DNA PLUS

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DNA PLUS
Free Forensic Paternity Testing Kit - FAX Form

To receive a free forensic paternity testing kit*, print, complete, and fax this form to 818-772-8688, and we mail you a collection kit with all the items necessary for your collection.

You will received your free kit in 2-3 business days (US and Canada only). International orders may take longer.

Name: ___________________________________________________________________________

Address 1 (required): _______________________________________________________________

Address 2: _______________________________________________________________________

City (required): ____________________________________________________________________

State/Providence (required): __________________________________________________________

Zip/Postal Code (required): __________________________________________________________

Country (required): _________________________________________________________________

Email: ___________________________________________________________________________

Child Sample Type (required - check one): ⁬ Swab ⁬ Hair ⁬ Forensic

Alleged Father Sample Type (required - check one): ⁬ Swab ⁬ Hair ⁬ Forensic

Additional Person 1 Sample Type (check one): ⁬ Swab ⁬ Hair ⁬ Forensic ⁬ Not tested

Additional Person 2 Sample Type (check one): ⁬ Swab ⁬ Hair ⁬ Forensic ⁬ Not tested

Additional Person 3 Sample Type (check one): ⁬ Swab ⁬ Hair ⁬ Forensic ⁬ Not tested

Additional Persons are extra children, alleged fathers, or the mother.

Questions, comments, etc.: _________________________________________________________

_________________________________________________________________________________

All correspondence is strictly confidential and is protected under our privacy policy.

*testing fees not included