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New Jersey Proxy Directive

In New Jersey, the document that names someone to make medical decisions for you when you cannot speak for yourself is called a proxy directive. Elsewhere it goes by medical power of attorney or advance directive agent designation: same role, local name. In New Jersey, a proxy directive generally must be either acknowledged before a notary public or signed by two witnesses (N.J. Stat. Ann. 26:2H-56).

This template walks you through naming your agent and an alternate, describing the authority you grant, and signing it the way New Jersey expects. Download the finished document in Word and PDF.

New Jersey signing requirements

New Jersey proxy directive signing requirements at a glance
NotarizationNotary or two witnesses (either satisfies the statute)
WitnessesTwo witnesses as the alternative to notarization
StatuteN.J. Stat. Ann. 26:2H-56

Verify before you rely on it

Power of attorney statutes change, and banks, hospitals, and county recorders can have their own acceptance practices. Confirm the current New Jersey requirement in the statute cited above (or with your state's self-help resources) before signing your proxy directive.

How this template works in New Jersey

Answer guided questions about the principal, the agent, and the powers you grant, and the document writes itself in front of you. Then sign it following the New Jersey requirements above and download it in Word and PDF.

The form, the live preview, and the full guide live on the main Medical Power of Attorney page.

Other power of attorney forms for New Jersey

Not sure this is the right variant? Each one solves a different problem: general authority, authority that survives incapacity, medical decisions, or a single defined task.

Medical Power of Attorney in other states