When you sign up to give life through the Registry – in California, the Donate Life California Registry (online –, or through the DMV), and in Nevada at:, your wishes will be carried out by Sierra Donor Services. Upon receiving consent for donation, (through the registry, or consent from next-of-kin) our staff coordinates the evaluation, allocation and recovery of the organs and tissue given for transplantation.  This process all takes place with the utmost respect and concern for the gift, the family, the donor and those who will receive the lifesaving gift.