Get Eyes Skin

Filling out the Eyes Skin form is a critical step for individuals wanting to participate in the New York State Donate Life Registry. This guide will provide detailed instructions to help you navigate each section of the form effectively.

Follow the steps to fill out the Eyes Skin form.

1. Click ‘Get Form’ button to access the Eyes Skin enrollment form and open it for editing.
2. Identify yourself by entering your first name, middle initial, and last name. If applicable, include your suffix. Provide your date of birth in the format MM/DD/YYYY.
3. Fill in your mailing address, including address line 1, address line 2 (if applicable), city, state, and zip code. Enter your phone number in the designated format.
4. Select your gender by checking the appropriate box for either male or female.
5. If your residential address differs from your mailing address, provide the required information for your residential address.
6. Input your email address for further communication.
7. Indicate your height by specifying the feet and inches.
8. Select your eye color from the provided options.
9. Enter your identification number. Provide your NYS Driver License Number, NYS Non-Driver’s ID Number, or IDNYC Number in the specified fields.
10. Complete Part 1 by consenting to the donation of all your organs, tissues, and eyes, or specify otherwise.
11. In Part 2, indicate your preferences for organ and tissue donation by checking the relevant options for donation purposes.
12. Sign and date the form at the bottom to indicate your consent to enroll in the New York State Donate Life Registry.
13. Submit the completed form via email to registry@donatelife.ny.gov or by US mail to the address provided in the instructions.

Complete your enrollment and support life-saving donations by filling out the Eyes Skin form online today.