Sec. 10.34.33.04. Donation Program — Donor Form

A. A donor of a prescription drug or medical supply shall sign a form containing the following statements:

(1) That the donor is the owner or the owner's representative of the prescription drug or medical supply; and

(2) That the donor intends to voluntarily donate the prescription drug or medical supply to the Program.

B. The drop-off site shall:

(1) Require that the donor form contain:

(a) The signature of the donor or the donor's representative;

(b) Contact information of the donor or the donor's representative; and

(c) The date of donation;

(2) Require that the donor form be completed before any donation;

(3) Provide a copy of the donor form to the donor or the donor's representative; and

(4) Maintain a copy of the donor form for 5 years.