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JOIN THE ILLINOISORGAN/TISSUE DONOR
REGISTRY TODAY.
ALL ACROSS AMERICA,TEENAGERS ARE
MAKING A DIFFERENCEAND CHANGING
THE FUTURE.
HERE IN ILLINOIS,THE FUTURE IS NOW.
ALL ACROSS AMERICA,TEENAGERS ARE
MAKING A DIFFERENCEAND CHANGING
THE FUTURE.
HERE IN ILLINOIS,THE FUTURE IS NOW.
Illinois Organ/Tissue Donor RegistryTo join the registry, a person must have a valid ID and be atleast 16.
More than 25 people can benefit from a single donor.
All major religions support donation as a charitable act ofgiving to others.
Donation is not considered until all efforts to save a person’s life have failed.
Acceptable organs include the heart, liver, lungs, kidneys,pancreas and intestines. Tissues include skin, bone,corneas, tendons, heart valves, saphenous veins, blood andbone marrow.
A donor’s family is never charged for the recovery of organs,nor do they receive compensation.
Funeral/burial arrangements are not delayed due toorgan/tissue donation.
In the U.S., it is illegal to buy or sell organs.
Consent to be a donor may be withdrawn at any time by notifying the Secretary of State’s office.
Printed by authority of the State of Illinois.April 2018 — 200M — EX 74
Secretary of State Jesse White
Organ/Tissue Donor Program451 How
lett BuildingSpringfield, IL 62756-9000
For additional information:Secretary of State Jesse White
Organ/Tissue Donor Program451 Howlett Building
Springfield, IL 62756-9000800-210-2106
As Secretary of State, it has beenmy privilege to meet teens whohave a desire to change our world.They inspire their communitiesand influence peers and adultswith the sincerity of their mes-sage. In January of 2018, 16- and17-year-olds in Illinois weregranted the ability to becomeorgan/tissue donors.
As the state’s advocate for organ/tissue donation, thisprogram is important to me because my own family hasbeen the recipient of the life-changing gift of organdonation. Each year, I am told countless stories of how thegift of donation saved a life. I am proud that 16- and 17-year-olds will now be able to act as donors and activistsfor organ/tissue donation.
A single person’s donation can improve the quality of lifefor up to 25 individuals. More than 6.4 million people in ourstate are registered as organ/tissue donors, but sadly thereare 4,700 individuals who are waiting for their gift of life.Each year, more than 300 people die waiting for a trans-plant.
I encourage you to make a difference and become part ofthe Secretary of State’s Organ/Tissue Donor Registry byvisiting www.LifeGoesOn.com. Please share informationabout the program with your friends and family. Your voicematters.
Sincerely,
Jesse WhiteIllinois Secretary of State
!
Kira, age 17
Organ/Tissue
Donor, DixonKyle, age 16 Organ/Tissue Donor, Naperville
GIVE THE GIFT OF LIFE.
NOW 16- & 17-Year-Olds CANJOIN THE ILLINOIS ORGAN/TISSUE
DONOR REGISTRY.Visit
Complete and mail the attached registration card,CalL 800-210-2106
orVisit any Driver Services facility.
Join the registry:,
❏ A
ge
s 18 & o
lde
r:Please include my nam
e in the Illinois Organ/Tissue Donor Registry. I understand that by consenting to includem
y name in the registry, I have given full legal authority for the donation of m
y organs and/or tissues upon my death. I understand
that I am under no obligation to register as an organ/tissue donor and that I m
ay consult family, friends or clergy before doing so.
❏ A
ge
s 16 & 17:Please include m
y name in the Illinois Organ/Tissue Donor Registry. I understand that by consenting to include m
ynam
e in the registry, I do not have full legal authority for the donation of my organs and/or tissues upon m
y death and that my
parent or guardian has the authority to overturn my decision until I turn 18.
Nam
e
Street Address
City/State/ZIP
Illinois Driver’s License/ID Card Number
Please complete and return this form
in a stamped envelope to:
Secretary of State Organ/Tissue D
onor Program • 451 H
owlett B
uilding, Springfield, IL 62756-9000
JOIN THE ILLINOISORGAN/TISSUE DONOR
REGISTRY TODAY.
ALL ACROSS AMERICA,TEENAGERS ARE
MAKING A DIFFERENCEAND CHANGING
THE FUTURE.
HERE IN ILLINOIS,THE FUTURE IS NOW.
ALL ACROSS AMERICA,TEENAGERS ARE
MAKING A DIFFERENCEAND CHANGING
THE FUTURE.
HERE IN ILLINOIS,THE FUTURE IS NOW.
Illinois Organ/Tissue Donor RegistryTo join the registry, a person must have a valid ID and be atleast 16.
More than 25 people can benefit from a single donor.
All major religions support donation as a charitable actofgiving to others.
Donation is not considered until all efforts to save a person’s life have failed.
Acceptable organs include the heart, liver, lungs, kidneys,pancreas and intestines. Tissues include skin, bone,corneas, tendons, heart valves, saphenous veins, blood andbone marrow.
A donor’s family is never charged for the recovery of organs,nor do they receive compensation.
Funeral/burial arrangements are not delayed due toorgan/tissue donation.
In the U.S., it is illegal to buy or sell organs.
Consent to be a donor may be withdrawn at any time by notifying the Secretary of State’s office.
Printed by authority of the State of Illinois.April 2018 — 200M — EX 74
Secr
etar
y of
Sta
te J
esse
Whi
teOr
gan/
Tiss
ue D
onor
Pro
gram
451
How
lett
Build
ing
Sprin
gfie
ld, I
L 62
756-
9000
For additional information:Secretary of State Jesse White
Organ/Tissue Donor Program451 Howlett Building
Springfield, IL 62756-9000800-210-2106
As Secretary of State, it has beenmy privilege to meet teens whohave a desire to change our world.They inspire their communitiesand influence peers and adultswith the sincerity of their mes-sage. In January of 2018, 16- and17-year-olds in Illinois weregranted the ability to becomeorgan/tissue donors.
As the state’s advocate for organ/tissue donation, thisprogram is important to me because my own family hasbeen the recipient of the life-changing gift of organdonation. Each year, I am told countless stories of how thegift of donation saved a life. I am proud that 16- and 17-year-olds will now be able to act as donors and activistsfor organ/tissue donation.
A single person’s donation can improve the quality of lifefor up to 25 individuals. More than 6.4 million people in ourstate are registered as organ/tissue donors, but sadly thereare 4,700 individuals who are waiting for their gift of life.Each year, more than 300 people die waiting for a trans-plant.
I encourage you to make a difference and become part ofthe Secretary of State’s Organ/Tissue Donor Registry byvisiting www.LifeGoesOn.com. Please share informationabout the program with your friends and family. Your voicematters.
Sincerely,
Jesse WhiteIllinois Secretary of State
!
Kira, age 17
Organ/Tissue
Donor, Dixon Kyle, age 16 Organ/TissueDonor, Naperville
GIVE THE GIFT OF LIFE.
NOW 16- & 17-Year-Olds CANJOIN THE ILLINOIS ORGAN/TISSUE
DONOR REGISTRY.Visit
Complete and mail the attached registration card,CalL 800-210-2106
orVisit any Driver Services facility.
Join the registry:,
❏
Ag
es
18 &
old
er:
Plea
se in
clud
e m
y na
me
in th
e Ill
inoi
s Or
gan/
Tiss
ue D
onor
Reg
istry
. I u
nder
stan
d th
at b
y co
nsen
ting
to in
clud
em
y na
me
in th
e re
gist
ry, I
hav
e gi
ven
full
lega
l aut
horit
y fo
r the
don
atio
n of
my
orga
ns a
nd/o
r tis
sues
upo
n m
y de
ath.
I un
ders
tand
that
I am
und
er n
o ob
ligat
ion
to re
gist
er a
s an
org
an/t
issu
e do
nor a
nd th
at I
may
con
sult
fam
ily, f
riend
s or
cle
rgy
befo
re d
oing
so.
❏
Ag
es
16 &
17:
Plea
se in
clud
e m
y na
me
in th
e Ill
inoi
s Or
gan/
Tiss
ue D
onor
Reg
istry
. I u
nder
stan
d th
at b
y co
nsen
ting
to in
clud
e m
yna
me
in th
e re
gist
ry, I
do
not h
ave
full
lega
l aut
horit
y fo
r the
don
atio
n of
my
orga
ns a
nd/o
r tis
sues
upo
n m
y de
ath
and
that
my
pare
nt o
r gua
rdia
n ha
s th
e au
thor
ity to
ove
rturn
my
deci
sion
unt
il I t
urn
18.
Nam
e
Stre
et A
ddre
ss
City
/Sta
te/Z
IP
Illin
ois D
river
’s Lic
ense
/ID C
ard
Num
ber
Plea
se c
ompl
ete
and
retu
rn th
is fo
rm in
a s
tam
ped
enve
lope
to:
Secr
etar
y of
Sta
te O
rgan
/Tis
sue
Don
or P
rogr
am •
451
How
lett
Bui
ldin
g, S
prin
gfie
ld, I
L 62
756-
9000
