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Declaration of Compliance with Governmental Regulations has in place as of (Name of Eye Bank seeking accreditation) (Today’s date) policies and procedures to comply with local, state and/or federal regulation regarding Human Tissue Intended for Transplantation—and any other applicable regulations. These policies and procedures include (but may not be limited to) Infectious Disease and Donor Screening, written procedures, records, inspections, and recall and destruction of banked human tissue. Director Date Medical Director Date NOTE: Receipt of the above declaration must be part of the EBAA accreditation records before accreditation and/or reaccreditation can be completed. October 2008