In-Kind Donation Form » Giving » UF Health

Is this donation on behalf of an individual, or an organization?*

Individual
Organization

Organization/Company Name*

Contact Name*

First Last

Organization's contact name.

Donor Name*

First Last

Donor's name.

Donor Email

Enter Email Confirm Email

Donor's email address. NOTE -- If this information is not provided, a tax receipt will not be sent to the donor.

Contact Email

Enter Email Confirm Email

Email address for organization's contact. NOTE -- If this information is not provided, a tax receipt will not be sent to the donor.

Organization/Company Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

The mailing address for the organization/company making the donation. NOTE -- If this information is not provided, a tax receipt will not be sent to the donor.

Donor Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

The mailing address of the individual making the donation. NOTE -- If this information is not provided, a tax receipt will not be sent to the donor.

Item(s) and Description*

Please include detailed description of all item(s) donated. There is a 10,000 character limit. This information will be included in the tax receipt.

Total Value of Donated Item(s)*

The total value of all items entered above. This information will be included in the tax receipt. If the value is unknown or priceless, please enter $1.

To be completed by UF Health employee securing item(s):

Will this item will be sold in a silent or live auction?*

Yes
No

Date item(s) received by UF Health*

Item secured for:*

Event Name/Description/ID

Proposal ID (if applicable)

Employee Name*

First Last

Employee Phone*

Employee Email*

After submitting, you will receive a confirmation email, and this form will be submitted to UF Health Advancement Gift Processing. For more information, call 352-265-7237.