Tribute Form - Tributes of Hope

Step 1 of 4 - Donor Family Information

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This field is for validation purposes and should be left unchanged.

Contact Information

Please provide your contact information. This will allow Lifeline of Ohio to get in touch with you for any questions about your loved one's tribute. Participation is free and private, and we will never share your personal information with anyone.

Your Name(Required)

First Last

Email(Required)

Your Relationship to the Donor(Required)

I am the legal next of kin(Required)

Lifeline of Ohio’s practice is to communicate with the donor’s legal next-of-kin regarding all legacy-making activities. If other family members are interested in creating a tribute page to honor their loved one, then every attempt will be made to notify the legal next-of-kin. For questions, please contact tributesofhope@lifelineofohio.org.

Yes

Only the donor’s legal next-of-kin are able to create tributes. For questions, please contact aftercare@lifelineofohio.org.

I have read and agree to the Lifeline of Ohio privacy policy.

Read the Lifeline of Ohio privacy policy.

Next Step: Loved One’s Information

Please provide information about your loved one that will be displayed on their tribute page. Use the Save & Exit button to return later if needed.

Name

Loved One's Legal Name(Required)

Include a middle name/initial if it should be displayed on the tribute.

First (required) Middle Name/Initial (optional) Last (required)

Loved One's Preferred Name

If your loved one went by a preferred name different than their legal name, please enter how you would like it to appear on their tribute page. You’re welcome to include a nickname, middle name, or initials. If left blank, we will use the legal name as entered above.

First Middle/Nickname Last

Name will appear as: Enter name to see preview...

Life Dates

Date of Birth(Required)

Month

Day

Year

Date of Death(Required)

Month

Day

Year

Do you want your loved one's tribute featured on the home page?(Required)

Yes

Location

Please enter the city and state your loved one considered their home town.

City(Required)

State(Required)

Donation Information

Name of Donation Facility(Required)

Please enter the name of the facility where donation took place.

Would you like the tribute to display that your loved one was an organ, eye, tissue donor, or a hero in spirit?

All donors and heroes in spirit under age 18 will be classified as "young" donor/hero.

Yes

Legacies

Legacy Highlights

Please check all legacy highlights that apply to your loved one. These highlights will appear on your loved one's tribute page and help others find them.

Child

Educator

First Responder

Friend

Healthcare Worker

Military Service

Parent

Sibling

Spouse/Partner

Student

Other Lifeline of Ohio Legacies

If your loved one has other Lifeline of Ohio legacies that you would like to be linked in their tribute, please select them. Contact aftercare@lifelineofohio.org with any questions about other legacies.

Lifeline Donor Memorial Wall

Shadowbox

Quilt

Link for people to make a contribution in honor of my loved one

Next Step: Add Tribute Text

Please provide a remembrance of your loved one that will be displayed on their tribute page. We encourage you to tell your story from the heart while being mindful not to include confidential information and to keep all language appropriate. Refrain from using profanity, references to drugs, alcohol or weapons and inappropriate images and videos. Use the Save & Exit button to return later if needed.

Tribute Text

Write a Tribute About Your Loved One(Required)

Questions to consider when creating your loved one’s tribute: How would you like them to be remembered? What made them special? What will you miss most about them? What is one thing you would like to say to them?

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Next Step: Add Tribute Photos

Please provide photos that will be displayed on your loved one’s tribute. Although photos are not required, they are strongly encouraged to help highlight your loved one and their legacy. You will also choose a decorative cover photo which appears at the top of the tribute page.

Photos

Profile Photo(Required)

Upload a profile photo of your loved one. This is the main photo for their tribute used throughout the site. All profile photos will be square-cropped upon upload. For best appearance, photo should be at least 400x400px.

Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 5 MB, Max. files: 1.

Photo Gallery

Upload additional photos to be displayed in the gallery section of their tribute. After selecting photos, you can click the thumbnail to apply cropping, or drag to change the order.

Drop files here or

Accepted file types: jpg, jpeg, png, Max. file size: 5 MB, Max. files: 12.

Cover Photo

Select an image from our curated collection that reflects your loved one. This image is displayed at the top of the tribute page. If you do not select an image, Ripple Effect will be used.