donor-search

Your Name*
Relation to Donor*
Next-of-kin*
- By checking this box, I verify I am the legal next-of-kin.
*When referring to donor families, it is Lifeline of Ohio’s practice to direct all communication and decision to the donor’s legal next-of-kin. If other family members are interested in adding a loved one’s name to the Lifeline of Ohio Donor Memorial, then every attempt will be made to gain permission from the legal next-of-kin.
Donor Name (Please type name as it will appear on the Donor Memorial. (22 characters/spaces maximum. No punctuation)*
Date of Death*
MM slash DD slash YYYY
Address*
City*
State*
Zip*
Email Address*
Phone Number
Note: Please review the donor's name, as this is how it will appear on the Donor Memorial.
Security
The Next-of-kin check box MUST be checked to proceed.

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Note: Please review the donor's name, as this is how it will appear on the Donor Memorial.