West Virginia Code § 16-19-7

Refusal to make anatomical gift; effect of refusal
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(a) An individual may express his or her refusal to make an anatomical gift of his or her body
or body parts by:
(1) A record signed by the individual. If the individual is physically unable to sign, another
person acting at the direction of the individual may sign if the refusal:
(A) Is witnessed and signed by at least two adults, at least one of whom is a disinterested
witness, at the request of the individual; and
(B) Contains a statement that it has been signed and witnessed as provided in paragraph (A)
of this subdivision;
(2) The individual's will, regardless of whether the willa is admitted to probate or invalidated
after the individual's death; or
(3) During a terminal illness or injury of the individual, any form of communication made by
the individual addressed to at least two adults, at least one of whom is a disinterested
witness.
(b) An individual who has made a refusal may amend or revoke the refusal:
(1) In the manner provided in esubsection (a) of this section for making a refusal;
(2) By subsequently makLing an anatomical gift pursuant to section five of this article that is
inconsistent with the refusal; or
(3) By destroying or canceling the record evidencing the refusal, or the portion of the record
used to make the refusal, with the intent to revoke the refusal.
(c) WExcept as otherwise provided in section eight of this article, in the absence of an express,
contrary indication set forth in the refusal, an individual's unrevoked refusal to make an
anatomical gift of his or her body or part bars all other persons from making an anatomical
gift of the individual's body or part.

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