Notify
Inform at least two people who are close to you or have legal authority over you that you are a donor. Tell them which organization you registered with and what you want to happen to your body and organs. Enter their names in the boxes below.
Notified Parties
| Name | Relationship | Date Notified | Verification Method |
|---|---|---|---|
| Josephine L. Vandusen | Wife | 04/26/2024 | In Person |
| James E. Rathbun | Trusted Advisor | 04/30/2024 | phone |
Other Significant Information
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File
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