Get Certificate For Bequeathing My Body To The Kansas University School ... - Kumc

Filling out the Certificate For Bequeathing My Body To The Kansas University School of Medicine is an important step for individuals wishing to contribute to medical education and research. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately and effectively.

Follow the steps to complete the form correctly.

1. Click the ‘Get Form’ button to obtain the Certificate and open it in your preferred document editor.
2. Begin by carefully reading the introduction and instructions on the form to understand the implications of your decision to bequeath your body.
3. In the 'Name' field, clearly print your full name as you would like it to appear on the certificate.
4. Fill in the 'Street Address', 'City', 'State', and 'Zip Code' fields with your current residential information.
5. Provide your telephone number in the designated field, ensuring accuracy for potential follow-ups.
6. In the section regarding cremation and final disposition, indicate your desires by selecting the appropriate options and completing any required fields.
7. Sign and date the form where indicated to verify your intention to bequeath your body.
8. If applicable, include the signature of an authorized person, along with their date and contact information.
9. Complete the 'Vital Statistics' section by providing information such as Social Security number, birth date, and military service if relevant.
10. Sign the 'Release and Cremation Authorization' section, ensuring that you are legally authorized to make this request.
11. Review the completed form for any errors or omissions before finalizing.
12. Make a copy of the completed Certificate for your records and then send the original to the designated address of the Kansas University School of Medicine.

Start filling out your Certificate for Bequeathing My Body online to make a meaningful contribution.