(iii) Since the issuance of your last driver's license/permit, has your health or medical condition changed or worsened? ... yes ... no
Please explain, including how the above affects your ability to drive: .................., and (d) may answer the following:
(i) Do you wish to register to vote as part of this application process?
(ii) Do you wish to have a veteran designation displayed on the front of your operator's license or state identification card to show that you served in the armed forces of the United States? (To be eligible you must register with the Nebraska Department of Veterans' Affairs registry.)
(iii) Do you wish to include your name in the Donor Registry of Nebraska and donate your organs and tissues at the time of your death?
(iv) Do you wish to receive any additional specific information regarding organ and tissue donation and the Donor Registry of Nebraska?
(v) Do you wish to donate $1 to promote the Organ and Tissue Donor Awareness and Education Fund?