Disability Rights Center of New Hampshire

Supported Decision-Making Agreement Form

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What Does a Supported Decision-Making Agreement Look Like?

A supported decision-making agreement includes a list of decisions you want assistance in making and identifies a Supporter or Supporters you want to help you. Since each agreement will be designed to best support your needs, each agreement will look different. However, the law requires that some specific information is included in a supported decision-making agreement including:

  • Names and contact information of both you and your Supporter(s)
  • Types of decisions which a Supporter may assist you with
  • Your signature, your Supporter’s signature, and the signatures of two witnesses or a notary.

A supported decision-making agreement may be in any form as long as it meets the requirements set forth in NH RSA 464-D. Download a sample supported decision-making agreement that meets those requirements*

Main sections of an SDM agreement are pictured and highlighted in red text

* A sample agreement that can be filled out on-line, printed, and signed is under development.  Please check back soon.

About DRCNH

Disability Rights Center – New Hampshire is a statewide non-profit organization dedicated to eliminating barriers for people with disabilities across New Hampshire. DRC is the federally designated protection and advocacy agency for New Hampshire and has authority under federal law to conduct investigations in cases of probable abuse or neglect.

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