ExpressPass3

Personal Identifying Information

Be sure to use the name listed on your donor ID card and/or your legal name as it appears on your picture identification.

* Required fields

First Name* Only letters and white space allowed for first name.

Last Name* Only letters and white space allowed for last name.

I acknowledge that I have entered my legal name as it appears on my picture identification. If the name I entered does not match my ID, I will be required to retake the pre-donation questionnaire at the time of donation.

Donor ID Only numbers allowed for Donor ID. Last Donation Date N/A

To be considered for a shortened questionnaire, please provide your donor ID number.

Birthdate* Please use suggested birthdate format.

Utilize the calendar option if the browser does not allow you to type in your birthdate. If this format doesn’t work, try yyyy-mm-dd.

Gender*

Male

Female

Why is this required? (Click here for Spanish)

Language*

English

Spanish

Please note: We highly recommend checking that the ExpressPass barcode is visible when you print, email, screenshot or save your ExpressPass receipt BEFORE closing the page. If you are unable to view the ExpressPass barcode, the questions will need to be answered again upon arrival for your donation