International Association for Organ Donation- tissue donor!

Register On Line

Become A Donor

Note: This registration is for Michigan residents only. To register as an organ donor within your state of residence, please contact your local Organ Procurement Organization, Motor Vehicle Department or Secretary of State.

Thank you for your interest in registering as an organ and tissue donor. Please remember to share your wishes with your family members. They will be able to ensure that your wishes are fulfilled.

You can also register by fax or mail. read more >>

NOTE: Fields with an asterisk * must be completed.

*Donor Name:
*Driver's License:
*Date of Birth:
Male Female
*Street address:
*City or Township:
*State:
*Zip:
*How did you hear about IAOD and/or “Quest for Life” Workplace Campaign?

(If you are (or were) a member of UAW, but employed at DaimlerChrysler, Ford, or GM, please indicate your company, not UAW)

*Name of Plant or Office Location:

I wish to donate the following organs

(If not "ALL"- please type below which organs and separate by comas)

Witness:

*Date:

(MM/DD/YY)

The information you provide is forwarded to IAOD for inclusion on Michigan's Organ and Tissue Donor Registry.