Washington State Coalition Against Domestic Violence

Model Form - In the Event of My Death

Our model forms represent our current thinking and best practices on issues that face domestic violence programs in Washington State. Please note that we are providing Word documents to enable programs to tailor the forms to their needs.
This "In the Event of My Death" Release of Information form was revised in 2009 to comply with new laws.

Free Download (Word)

How would you decide what information to release if a program participant died? How do you talk to program participants about this? Read the "In the Event of My Death" Guide for Programs for practical advocacy tips and model policy.

Free Download (PDF)