Revocation of Anatomical Gift Donation - Iowa 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name as the Declarant in the designated field. This identifies you as the individual revoking the anatomical gift.
3. Fill in the date of your original anatomical gift document. This is crucial for legal clarity and reference.
4. In the section outlining the revocation methods, ensure you understand that you can revoke via a signed statement, oral statement, or written communication to a healthcare professional.
5. Sign and date the form at the bottom where indicated. Your signature confirms your intent to revoke the anatomical gift.
6. If applicable, have two witnesses sign in the designated areas, ensuring they meet the criteria outlined in the form regarding disinterest and witnessing.
7. Complete any necessary acknowledgment sections if required, including signatures from authorized individuals.

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