Which Type of Form Are You Looking to Print?

Print and return your selected form by email to registry@donatelife.ny.gov or by postal mail to:
New York State Donate Life Registry
185 Jordan Road
Troy, NY 12180



ENROLLMENT FORM

Enroll online at donatelife.ny.gov/register or print and return an enrollment form in one of 7 different languages.




Select the language you want to download:*

CHANGE AND SPECIFICATION FORM

Log in or create an online account to update your profile, or print and return a change and specification form in one of 7 different languages.




Select the language you want to download:*

REMOVAL FORM

Log in or create an online account to withdraw your name from the Registry, or print and return a removal form in one of 7 different languages.




Select the language you want to download:*