Please complete the online form below or download a print and mail a print version. If you have questions, please contact us at 515-271-1481 or by email at

Please note: Falsification of this application could lead to rejection at the time of death.

Print Application Downloads

Online Application

Additional paperwork will be mailed to the applicant following the submission of this form and all paperwork must be completed and on file at Des Moines University to be considered for the body donor program.

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