Type of Test                                                           Type of Samples
Paternity - 2 person ($79) Paternity - 3 person ($129) Paternity - 4 person ($179) 2 Siblings/1 Mother ($149) Best Results 2 Half Siblings/2 Mothers ($199) Best Results 2 Siblings ($99) Aunt/Uncle with Mother - 3 Person ($149) Best Aunt/Uncle - 2 person ($99) Grandpaternity - 4 person ($199) Best Results Grandpaternity - 3 person ($149) Grandpaternity - 2 person ($99) Single Profile ($50) mouth swabs only (no extra charge) 1 non-standard sample (Add $75) 2 non-standard samples (Add $150)
Payment Method
Will Pay Online (option on next page) Money Order I will call with credit card number    We do not accept personal checks

Sample 1:  

Relationship:                     NAME:                            Date of Birth:
Alleged Father Other, Describe Below Child Mother Sibling 1 Sibling 2 Grandparent Aunt/Uncle (MM/DD/YY)
Race:                                 Collection Date:
Caucasian/White African American Asian Hispanic Native American Other, Describe Below (MM/DD/YY)

 Sample 2:  

Relationship:                     NAME:                            Date of Birth:
Alleged Father Other, Describe Below Child Mother Sibling 1 Sibling 2 Grandparent Aunt/Uncle (MM/DD/YY)
Race:                                 Collection Date:
Caucasian/White African American Asian Hispanic Native American Other, Describe Below (MM/DD/YY)

Contact Person

CONSENT FOR ANALYSIS
I hereby consent to the collection, preservation and testing of my specimens for DNA analysis. I also certify that the above information is true and correct and that the specimen(s) were collected from the stated individuals, and understand that any deviation may constitute fraud.

NAME                            

Address                            City                                 State   Zip

Phone Number

Password (we can not discuss your case without a password)

Email Report To:

Comments:

 

Need to test another person?

Add the sample information to the comment section above.
Each additional person is $50 for mouth swabs and $125 for non-standard samples.

You will be asked to print the next page and send it with your samples