Euthanasia declaration

Any Belgian citizen who has a national number can make a euthanasia declaration.

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Standard form:  French (PDF, 40.82 KB) or Dutch (PDF, 45.71 KB)

However, Belgian consular missions can neither accept nor register the euthanasia declaration. Presently, only the Belgian municipalities can do so.

A duly completed euthanasia declaration is valid in Belgium, even if it has not been registered with a Belgian municipality.

More information on the conditions of validity of a duly completed euthanasia declaration in Belgium is available at the website of the FPS Public Health

It is uncertain whether this type of declaration would be valid abroad.