Will my personal information be kept confidential?
Information will be used ONLY to process and verify names to be engraved on the monument. Your information will be kept completely confidential.
Who is eligible to be listed on the monument?
Any donor who has an Intermountain area connection may be engraved on the monument. All donors of organs, eyes, tissue, bone marrow, living kidney, liver donors, and whole body donations are eligible.
Does it cost money?
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.
If I sign this form does it make me a donor?
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, www.yesidaho.org, call 1-866-YES-UTAH, or call 1-866-YES-IDAHO.
How do I fill out the donor name submission form?
All donor names to be submitted to the monument must have a connection to the Intermountain area. If you are submitting the name of a loved one (a deceased donor), follow the instructions and fill in every line on the form 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. All submissions must be signed and dated. Submission forms may be downloaded here and may be submitted via mail, email, or fax.
We donated my son’s organs, eyes, and tissue when he died in another state. Can his name be engraved on the monument?
YES! Anyone who has an Intermountain area connection may be engraved on the monument. Please submit his name so that he may be honored as a hero.
My husband, mother, and son were all donors; may I submit more than one name?
Yes! Use one form for each donor. You may download the form here, or call 801-478-7361 for additional forms.
Can I email or fax my submission form or do I need to send the original form?
Yes, you may email your form to email@example.com or fax to 385-215-2942.
My loved one has two last names. Can I put both names on the form?
Yes, you may list the name in any way you choose.
Whom should I contact for additional information?
Any questions about the monument, memorial pavers, finding a loved one’s name, or the Celebration of Life Monument Ceremony can be brought to Donor Family Services, 1-801-478-7361, or firstname.lastname@example.org.