This Revocation of Anatomical Gift Donation form is a revocation of Form VT-P025 that designates the body parts and organs an individual wishes to donate at the time of death. A donor may amend or revoke an anatomical gift, not made by will, only by a signed statement, an oral statement made in the presence of two individuals, or by any form of communication during a terminal illness or injury addressed to a physician. Specific reference is made to the earlier executed Anatomical Gift Donation.

Get the free Revocation of Anatomical Gift
Show details
This document serves to revoke a previously made anatomical gift as per Vermont Statutes Annotated 18 V.S.A. §5250f. It includes provisions for signing and witnessing the revocation.
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign revocation of anatomical gift

Edit your revocation of anatomical gift form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your revocation of anatomical gift form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out revocation of anatomical gift

How to fill out Revocation of Anatomical Gift
01
Obtain the Revocation of Anatomical Gift form from a legal or medical professional or download it from an appropriate website.
02
Read the instructions carefully to understand the conditions and implications of revocation.
03
Fill out your personal information, including your full name, address, and contact details.
04
Clearly indicate your intention to revoke the anatomical gift by checking the appropriate box or writing a statement.
05
Sign and date the form in the designated area to validate your request.
06
Submit the completed form to the relevant organization, such as the donor registry or medical facility, as outlined in the instructions.
Who needs Revocation of Anatomical Gift?
01
Individuals who have previously made an anatomical gift and wish to revoke it.
02
Family members or legal representatives acting on behalf of a donor who wants to revoke the gift.
03
Patients who have changed their mind about organ donation due to personal, ethical, or medical reasons.
Fill
form
: Try Risk Free
People Also Ask about
What does anatomical gift mean?
The Uniform Anatomical Gift Act of 1968 The Act was the first legislation enacted by all states in United States to address the donation of organs, tissues, and eyes as gifts to someone who may be in need of an organ for survival.
What is an example of the Uniform Anatomical Gift Act?
For example, a gift received by a medical school must be used for research or for the improvement of the medical field, while a gift given to an individual must be used for his or her medical treatment or tissue transplant. Section 4 of the Act explains how to enact an anatomical gift.
What is the revocation of gift?
A gift will be revoked if it was not made with the free consent of the donor. A gift may also be revoked in any of the cases in which if it were a contract, it might be rescinded.
What does "I hereby make an anatomical gift" mean?
Anatomical gifts. Short title. Public Law 91-268. AN ACT To authorize, in the District of Columbia, the gift of all or part of a human body after death for specified purposes.
How do you make an anatomical gift?
For example, a gift received by a medical school must be used for research or for the improvement of the medical field, while a gift given to an individual must be used for his or her medical treatment or tissue transplant. Section 4 of the Act explains how to enact an anatomical gift.
What does "I hereby make an anatomical gift" mean?
Any competent person 18 years of age or older can donate their body for medical education and research. You can make your wishes known by completing an Anatomical Gift Declaration of Consent. This does not require the services of a lawyer or notary. The form must be signed by two witnesses.
What do anatomical gifts mean?
An “anatomical gift” is a donation of all or part of a human body, after death, for the purpose of transplantation, therapy, research, or education.
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is Revocation of Anatomical Gift?
Revocation of Anatomical Gift refers to the legal process by which an individual withdraws their consent to donate their body or body parts for anatomical use, such as for transplantation, education, or research.
Who is required to file Revocation of Anatomical Gift?
The individual who originally made the anatomical gift, or their legal representative, is required to file the Revocation of Anatomical Gift.
How to fill out Revocation of Anatomical Gift?
To fill out a Revocation of Anatomical Gift, the individual should complete a specified form that includes their personal information, details of the original anatomical gift, and a clear statement of revocation. This form must be signed and dated.
What is the purpose of Revocation of Anatomical Gift?
The purpose of Revocation of Anatomical Gift is to allow individuals the right to change their minds about donating their anatomical gifts, ensuring that their current wishes are respected.
What information must be reported on Revocation of Anatomical Gift?
The information that must be reported on the Revocation of Anatomical Gift includes the donor's full name, contact information, date of revocation, details of the original gift, and a signature.
Fill out your revocation of anatomical gift online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Revocation Of Anatomical Gift is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.