Government Forms Series 2a

 

Complete the information in the form.

       
Yes No I request that my license or ID card show that I have a living will/health care directive.
   
Yes No I request that my license or ID card have a Medical Alert identifier.  I understand that the card will not contain any medical information.
   
Yes No I want my license or identification card to show that I consent to be an organ and tissue donor.
       

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