West Virginia Code § 16-19-10

Manner of making, amending, or revoking anatomical gift of decedent's
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body or part.
(a) A person authorized to make an anatomical gift under section nine of this article may do
so by:
(1) A document of gift signed by the authorized person; or
(2) An oral communication by the authorized person that is electronically recorded or is
contemporaneously reduced to a record and signed by the person receiving the oral
communication. u
(b) An anatomical gift by a person authorized by section nine of this article may be amended
or revoked orally or in writing by any member of a prior class who is reasonably available. If
more than one member of the prior class is reasonablya available, the gift made by the
authorized person may be revoked only if a majority of the members of the same class are
opposed to the anatomical gift. In the event of a tiel vote, a health care surrogate shall be
appointed to decide whether to honor, amends or revoke the anatomical gift of the decedent's
body or part.
(c) A revocation under subsection (b) of this section is effective only if, before an incision has
been made to remove a part from the donor's body or before invasive procedures have begun
to prepare the recipient, the procurement organization, transplant hospital or physician or
technician knows of the revocation.

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