Get General Information And Donor Registration Form

Completing the General Information and Donor Registration Form online is an important step for individuals wishing to make an anatomical gift. This guide provides clear, step-by-step instructions to help you navigate each section of the form with ease.

Follow the steps to successfully complete your donor registration form.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your full legal name as it appears on your Social Security card. This includes your first, middle, last, and maiden name if applicable. Make sure the information is printed clearly or typed.
3. Provide your date of birth, place of birth, age, gender, weight, Social Security number, state of residence, and whether you live within city limits. Fill out each field as accurately as possible.
4. Indicate your marital status by choosing from options such as married, never married, single, widowed, or divorced. If applicable, enter your spouse’s full name.
5. Include your parents’ names as required, listing mother’s name (first, middle, maiden) and father’s name (first, middle, last).
6. Complete the sections regarding race and Hispanic origin by selecting and specifying as appropriate.
7. List your highest level of completed education, including grade school and college, and indicate if you served in the U.S. Armed Forces.
8. State your occupation prior to retirement and the kind of business or industry you were involved in.
9. Provide information about any known infectious diseases, if applicable.
10. Fill in the next of kin or contact's name, street address, city, state, zip code, phone, and email.
11. Choose your preferred registry location from the provided options and check the appropriate box.
12. If desired, request to send an invitation for the memorial service by providing the name, street address, city, state, zip code, phone, and email.
13. Sign the form in the presence of witnesses, ensuring both witnesses also provide their signatures and contact information.
14. Specify the disposition of your ashes by indicating your preference and providing the necessary details for up to three individuals you wish to designate.
15. After completing all sections, review the form for accuracy, then save your changes, download or print for your records, or share the completed form as needed.

Begin your donor registration by completing the General Information and Donor Registration Form online now.