Florida Coalition on Donation
Donor Education
FCOD Programs
About Us
FCOD Membership
Press Room

Printable State Donor Registry Form

Download your State Organ and Tissue Donor Registry Form here (PDF).

Thank you for your interest in designating your wishes as an organ and tissue donor. Before you download and complete the registry form, please take a few minutes to make sure you understand what it means to be on Florida’s Organ & Tissue Donor Registry:

  • Becoming an organ, eye and tissue donor truly shares life with others. By putting your name on Florida’s Organ and Tissue Donor Registry, you consent to having your organs and tissues made available for transplantation upon death.

  • Examples of organs for life saving transplants include heart, liver, pancreas, kidneys, lungs, and small bowel.
  • Examples of tissues that could save or enhance someone's life include eyes/corneas, heart valves, bones, and skin grafts.

Before you begin you may want to have a printer ready.

If you are between 13 and 17 years old, you must have your parent’s or legal guardian’s signature to join Florida’s Organ & Tissue Donor Registry. Ultimately, your parents/guardians will make the final decision about organ and tissue donation at the appropriate time.

Once you complete your registration, please mail it to the address located at the bottom  of the form.


You will need the Adobe Acrobat Reader to view PDF files.
Get Adobe Acrobat Reader now

Members Area