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  • Wisconsin Donor Registry Recovery Organization User Access ... - Dhs Wisconsin

Get Wisconsin Donor Registry Recovery Organization User Access ... - Dhs Wisconsin

DEPARTMENT OF HEALTH SERVICES Division of Public Health F-43026 (Rev. 04/10) STATE OF WISCONSIN Organ and Tissue Donor Program Page 1 of 2 WISCONSIN DONOR REGISTRY RECOVERY ORGANIZATION USER ACCESS.

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How to fill out the Wisconsin Donor Registry Recovery Organization User Access Request form online

This guide provides a clear and supportive approach to completing the Wisconsin Donor Registry Recovery Organization User Access Request form. It is designed to assist users at all experience levels in navigating the online process efficiently.

Follow the steps to fill out the user access request form.

  1. Press the ‘Get Form’ button to obtain the form and open it in the appropriate editor.
  2. Select the appropriate reason for completing the Donor Registry Access Request. Choose one of the following options: 'Register Recovery Organization and activate user(s)', 'Add User(s) for Previously Registered Organization', 'Remove User(s)', or 'Change User Profile'. Ensure that only one option is selected per request.
  3. Enter the submission date in the designated field.
  4. Fill in the name of the recovery organization in the specified field.
  5. Provide the name of the recovery organization director, including their last name, first name, and middle initial in the appropriate fields.
  6. Complete the contact information for the director, including the street address, city, state, and zip code.
  7. Enter the telephone number for the director.
  8. Fill in the email address of the director.
  9. Input the WAMS ID assigned to the director.
  10. Provide the Federal Employer Identification Number (FEIN) for the organization.
  11. Register users by filling in the requested information for each individual (up to four). This includes their name (last, first, middle initial), WAMS ID, telephone number, email address, and their role as it relates to the donor registry.
  12. Once all necessary fields are completed, review the form for accuracy.
  13. After verifying the details, submit the completed form via email to Martha Mallon at Martha.mallon@dhs.wisconsin.gov or by fax to 608-266-8925.

Start filling out your form online today to ensure your organization's access to the Wisconsin Donor Registry.

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Say 'yes' to becoming an organ and tissue donor! Complete a Wisconsin Driver License Application MV3001 or Wisconsin Identification Card (ID) Application MV3004​ Check the box ​indicating you wish to register as a donor.

About 3,500 people in the U.S. are waiting for a heart, and many will wait more than six months. But some will die before a heart becomes available to them.

If you are over the age of 18, or are an emancipated minor, your decision may not be overridden by your family. If you are under age 18 and are not legally emancipated your parents or legal guardians have the ability to overrule your decision.

Wisconsin Donor Registry Anyone with a Wisconsin driver's license or ID can join the Registry, regardless of health history or age. Sign up today! Nearly 114,000 people are on the national waiting list for organ transplants, including more than 2,000 men, women and children from Wisconsin.

There are currently over 106,000 people on the national transplant waiting list. Like America, the list is diverse – it includes people of every age, ethnicity, and gender.

Currently, there are 1,900 children on the national transplant waiting list. More than 500 children waiting for a donor organ are between 1 and 5 years old.

Nationally, there are more than 100,000 people waiting for life-saving organs. Most transplant candidates wait for some length of time because there are not enough donor organs for everyone who needs them.

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Get Wisconsin Donor Registry Recovery Organization User Access ... - Dhs Wisconsin
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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232