision- making agreement is to support and accommodate an individual with a disability to make life decisions, including decisions related to where and with whom the individual wants to live, the services, supports, and medical care the individual wants to receive, and where the individual wants to work, without impeding the self-determination of the individual with a disability. This agreement may be revoked by the individual with a disability or his or her supporter at any time. If either the individual with a disability or his or her supporter has any questions about the agreement, he or she should speak with a lawyer before signing this supported decision-making agreement.
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • March 26th, 2024 • California
This agreement is governed by California Welfare and Institutions Code sections 21000-21008 (added by Stats. 2022, Ch. 894, Sec. 16 (AB 1663), effective Jan. 1, 2023).
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • January 25th, 2022
The following format is not mandatory, but any Supported Decision-Making Agreement template must be substantially equivalent as described in North Dakota Century Code: N.D.C.C. Chapter 30.1-36
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • January 25th, 2022
The following format is not mandatory, but any Supported Decision-Making Agreement template must be substantially equivalent as described in North Dakota Century Code: N.D.C.C. Chapter 30.1-36
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • October 23rd, 2019
The following format is not mandatory, but any Supported Decision-Making Agreement template must be substantially equivalent as described in
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • September 9th, 2020
SUPPORTED DECISION-MAKING AGREEMENTSupported Decision-Making Agreement • August 23rd, 2019 • Texas
This agreement is governed by the Supported Decision-Making Act, Chapter 1357 of the Texas Estates Code. This supported decision-making agreement is to support and accommodate an individual with a disability to make life decisions, including decisions related to where and with whom the individual wants to live, the services, supports, and medical care the individual wants to receive, and where the individual wants to work, without impeding the self-determination of the individual with a disability. This agreement may be revoked by the individual with a disability or his or her supporter at any time. If either the individual with a disability or his or her supporter has any questions about the agreement, he or she should speak with a lawyer before signing this supported decision-making agreement.
PERSONS NAME HERESupported Decision Making Agreement • October 3rd, 2020
NAME needs support in most areas of his/her life and relies upon members of his/her support network to enable him/her to have a good quality of life and to make decisions that are in his/her best interest. People who know him/her very well have drawn up this agreement using information from the following publications:
