I (your name and nric here),
have decide to end my (Choose from the countless available adjectives that we provide) life.
The reasons are as follows (Choose from the countless available sentences that we provide or use vour own).
I would like to say goodbye to the following. [Please also state how you plan to end your life we do have a database of options however they are currently down. I do hope You understand]
{Don't forget to sign here}
[thank you and have a great death]
Very useful note.... I've printed it off in case I ever need it....lol