AB985,,1311314. The address within the state of Wisconsin where the declarant was physically located at the time the declarant signed the declaration to health care professionals is .... AB985,,1321325. The address within the state of Wisconsin where remote witness 1 was physically located at the time the remote witness witnessed the declarant’s execution of the declaration to health care professionals is .... AB985,,1331336. The address within the state of Wisconsin where remote witness 2 was physically located at the time the remote witness witnessed the declarant’s execution of the declaration to health care professionals is .... AB985,,1341347. The declarant and remote witnesses were all known to each other and to the supervising attorney. - OR - The declarant and remote witnesses were not all known to each other and to the supervising attorney. Each produced the following form of photo identification to confirm his or her identity: AB985,,1361368. The declarant declared that the declarant is 18 years of age or older, that the document is the declarant’s declaration to health care professionals, and that the document was being executed as the declarant’s voluntary act. AB985,,1371379. Each of the remote witnesses and the supervising attorney were able to see the declarant sign. The declarant appeared to be 18 years of age or older and acting voluntarily. AB985,,13813810. The audiovisual technology used for the signing process was .... AB985,,13913911. The declaration to health care professionals was not signed in counterpart. The following methods were used to forward the declaration to health care professionals to each remote witness for signing and to the supervising attorney after signing. - OR - The declaration to health care professionals was signed in counterpart. The following methods were used to forward each counterpart to the supervising attorney. [If applicable] - The supervising attorney physically compiled the signed paper counterparts into a single document containing the declaration to health care professionals, the signature of the declarant, and the signatures of the remote witnesses on [date] by [e.g., attaching page 7 from each counterpart signed by a remote witness to the back of the declaration to health care professionals signed by the declarant]. AB985,,14014012. The name, state bar number, and [business or residential] address of the supervising attorney is .... AB985,,14114113. [Optional] Other information that the supervising attorney considers to be material is as follows: .... AB985,,142142.... (signature of supervising attorney) AB985,,143143Subscribed and sworn to before me on .... (date) by .... (name of supervising attorney). AB985,,144144.... (signature of notarial officer) AB985,,146146.... (Title of office) AB985,,147147[My commission expires: ....] AB985,4148Section 4. 154.30 (8) (d) 2. of the statutes is amended to read: AB985,,149149154.30 (8) (d) 2. Be signed and dated by the declarant, with the signature witnessed by 2 witnesses who each have attained age 18 and who are not related by blood, marriage, or adoption to the declarant, or acknowledged before a notary public. If the declarant is physically unable to sign an authorization for final disposition, the authorization shall be signed in the declarant’s name by an individual 18 years of age or older at the declarant’s express direction and in his or her physical presence; such a proxy signing shall take place or be acknowledged by the declarant in the presence of 2 witnesses or a notary public. AB985,5150Section 5. 154.30 (8m) of the statutes is created to read: AB985,,151151154.30 (8m) Remote execution. For purposes of sub. (8) (d) 2., “witnessed by” and “in the presence of” include the simultaneous remote appearance by 2-way, real-time audiovisual communication technology if all of the following conditions are satisfied: AB985,,152152(a) The signing is supervised by an attorney in good standing licensed by this state. The supervising attorney may serve as one of the remote witnesses. AB985,,153153(b) The declarant attests to being physically located in this state during the 2-way, real-time audiovisual communication. AB985,,154154(c) Each remote witness attests to being physically located in this state during the 2-way, real-time audiovisual communication. AB985,,155155(d) The declarant and each of the remote witnesses identify themselves. If the declarant and remote witnesses are not personally known to each other and to the supervising attorney, the declarant and each of the remote witnesses display photo identification. AB985,,156156(e) The declarant identifies anyone else present in the same physical location as the declarant and, if possible, the declarant makes a visual sweep of the declarant’s physical surroundings so that the supervising attorney and each remote witness can confirm the presence of any other person. AB985,,157157(f) The declarant displays the authorization for final disposition, confirms the total number of pages and the page number of the page on which the declarant’s signature will be affixed, and declares to the remote witnesses and the supervising attorney all of the following: AB985,,1581581. That the declarant is 18 years of age or older. AB985,,1591592. That the document is an authorization for final disposition.