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Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form

State:
Ohio
Control #:
OH-P025
Format:
Word; 
Rich Text
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Understanding this form

The Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form allows an individual to designate specific organs and body parts for donation after their death. This legal document differs from other forms by incorporating both the anatomical gift designation and an optional enrollment in the Donor Registry managed by the Ohio Department of Motor Vehicles. It ensures that a person's wishes regarding organ donation are officially recorded and can be honored when the time comes.


Form components explained

  • Identification of the donor's specific organs, tissues, and eyes to be donated.
  • Signature and date fields for the donor and two witnesses.
  • Witness declaration ensuring witnesses have no financial interest in the donor's estate.
  • Notarization section for legal acknowledgment, which may be required.
  • Optional enrollment form for the Donor Registry including personal information like mailing address and Social Security number.
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  • Preview Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form
  • Preview Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form
  • Preview Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form
  • Preview Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form

Common use cases

This form should be used when an individual wishes to make an anatomical gift of their organs and tissues upon their death. It is particularly important when one wants to ensure their specific wishes regarding organ donation are legally documented and easier to follow by medical personnel and family members. Scenarios for its use include planning for end-of-life wishes, discussing organ donation intentions with family, or voluntarily choosing to contribute to medical research or therapy initiatives at the time of death.

Who this form is for

Individuals who want to specify their wishes about organ donation should consider using this form. This includes:

  • Any person eighteen years or older who is of sound mind.
  • Minors under eighteen, provided one of the witnesses is a parent or guardian.
  • Individuals who want to ensure their donation preferences are clear and legally recognized.

Instructions for completing this form

  • Fill in your full name and personal details, such as your address and Social Security number, in the appropriate fields.
  • Clearly specify which organs, tissues, or eyes you wish to donate.
  • Indicate the purposes for which you are allowing your donation, choosing from options like transplantation, research, or education.
  • Sign and date the document in the designated area.
  • Have at least two disinterested adult witnesses sign the form, ensuring one witness is not related to you or involved in your estate.
  • If applicable, complete the acknowledgment section for notarization to validate the document.

Is notarization required?

Notarization is required for this form to take effect. Our online notarization service, powered by Notarize, lets you verify and sign documents remotely through an encrypted video session, available 24/7.

Mistakes to watch out for

  • Not having the required number of witnesses sign the form.
  • Failing to fill in all required personal information accurately.
  • Not specifying the organs or tissues to be donated clearly.
  • Neglecting to date and sign your own declaration.

Why use this form online

  • Convenience of accessing and filling out the form from home.
  • Editability allows you to revise until you are satisfied with your declarations.
  • Reliability of having a complete and legally compliant document.

Form popularity

FAQ

A: You do not have to wait until your license expires to update your organ and tissue donor status. Simply visit www.DMV.ca.gov and click the Donate Life California link. From there you can become a registered donor and read answers to frequently asked questions and real-life organ donor and recipient stories.

Can I remove myself from the registered donors list? Yes, you can change your donor status at any time. Look for an option such as "updating your status" on your state's site. If you have a donor designation on your driver's license, removing yourself from the registry will not change that.

Can I remove myself from the registered donors list? Yes, you can change your donor status at any time. Look for an option such as "updating your status" on your state's site. If you have a donor designation on your driver's license, removing yourself from the registry will not change that.

(3) "Anatomical gift" means a donation of all or part of a human body to take effect after the donor's death for the purpose of transplantation, therapy, research, or education.

That was a major first step. The Uniform Anatomical Gift Act was subsequently adopted by all 50 states and the District of Columbia.

To modify your gift or withdraw from the registry: Complete, sign and mail the Change and Specification Form or Removal Form to the address on the form or email to NYS Donate Life Registry at: registry@donatelife.ny.gov.

Any individual who is 15 1/2 years old or older and holds a valid Ohio driver's license, learner's permit or state ID card can authorize the donation of their organs, corneas and tissues by joining the Ohio Donor Registry at their local Bureau of Motor Vehicles office, by filling out and mailing in a registration form

The Act sets a regulatory framework for the donation of organs, tissues, and other human body parts in the US. The UAGA helps regulate body donations to science, medicine, and education. The Act has been consulted in discussions about abortion, fetal tissue transplants, and Body Worlds, an anatomy exhibition.

Important Revisions. The UAGA of 2006 allows for individuals to consent to organ donation by expressing their wish when obtaining a driver's license, through verbal expression, by writing it in a will or other advance directive, or in any other manner, simplifying the consent process.

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Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form