Center for Public Representation has developed a Supported Decision-Making Agreement form. We have worked with many people who have used SDM and have made this Agreement to work with their needs. CPR’s Agreement can be changed to work for your personal situation. You might want to add more supporters, or you might want to state how your supporters should work together. You can change the form however you would like. There are sections of the form that you can personalize.
Some states with supported decision-making laws have their own forms so if you live in a state that has an SDM law, you should talk with someone in your state to make sure your Agreement will work. For more information on SDM in those states see U.S SDM Laws.
There are many other examples of Supported Decision-Making Agreements which you may wish to look at. The National Resource Center on Supported Decision-Making maintains a list of SDM Model agreements.