Appointment and acceptance of the trusted representative for advance directives (Italy)
Published byDocMuse
This document is in Italian
The PDF you download is in Italian — that is the language it has to be filed in, so it is not translated. Everything on this page is here to tell you what it says.
For anyone who has made advance treatment directives (DAT) without naming a fiduciario, or wants to replace them, and for the fiduciario who accepts by a separate act (article 4 of Italian Law no. 219 of 22 December 2017). The fiduciario represents the person with doctors and health facilities and receives a copy of the DAT. The act is handed, with the DAT or later, to the civil-status office of the Comune that received them, free of charge. Many Comuni have a free model.
- Made for use in Italy
- Last updated October 14, 2026
Fill out the form
This document is sold blank, to print and complete by hand.
Your answers appear in place as you type. The full wording is in the PDF you download.
When to use this document
- You made a living will in Italy but did not name anyone to speak to the doctors for you.
- The person you had named can no longer take on the role or no longer wants to.
- A relative has agreed to be your trusted representative but did not sign when you made your wishes.
- You want to choose a trusted person for medical decisions you cannot make yourself.
What you fill in
The details the document asks for.
- Declarant
- Declarant's codice fiscale (Italian tax code)
- Declarant's place of birth
- Declarant's date of birth
- Declarant's home address
- Date the DAT were signed
- Where the DAT were filed (e.g. Comune of Bologna, civil-status office)
- Trusted representative (fiduciario) – full name
- Trusted representative's codice fiscale (Italian tax code)
- Trusted representative's place of birth
- Trusted representative's date of birth
- Trusted representative's home address
- Trusted representative's phone
- City
- Date
Common questions
- Must the fiduciario sign the advance directives themselves?
- No: the fiduciario may accept either by signing the DAT or by a later act annexed to them, such as this one (article 4 of Italian Law no. 219 of 22 December 2017), and receives a copy of the DAT. If they do not accept, renounce or die, the DAT remain valid as to the person’s wishes, and if needed the guardianship judge may appoint a support administrator (amministratore di sostegno).
- Where is the act appointing the fiduciario handed in?
- To the civil-status office of the Comune that received the DAT, in person and free of charge, so that it is joined to the DAT and, with the person’s consent, forwarded to the Ministry of Health’s national database, which also keeps appointments, acceptances and renunciations. If the DAT were made before a notary, take the act to the same notary. In the province of Bolzano the Comune also accepts it in German, in the Aosta Valley also in French.
- Can the fiduciario step down, and can the person replace them?
- Yes. The fiduciario may renounce by a written act communicated to the person, and the person may revoke the appointment at any time, without giving reasons, in the same way as the DAT (article 4 of Italian Law no. 219 of 22 December 2017). To replace them, a new appointment with its acceptance is handed to the same office that keeps the DAT.
How you can sign this document
- Print it and sign by hand. The signature lines in the document are left blank on purpose — sign on them in ink.
- Sign it yourself with a qualified electronic signature. If you already hold a QES — Evrotrust, B-Trust, StampIT, ZealiD or any qualified provider on the EU Trusted List, on a card, a USB token, in a mobile app or in the cloud — our signing guide explains step by step how to sign this exact file without invalidating it. Step-by-step help, and a way to check it worked
DocMuse sells documents, not legal advice. Acceptance always depends on the recipient's rules and your local law.
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