DNA Funding Application

DNA Funding Application

DNA funding related to the Henry Lee Lucas DNA Initiative is for Law Enforcement Agencies only and for cases related to Henry Lee Lucas and/or Otis Toole.
Law Enforcement Agency*
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
Name of Victim and/or Case*
Year of Crime*
Has this case completed STR Testing for a CODIS profile?*
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: Upload case files.

Cancelof
Optional: Upload case files.
Jurisdiction of case (state/county/parish/municipality)*
Do you certify that any DNA profile(s) generated with assistance from CCC funding will not be uploaded to a private DNA databases 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 CCC funding will not be uploaded to any database in violation of its Terms of Service?*
Type Yes or No
Do you agree to the terms outlined on our About CCC Funding page? https://coldcasehelp.com/about-ccc-funding

YesNo
Comments:
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
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:

Contact Information