NLDAC - Filer Registration

Filer Registration

Important Note: This page is for transplant professionals only. If you are a donor or recipient candidate, please use the link your transplant center provided to access your online application.

Please complete this registration form to file applications to NLDAC on behalf of your registered Transplant Center. Application filers are required to attest they are a Transplant Professional and have authority to file NLDAC applications.

Transplant Center

Center Name:*

Address:*

City:*

State:*

Zip Code:*

Living Donor Program: (check all that apply)

Liver Lung Kidney Intestine Uterus

Application Filer

First Name: *

M.I.:

Last Name: *

Email: *

Phone: *

Pager/Cell Phone:

Job Position:*

Title: *

APPLICATION FILER ATTESTATION

I hereby certify that I am a Transplant Professional at this registered center and have the authority to file NLDAC Applications. Agree Disagree

Account Activation
NLDAC staff will review your registration and activate your account. When your account is activated, you will receive an automated email with a temporary password, which you can use to log in and establish a password of your choice. You may need to check your spam folder for this message. Please call NLDAC at 888-870-5002 if you do not receive the email.

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Learn what you need to know before applying for NLDAC assistance by reading our Program Snapshot

This program is funded by Grant No. U13HS30586 from the Division of Transplantation through a cooperative agreement with the University of Kansas Medical Center, in collaboration with the American Society of Transplant Surgeons, Arbor Research Collaborative for Health, and Mayo Clinic Arizona. Section 3 of the Organ Donation and Recovery Improvement Act (ODRIA), 42 U.S.C. 274f, establishes the authority and legislative parameters to provide reimbursement for lost wages, dependent care (childcare and eldercare), transportation, housing, and incidental expenses incurred toward living organ donation.

This program is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $9,700,000 with 0% percentage funded with non-government sources. The contents of this website are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government.