DNA Funding Application

DNA Funding Application
Organization or Applicant Name*
Contact Information
Full Name*

First NameLast Name
Job Position/Title*
Phone*
Format: (000) 000-0000.
E-mail*
example@example.com
Alternative E-mail
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about us?*

GoogleSocial MediaISHIReturn ClientReferralOther

Case Information
Has this case completed STR Testing?*
If yes, has the profile been uploaded to CODIS?
Is this for Unidentified Human Remains OR Crime Scene DNA?*
Case Description (including general circumstances of sample/remains). Optional: Describe why case was selected for funding request.*
Optional: Upload case files.

Cancelof
Optional: Upload case files.
Jurisdiction of case (state/county/parish/municipality)*
Proposed laboratory / service provider*
What is the focus of your funding need? (testing, upload fees, reference testing, etc.) *
Do you certify that any DNA profile(s) generated with assistance from IMF funding will not be uploaded to a private DNA database unless the database is accessible to unaffiliated forensic genealogists?*
Type Yes or No
Do you certify that any DNA profile(s) generated with assistance from IMF funding will not be uploaded to MyHeritage.com or any other database in violation of its Terms of Service?*
Type Yes or No
Do you request preferential consideration on one or more of these grounds? Select all that apply:

Agreement to upload any DNA profile(s) generated to the law enforcement-exclusive database DNA JusticeAgreement to the use of IMF to perform or coordinate the forensic genealogy
Comments:
Requested Funding ($) - Please have current pricing from your proposed lab, databases, etc.
Testing Amount $
Database Upload Fees Amount $
Reference Testing Amount $
Other Amount $ (Put in comments below.)
Comments:
Total Requested Funds (Auto calculated from numbers above.)
Reminder: Funding cannot be used for payment of existing debts, travel, activities that are only beneficial for a single person, salaries, or rents.

Applicant Representative Name*

First NameLast Name
Applicant Representative Signature*
Date*

MonthDayYear
Date
Consent
I hereby agree that the information given is true, accurate and complete as of the date of this application submission.*

YES
Should be Empty:

DNA Funding Application

Contact Information

Case Information

Requested Funding ($) - Please have current pricing from your proposed lab, databases, etc.

Consent