- Q: Will my personal information be kept confidential?
- Q: Who is eligible to be listed on the monument?
- Q: Does it cost money?
- Q: If I sign this form, does it make me a donor?
- Q: How do I fill out the form?
- Q: We donated my son's organs, eyes, and tissue when he died in another state. Can his name be engraved on the monument?
- Q: Why are there two forms?
- My husband, mother, and son were all donors; may I submit more than one name?
- Q: May I submit a quote or my loved one's favorite saying on my submission form?
- Q: Can I fax my submission form or do I need to send the original form?
- Q: Can I use both sides of the form for deceased donor or do I need to get another form?
- Q: My loved one has two last names; can I put both names on the form?
Q: Will my personal information be kept confidential?
A: Information will be used ONLY to process and verify names to be engraved on the monument Wall of Honor. Your information will be kept completely confidential.
Q: Who is eligible to be listed on the monument?
A: Any donor who has a Utah connection may be engraved on the monument. All donors of organs, eyes, tissue, bone marrow, living kidney, liver donors, whole body donations, and super blood donors (10 gallons or more) are eligible.
Q: Does it cost money?
A: There is absolutely no charge for any donor to be engraved on the monument. It is a gift to donor heroes for the gift of life given to another.
Q: If I sign this form does it make me a donor?
A: The Name Submission Form is to be used ONLY to submit a name to be engraved on the Celebration of Life Monument. It is NOT a donor registry form. To sign-up to become an organ, eye, and tissue donor or to learn more about donation, please go to www.Yesutah.org or call 1-866-YES-UTAH
Q: How do I fill out the form?
A: If you are submitting the name of a loved one (a deceased donor) follow the instructions and fill in every line on the form, select the "deceased donor" option and list yourself as the next of kin with your signature. If you are a living donor, follow the instructions and fill in every line on the the form and select the "Living Donor" option. All submissions must be signed, dated, and notarized.
Q: We donated my son's organs, eyes, and tissue when he died in another state. Can his name be engraved on the monument?
A: YES! Anyone who has a Utah connection may be engraved on the monument. Please submit his name so that he may be honored as a hero.
Q: Why are there two forms?
A: The left-hand side of the form is for living donors; the right-hand side is for deceased donors. Please complete the applicable side. All submissions must be signed, dated, and notarized.
Q: My husband, mother, and son were all donors; may I submit more than one name?
A: Yes! Use one form for each donor. You may download form from this website, or call 801-840-1773 for additional forms.
Q: May I submit a quote on my submission form?
A: No, Only donor names can be submitted for the monument. The five quotes that appear on the monument are from selected community leaders.
Q: Can I fax my submission form or do I need to send the original form?
A: No, we need an original, notarized copy of the form to process your name submission.
Q: Can I use both sides of the form for deceased donor or do I need to get another form?
A: You must submit only one person per form.
Q: My loved one has two last names, Can I put both names on the form?
A: Yes, you may list the name in any way you choose.