Cal. Code Regs. Tit. 2, § 22610.2 - Registrations

Current through Register 2022 Notice Reg. No. 14, April 8, 2022

(a) Any registration of a written advance health care directive with the Secretary of State shall be made by using a form prescribed by the Secretary of State. The form shall be available for downloading on the Secretary of State's website at http://www.ss.ca.gov/. All or any part of the form may be completed by the registrant or by another adult in the registrant's presence and at the registrant's direction.
(b) A registrant shall provide the following information on the form:
(1) Whether the form submitted relates to a new registration, an amendment to a prior registration, a revocation of a prior registration or notification regarding an amendment to or revocation of a previously-filed written advance health care directive;
(2) Whether the written advance health care directive or amendment to a previously-filed written advance health care directive is attached to the form or, in the alternative, whether the form provides notification of the intended place of deposit or safekeeping of a written advance health care directive or amendment to a written advance health care directive;
(3) The registrant's name, address, date and place of birth, and the name and telephone number of the agent and any alternative agent;
(4) At least one of the following:
A.The registrant's social security number, or
B.The registrant's driver's license number, or
C.The registrant's individual identifying number established by law.
(5) Intended place of deposit or safekeeping of the written advance health care directive or amendment to the written advance health care directive to which the form relates, if applicable;
(6) The signature and printed name of the registrant;
(7) The date the form is signed by the registrant.
(c) The registrant shall submit the completed form to the address indicated on the form, along with the required fee, if any.
(d) The registration form or the material included with the registration card provided pursuant to Probate Code section 4800(d) shall contain the information required to be provided to registrants pursuant to Probate Code section 4802.

Notes

Cal. Code Regs. Tit. 2, § 22610.2

Note: Authority cited: Sections 4800(a) and 4802, Probate Code. Reference: Sections 4800(c)-(d) and 4802(a)-(c), Probate Code.

1. New section filed 5-17-2006; operative 7-1-2006 (Register 2006, No. 20).

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