donor-search Donor Memorial Submission Form 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 NumberNote: 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. Δ