In the hope that I may help others, I hereby make this gift for the purpose of transplant,
medical study or education, to take effect upon my death.
Select the action you wish to take.
I wish to:
Your name information here must match your current Driver's License or ID
This information is used to verify your identity and must match your current
Driver's License or ID card.
West Virginia Department of Transportation
Division of Motor Vehicles
Toll Free (in-state only): 1-800-642-9066 • Phone: (304) 558-3900
General information and/or questions, please email email@example.com