Refusal to make an anatomical gift · Washington
Washington: how to refuse organ donation
If you came here to get off the registry
Is removing the donor designation enough in Washington?
Taking your name off the organ donor registry is a revocation. So is removing the designation from your driver’s license. Under Wash. Rev. Code § 68.64.070, Washington law treats a revocation and a refusal as two different things, and only the refusal settles it.
A revocation withdraws the gift you made. It does not stop anyone else from making the gift for you. Only a refusal does that, and Wash. Rev. Code § 68.64.060 is the section that says so. It has to be signed.
Both provisions are quoted in full below, from Washington’s own code.
What Washington asks
What you need to make a refusal in Washington
- Act
- 2006 revision
- Enforcement
- An unrevoked refusal bars all other persons from making the gift.
- Signing it yourself
- No witnesses required by the statute.
- If someone signs at your direction
- Two adults. At least one of the two must be a disinterested witness; the other may be anyone, including a family member.
- Notary
- Not required.
- Washington law
- Wash. Rev. Code §§ 68.64.060, 68.64.070
- Statute read
- 2026-09-02
Refusal to make an anatomical gift · Making, amending, or revoking a gift by a person other than donor—Making additional gifts
The statute itself
Quoted from Washington’s enacted code, in full and unedited.
How a refusal is made (1)
An individual may refuse to make an anatomical gift of the individual's body or part by: (a) A record signed by: (i) The individual; or (ii) Subject to subsection (2) of this section, another individual acting at the direction of the individual if the individual is physically unable to sign; (b) The individual's will, whether or not the will is admitted to probate or invalidated after the individual's death; or (c) Any form of communication made by the individual during the individual's terminal illness or injury addressed to at least two adults, at least one of whom is a disinterested witness.
Wash. Rev. Code § 68.64.060
How it must be witnessed (2)
A record signed pursuant to subsection (1)(a)(ii) of this section must: (a) Be witnessed by at least two adults, at least one of whom is a disinterested witness, who have signed at the request of the individual; and (b) State that it has been signed and witnessed as provided in (a) of this subsection.
Wash. Rev. Code § 68.64.060
What an unrevoked refusal does (4)
Except as otherwise provided in RCW 68.64.070(8), in the absence of an express, contrary indication by the individual set forth in the refusal, an individual's unrevoked refusal to make an anatomical gift of the individual's body or part bars all other persons from making an anatomical gift of the individual's body or part.
Wash. Rev. Code § 68.64.060
A revocation is not a refusal (2)
A donor's revocation of an anatomical gift of the donor's body or part under RCW 68.64.050 is not a refusal and does not bar another person specified in RCW 68.64.030 or 68.64.080 from making an anatomical gift of the donor's body or part under RCW 68.64.040 or 68.64.090.
Wash. Rev. Code § 68.64.070