Planned Gift Notification

You may complete and submit this form or select the PDF Version to Print and Mail


I have included the University of Virginia as a beneficiary of my trust or estate plan as follows. I understand that this does not legally obligate me or my estate in any way:

Planned Gift Type

Other Planned Gift Type:
The estimated value of my gift is $
I intend my gift to be used for (University priority, school, program, etc.)
First Name
Last Name
Home Address 1:
Home Address 2:
Home City:
Home State:
Home Zip:
Home Country:
Phone Number:
Business Phone Number:


I would like more information on making a charitable contribution to UVA through a:

Please contact me by:

Please enter your initials to represent your electronic signature.

If you would like to print and mail a copy of the planned gift information form, print our PDF Version. Please return your completed form to:
Office of Gift Planning
PO Box 400807
University of Virginia
Charlottesville VA 22904-4807
Telephone: 434-924-7306 or 800-688-9882
Facsimile: 434-924-7364