Type of Test                               Type of Samples
$79 Paternity Special Paternity - 2 person ($99) Paternity - 3 person ($149) Paternity - 4 person ($199) 2 Siblings + Mother ($149 Best) 2 Siblings ($99) Grandpaternity - 4 person ($199 Best) Grandpaternity - 3 person ($149) Grandpaternity - 2 person ($99) Other: $50 per person mouth swabs only (no extra charge) 1 non-standard sample (Add $75) 2 non-standard samples (Add $150)
Payment Method
Money Order Check Call for Credit/Debit Card Paypal

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)

Sample 3:  

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) was 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 add another person?

Add the sample information to the comment section above.

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