DNA Testing Sign-In Form

Legal & Non-Legal DNA Testing

To ensure the accurate processing of a DNA test, the correct information should be provided to be submitted along with the DNA samples.

Acceptable identification: Driver License, Passport, State issued ID, Military ID

For minors: Birth Certificate, Social Security Card, Hospital Birth Record

Testing Location ( On-Site, Private, Public)*

This field is mandatory

If testing is done off-site, provide the address of the requested location.

Who’s getting tested? (Mom, Alleged Father, Sibling, etc.)

Full Name

Identification (Passport, Birth Certificate, Driver’s License etc.)

Date of Birth

Last 4 of SS#?

Sex & Race

The e-mail address is invalid

Have you had a blood transfusion within the past 3 months? (Mother Y/N?)

Have you had a bone marrow/stem transplant before? (Mother Y/N?)

Have you participated in a Parentage DNA Test before? (Mother Y/N?)

PARTY 2 - Who’s getting tested? (Mom, Alleged Father, Sibling, etc.)

Full Name

Identification (Passport, Birth Certificate, Driver’s License etc.)

Date of Birth

Last 4 of SS#?

Sex & Race

PARTY 3 - Who’s getting tested? (Mom, Alleged Father, Sibling, etc.)

Full Name

Identification (Passport, Birth Certificate, Driver’s License etc.)

Date of Birth

Last 4 of SS#?

Sex & Race

* Indicates required fields

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