DNA Testing Deposit Form

Please provide us with the following information for your DNA test collection. For legal cases, please be sure to input your information exactly as you want it displayed on your notarized report.

We’re going to produce the report based on the information provided here. For legal cases, we’re also going to request IDs from each participant. A photo is sufficient for participants who don’t have photo ID.

"*" indicates required fields

Select a Test

Select a Test*

Email Address*

Phone Number*

Alleged Mother's Details:

Alleged Father's Details:

Alleged Grandparent Details:

Alleged Uncle or Aunt Details:

First Name*

Last Name*

Date of Birth*

Child's Details:

Are You Wanting To Test More Than One Child?

Child First Name*

Child Last Name*

Date of Birth*

Gender

Child Two First Name*

Child Two Last Name*

Date of Birth*

Gender

Location for the appointment:

ZIP Code*

ZIP Code

Please indicate your preferred date and time for the collection appointment. We don't guarantee we'll have that spot available, but we'll follow up with you to confirm, or find an alternative date and time by email.

Requested Date*

Requested Time of Appointment*

Payment Details

Default Deposit

Precio:

Pay with Credit Card*

Cardholder Name

Card Details

Other Notes

Total Amount

Terms and Conditions:

Refund Policy: Client may request a refund if they no longer need the service up to 24 hours before the agreed upon appointment date and time.
Rescheduling: Client may reschedule appointments with 24 hours’ notice as needed.

Your information is always private.

Need quick help? call us 772 212-2811 or contact us via live chat.

FLORIDA

DNA Testing Deposit Form

Select a Test

Alleged Mother's Details:

Alleged Father's Details:

Alleged Grandparent Details:

Alleged Uncle or Aunt Details:

Child's Details:

Location for the appointment:

Payment Details