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

State:
Ohio
County:
Franklin
Control #:
OH-P025
Format:
Word; 
Rich Text
Instant download

Description

This Revised Uniform Anatomical Gift Act Donation form pursuant to state statutes designates the specific body parts and organs an individual wishes to donate at the time of death. Any individual eighteen years of age or older and of sound mind may make an anatomical gift for any statutorily specified purpose by execution of a document of gift or by will. If a person less than eighteen years of age wishes to make an anatomical gift, one of the witnesses who signs the document shall be a parent or guardian of that person. This form may be witnessed and the signature notarized. This form also includes the necessary enrollment form for the Donor Registry managed by the Ohio Department of Motor Vehicles. Franklin Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form is a legal document designed to facilitate the process of organ and tissue donation in the state of Franklin, Ohio. This comprehensive form ensures compliance with the revised Uniform Anatomical Gift Act (SAGA) in Ohio and enables individuals to specify their wishes regarding organ donation after death. The Franklin Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form contains several sections, each serving a specific purpose. These keywords provide an insight into the form's contents and variations: 1. Anatomical Gift Act: The Franklin Ohio Revised Uniform Anatomical Gift Act establishes the legal framework for organ and tissue donation in the state. The form adheres to this act and ensures proper compliance. 2. Donation Consent: This section of the form allows individuals to grant informed consent regarding the donation of their organs and tissues. It outlines the donor's intentions, clarifies the purpose of the donation, and lists the organs/tissues they wish to donate. 3. Donor Registry Enrollment: The form incorporates a section where individuals can enroll in the state's official donor registry. By enrolling in the registry, donors express their intent to donate and promote the efficient allocation of organs and tissues to those in need. 4. Personal Information: The form requires the donor to provide personal details such as their full name, contact information, date of birth, and social security number. These details help correctly identify the donor and ensure the accurate execution of their wishes. 5. Next of Kin Information: Donors are asked to provide the contact information of their next of kin. This facilitates communication with the family upon the donor's passing and ensures they are aware of the donor's wishes. 6. Witness Testimony: To ensure the authenticity and validity of the document, the form may require witnesses' signatures, affirming that the donor willingly completed and signed the form. Witness testimony strengthens the legal standing of the document and the donor's intentions. Types of Franklin Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form: 1. Standard Donation Form: This is the most common version of the form, providing individuals with the opportunity to express their consent for organ donation after death and enroll in the donor registry simultaneously. 2. Medicaid Donation Form: This specific form variation is designed for individuals receiving Medicaid benefits and intending to donate their organs. It ensures proper documentation and compliance with Medicaid regulations. 3. Minor Consent Form: Ohio law allows minors aged 15 and above to make decisions regarding their anatomical gifts. This form variation is tailored to meet the unique legal requirements when a minor expresses their desire to donate organs or tissues. 4. Revocation Form: Individuals who previously enrolled in the donor registry or consented to donate their organs/tissues but wish to revoke their decision can use this form. It enables individuals to officially withdraw their consent and be removed from the donor registry. 5. Family Notification Form: This form variation is provided to the family members of potential donors to inform them about their loved one's enrollment in the donor registry or their desire to be an organ/tissue donor after death. It is important to consult with legal professionals or medical experts when completing the Franklin Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form to ensure compliance with state laws and to accurately express one's wishes regarding organ/tissue donation.

Franklin Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form is a legal document designed to facilitate the process of organ and tissue donation in the state of Franklin, Ohio. This comprehensive form ensures compliance with the revised Uniform Anatomical Gift Act (SAGA) in Ohio and enables individuals to specify their wishes regarding organ donation after death. The Franklin Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form contains several sections, each serving a specific purpose. These keywords provide an insight into the form's contents and variations: 1. Anatomical Gift Act: The Franklin Ohio Revised Uniform Anatomical Gift Act establishes the legal framework for organ and tissue donation in the state. The form adheres to this act and ensures proper compliance. 2. Donation Consent: This section of the form allows individuals to grant informed consent regarding the donation of their organs and tissues. It outlines the donor's intentions, clarifies the purpose of the donation, and lists the organs/tissues they wish to donate. 3. Donor Registry Enrollment: The form incorporates a section where individuals can enroll in the state's official donor registry. By enrolling in the registry, donors express their intent to donate and promote the efficient allocation of organs and tissues to those in need. 4. Personal Information: The form requires the donor to provide personal details such as their full name, contact information, date of birth, and social security number. These details help correctly identify the donor and ensure the accurate execution of their wishes. 5. Next of Kin Information: Donors are asked to provide the contact information of their next of kin. This facilitates communication with the family upon the donor's passing and ensures they are aware of the donor's wishes. 6. Witness Testimony: To ensure the authenticity and validity of the document, the form may require witnesses' signatures, affirming that the donor willingly completed and signed the form. Witness testimony strengthens the legal standing of the document and the donor's intentions. Types of Franklin Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form: 1. Standard Donation Form: This is the most common version of the form, providing individuals with the opportunity to express their consent for organ donation after death and enroll in the donor registry simultaneously. 2. Medicaid Donation Form: This specific form variation is designed for individuals receiving Medicaid benefits and intending to donate their organs. It ensures proper documentation and compliance with Medicaid regulations. 3. Minor Consent Form: Ohio law allows minors aged 15 and above to make decisions regarding their anatomical gifts. This form variation is tailored to meet the unique legal requirements when a minor expresses their desire to donate organs or tissues. 4. Revocation Form: Individuals who previously enrolled in the donor registry or consented to donate their organs/tissues but wish to revoke their decision can use this form. It enables individuals to officially withdraw their consent and be removed from the donor registry. 5. Family Notification Form: This form variation is provided to the family members of potential donors to inform them about their loved one's enrollment in the donor registry or their desire to be an organ/tissue donor after death. It is important to consult with legal professionals or medical experts when completing the Franklin Ohio Revised Uniform Anatomical Gift Act Donation with Donor Registry Enrollment Form to ensure compliance with state laws and to accurately express one's wishes regarding organ/tissue donation.

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