Eurofins Forensic Services Online Submission Form
 

Please complete the form below to place an instruction for a legal Paternity test, upon receipt of your request one of our customer service representatives will contact you shortly. Should you have any questions regarding the different tests available? Or about the testing process itself please call 0800 970 8400.

Please provide following information ( * Fields are mandatory )
Customer Information:
Instructing Solicitor: *
Instruction firm: *
Address: *
Telephone No: *
Email: *
Donor Information:
Name (Alleged Father): *
Date of Birth: *
Contact Number: *
Address: *
Could a close male relative of the alleged father possibly be the father?
Yes No
If yes, what is the relationship? Brother Father Son
Name (Alleged Mother): *
Date of Birth: *
Contact Number: *
Address: *
Name (Alleged Child): *
Date of Birth:  * Male Female
Contact Number: *
Address: *
Sample Collection Details:
Eurofins Forensic Services Sample Collector (£95 + VAT)
Kit to be sent to
(tick as appropriate):
GP Solicitor
Testing Kit to be Sent to:
Name:
Organization:
Address:
Post Code:
Telephone No.: *
Fax No.:
Results and Invoice Information:
Results to be sent to:
Instructing Solicitor Opposing Solicitor
Both  
       
Invoice to be sent to:
Instructing Solicitor Opposing Solicitor
Both  
 

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