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Fill and Sign the Michigan Anatomical Form

Fill and Sign the Michigan Anatomical Form

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Open the document and fill out all its fields.
Apply your legally-binding eSignature.
Save and invite other recipients to sign it.

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DONATION PURSUANT TO THE MICHIGAN UNIFORM ANATOMICAL GIFT ACT (Michigan Consolidated Laws, 333.10104 to 333.10109) In the hope that I may help others, I hereby make this anatomical gift if medically acceptable, to take effect upon my death. The words and marks below indicate my desires. I give: (a) . any needed organs or physical parts (b) . only the following organs or physical parts ____________________________________ Specify the organ(s) or physical part(s) For the purposes of transplantation, therapy, medical research or education; (c) . my body for anatomical study if needed. Limitations or special wishes, if any: ____________________________________ Signed this day of __________ , ____________________ , 20 _____ , Signed by the donor and the following 2 witnesses in the presence of each other: _________________________________ ____________________________________ Signature of donor Date of birth of donor _________________________________ ____________________________________ Date signed City and State _________________________________ ____________________________________ Witness Witness This is a legal document under the Michigan Uniform Anatomical Gift Act, Michigan Consolidated Laws, 333.10104 to 333.10109.

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  4. Click Me (Fill Out Now) to set up the form on your end.
  5. Add and designate fillable fields for other participants (if needed).
  6. Proceed with the Send Invite settings to solicit eSignatures from others.
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Here is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

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