Legally compliant anatomical gift directive authorizing the donation of organs, tissues, and body parts upon death, consistent with the Revised Uniform Anatomical Gift Act.
The Organ and Tissue Donation Directive is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (donor) and, by default, expires 30 days after it is sent if left unsigned. It covers organ donation, anatomical gift, end of life, directive. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Organ and Tissue Donation Directive **Date:** ___________ **Donor Name:** ___________ **Date of Birth:** ___________ **Address:** ___________ **Driver's License / State ID Number (if applicable):** ___________ **Issuing State:** ___________ ## 1. Declaration of Intent I, ___________, being at least eighteen (18) years of age and of sound mind, hereby make this anatomical gift directive pursuant to the Revised Uniform Anatomical Gift Act (RUAGA) as adopted by my state, and applicable provisions of 42 U.S.C. § 274e (National Organ Transplant Act). It is my intent that this document constitute a valid, legally binding anatomical gift that may not be overridden by my next of kin or any other individual after my death, except to the extent required by law. ## 2. Scope of Donation I authorize the donation of: **Organs:** ___________ **Specific Organs (if applicable):** ___________ **Tissues:** ___________ **Specific Tissues (if applicable):** ___________ **Eyes / Corneas:** ___________ **Whole Body for Medical Education / Research:** ___________ ## 3. Permitted Uses The anatomical gifts authorized above may be used for: