What if I change my mind

You can revoke or amend your anatomical gift at any time while competent by executing a signed revocation or completing a new donation form. Deliver written notice to the state registry, healthcare proxy, and any organization holding the original.

Is notarization always required

Notarization requirements vary by state. Some states accept a simple signed form while others require a notary or witnesses. Verify local statute or registry instructions before finalizing the document.

Can family override my decision

Properly executed anatomical gift documentation is generally controlling under state law, but family disputes can lead to delays. Clear, authenticated documentation and registry entry minimize the risk of successful challenges.

How do I add the form to a registry

Follow your state donor registry’s submission process, which may allow online upload or require mailing a signed copy. Confirm whether the registry accepts electronic signatures and whether any authentication is required.

Are electronic signatures valid here

Electronic signatures are legally valid under ESIGN (15 U.S.C. ch. 96) and UETA where adopted, provided the signature meets intent, consent, attribution, and retention requirements; check state-specific exceptions before relying solely on e-signature.

Who should I notify after signing

Provide copies to your healthcare agent, primary care provider, local organ procurement organization, and state registry (if applicable) so the donation can be honored without administrative delay.

Electronic Signature
Templates
Other
Revised Uniform Anatomical Gift Act Donation

Revised Uniform Anatomical Gift Act Donation

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

REVISED UNIFORM ANATOMICAL GIFT ACT DONATION
(MCA 72-17-101 et seq.)

In the event of my death, I donate the following part(s) of my body for the purposes identified in MCA 17-72-202:

TISSUE:

Eyes

Bone and connective tissue

Skin

Heart

Other:

Limitations:

ORGAN:

Heart

Kidney(s)

Liver

Lung(s)

Pancreas

Other:

Limitations:

Signed this day of ,

Signature

Place

If the donor or other person is physically unable to sign a record, the record may be signed by another individual at the direction of the donor or other person and must:

(1) be witnessed by at least two adults, at least one of whom is a disinterested witness, who have signed at the request of the donor or the other person; and

(2) state that it has been signed and witnessed as provided in paragraph (1).

WITNESS FORM

The witnesses below declare that they are signing at the direction of the declarant after having witnessed the signature of the declarant, have no interest in the estate of the declarant under the laws of intestate succession or any will or the declarant or codicil thereto, and are not financially responsible for the declarant's care.

Witness Signature:

Witness Name:

Address:

Witness Signature:

Witness Name:

Address:

ACKNOWLEDGEMENT FORM

State of

Judicial District

The foregoing instrument was acknowledged before me this (date) by (name of person who acknowledged).

Signature of Person Taking Acknowledgement:

Title or Rank:

What the Revised Uniform Anatomical Gift Act Donation is

The Revised Uniform Anatomical Gift Act Donation documents an individual’s legally effective decision to donate organs, tissues, or the body for transplantation, therapy, research, or education. It captures donor identity, specific gift choices, any limitations or conditions, and signature authentication to create a binding anatomical gift under applicable state law. The form may be a standalone document, part of a state donor registry, or integrated with a motor vehicle record or advance directive. Proper execution determines whether hospitals, organ procurement organizations, and registries can rely on the donor’s instructions at death.

Why a clear anatomical gift form matters

A fully completed Revised Uniform Anatomical Gift Act Donation clarifies donor intent, reduces family disputes, and supports timely medical decisions. It creates a documented legal basis for donation and helps complying organizations act consistently with the donor’s wishes.

Who completes or relies on this donation form

Accurate completion helps institutions and families follow the donor’s directions and reduces administrative delay at the time of death.

Prospective donors and their advocates who wish to record specific gift choices.
Hospital clinical teams and transplant coordinators who need clear authorization to proceed.
State donor registry administrators and DMV staff for recordation and issuance.

Core elements included in a professional donation form

A well-constructed Revised Uniform Anatomical Gift Act Donation lists donor identifiers, gift scope, effective date, signature and authentication fields, instructions for revocation, and contact or registry routing details to ensure the gift can be located and honored.

Donor Identity

Full legal name, date of birth, and identifying information to match medical records and registries.

Gift Scope

Clear designation of organs, tissues, or whole body and any limitations for research or transplantation.

Effective Date

Date when the donation instruction becomes operative and controls decision-making.

Signature Block

Donor signature and date plus spaces for witness or notarization where required.

Revocation Instructions

How the donor can revoke or amend the gift and steps recipients should take on revocation.

Registry Routing

Information about state donor registry inclusion and organ procurement contact details.

Step-by-step: filling and executing the donation form

Follow these four core steps to complete the Revised Uniform Anatomical Gift Act Donation accurately.

01

Complete fields: Fill name, DOB, address, and choose donation scope.
02

Set effective date: Enter MM/DD/YYYY to indicate when instructions begin.
03

Authenticate: Sign and obtain required witness or notary signatures.
04

Record: Register with state donor registry or retain originals.

Configuring an online completion workflow

Use this table to map required settings when offering the form for online completion and electronic submission.

Field	Configuration
Full Name	Required; auto-validate against ID where possible
Date Fields	MM/DD/YYYY; date picker enforced
Signature Field	Enable eSignature + optional witness block
Registry Option	Checkbox to submit to state donor registry

Digital submission and technical requirements

Ensure any platform used meets applicable privacy and audit requirements and preserves an immutable timestamped record of execution.

File formats: PDF and DOCX supported
Authentication: Email, SMS code, or advanced methods
Integrations: CRM and registry API connectors

Where to send or file the completed donation form

After execution, route the form to the appropriate recipients so it can be honored and located when needed.

State Registry: Submit copy if your state maintains a donor registry.
Organ Procurement: Provide copy to local organ procurement organization.
Healthcare Proxy: Give copy to named healthcare agent or family contact.
Primary Care Provider: Place copy in medical record when feasible.

Timing considerations and effective dates

These timing points clarify when the donation becomes operative and how quickly records should be updated.

Effective Date:

Donation is effective on the date you sign unless the form states otherwise

Registry Update:

State registry inclusion may be immediate or take several business days

Revocation Notice:

Revocation is effective upon delivery of written notice to registry or custodian

Hospital Reliance:

Hospitals act on the donation at time of death with authenticated form

Notary Scheduling:

Schedule required notarization before planned travel or surgery to avoid delay

Key milestones from execution to medical use

Follow these milestones so the donor’s intent is recorded, accessible, and actionable when needed.

01

Sign and Authenticate

Complete signing and any required witness or notary steps immediately

02

Submit to Registry

Register or file copy with state registry and organ procurement organization

03

Distribute Copies

Provide copies to healthcare proxy, provider, and family for quick access

04

Retain Originals

Store original in a secure but accessible location for the duration of its effect

Essential data elements to include

Donor Name: Full legal name

Date of Birth: MM/DD/YYYY

Contact Address: Street, city, state, ZIP

Donation Scope: Specific organs/tissues

Signature: Donor signature and date

Authentication: Witness or notary data

Common mistakes to avoid when preparing the donation

Leaving witness or notary lines blank even when state law requires authentication, which may invalidate the gift.
Using vague language like 'any needed tissue' instead of clearly enumerating organs or research limitations.
Failing to register the form with the state registry or to provide copies to clinicians and family members.
Not updating the form after name changes, relocations, or a change in the donor’s wishes, causing mismatches.

Consequences and legal risks of incorrect execution

Invalid Gift: Donation may be unenforceable

Family Challenge: Survivors may dispute instructions

Delayed Care: Organ procurement may be postponed

Privacy Risk: Improper handling may trigger HIPAA issues

Record Mismatch: Identification errors can impede matching

Administrative Burden: Hospitals may require legal review

eSignature vendor comparison for completing donation forms

Key plan and compliance differences across common eSignature vendors; signNow is listed first per comparison conventions.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Available (Business Premium)	Varies by plan	Varies by plan	Varies by plan	Varies by plan
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes (BAA available)	Yes (BAA available)	Yes (BAA available)	Varies by plan	Varies by plan

Real-world examples of use and integration

These brief case examples show practical ways organizations record and rely on anatomical gift decisions.

Hospital Integration

A hospital implemented a signed donation form integrated into the EHR for rapid retrieval at death

This reduced delays in organ procurement by enabling immediate confirmation
The combined record and registry submission ensured clinicians could locate donor consent without family dispute, simplifying next steps for transplant teams and honoring donor intent.

State Registry

A state agency accepted standardized online donation forms that feed the central registry

Registrations include audit trails and optional notarization
Citizens who register through the state portal have their designation available to hospitals and organ procurement organizations, supporting consistent application of donor wishes.

Frequently asked questions and troubleshooting

Answers to common questions about completing, authenticating, and updating the Revised Uniform Anatomical Gift Act Donation.

Need help? Contact support

What if I change my mind
You can revoke or amend your anatomical gift at any time while competent by executing a signed revocation or completing a new donation form. Deliver written notice to the state registry, healthcare proxy, and any organization holding the original.
Is notarization always required
Notarization requirements vary by state. Some states accept a simple signed form while others require a notary or witnesses. Verify local statute or registry instructions before finalizing the document.
Can family override my decision
Properly executed anatomical gift documentation is generally controlling under state law, but family disputes can lead to delays. Clear, authenticated documentation and registry entry minimize the risk of successful challenges.
How do I add the form to a registry
Follow your state donor registry’s submission process, which may allow online upload or require mailing a signed copy. Confirm whether the registry accepts electronic signatures and whether any authentication is required.
Are electronic signatures valid here
Electronic signatures are legally valid under ESIGN (15 U.S.C. ch. 96) and UETA where adopted, provided the signature meets intent, consent, attribution, and retention requirements; check state-specific exceptions before relying solely on e-signature.
Who should I notify after signing
Provide copies to your healthcare agent, primary care provider, local organ procurement organization, and state registry (if applicable) so the donation can be honored without administrative delay.

Explore Templates

Towing Operating Permit and Vehicle Decals Lease of Mobile Manufactured Home with Option to Purchase Escrow Agreement for Sale of Real Property Amended and Restated Asset Purchase Agreement Waiver, Release, and Authorization to Use Name of Minor Skateboard Instructor Contract

be ready to get more

Join over 28 million airSlate SignNow users

Sign Now