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Get IA Form 123 2013-2024

Laws related to anatomical gifts as outlined in the Iowa Code, Chapter 142C. The purpose of this paragraph is to practically and medically make organ donation possible. Signed this day of , . Your Signature (Declarant/Principal) Address, Street, City, State and Zip Type or Print Your Name IMPORTANT NOTE: THIS DOCUMENT MUST BE SIGNED OR ACKNOWLEDGED BEF.

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