Paternity/Gender Reveal Case Documentation
Collector's Name
*
First Name
Last Name
Type of Test
*
Please Select
Gender Reveal Test
NIPP Test
Motherless Paternity
Trio (Mother, Alleged Father, & Child)
Post Mortem
Single Grandparentage
Grandparentage w/o Mother
Full Siblingship with Common Parent
Full Siblingship w/o Common Parent
Half Sibship with or without Common Parent
Avuncular
Customer Name (Name is on the appointment)
*
Date of Collection
*
-
Month
-
Day
Year
Date
Time of Collection
*
Hour Minutes
AM
PM
AM/PM Option
File Upload
*
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of
Additional section in case the file size is too large
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FedEx Receipt/Copy of Shipping Label
*
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Collector's Signature
*
Date
*
-
Month
-
Day
Year
Date
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