ONLINE QUOTATION REQUEST

DNA Relationship Testing

Upon receipt of your completed form, your request will be dealt with immediately and a quotation will be issued to the appropriate parties as instructed.

For assistance in completing the form, please call us on 029 2048 4141
FIELDS MARKED * MUST BE COMPLETED

Your submission contained errors. Please check for unanswered fields below highlighted in red.
GENERAL INFORMATION
Yes No
1. Type of test - Please indicate the type of test you require
Paternity Motherless Paternity Maternity Prenatal Half Sibling Full Sibling Grandparentage Avuncular (Aunt/Uncle)
Legal Peace of Mind

DNA relationship testing is undertaken at a Ministry of Justice and ISO 17025 accredited DNA testing laboratory

2. Donor Details

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Yes No



Brother Father Son
Male
Female
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3. INSTRUCTING PARTY DETAILS – PLEASE INDICATE WHO IS INSTRUCTING THE TESTING:
Legal Aid/Publicly Funded Privately Funded
Yes No

If the cost is to be shared between a number of parties we will send a quotation to each for their share and invoice each for their share after the test results are issued. Each party will be required to authorise their quotation before the sample can be collected.
In accordance with the Legal Aid Agency there is no charge for split invoicing

Legal Aid/Publicly Funded Privately Funded

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4. Result Details - Please include details of who will be receiving the results.
Yes No

Please note that the results will only be issued to one party and we will only discuss the results or the progress of the analysis with the party that is receiving the results.
The results and Expert Report are issued on average in 4 working days of sample receipt into our laboratory.

5. Collection Details

Please indicate who will be collecting the sample and the location of where the sample collection will take place.

Lextox Collectors are able to take hair (including body hair) and blood samples. If you choose a Lextox collector, please detail two preferred collection dates and times.
We can arrange the sample collection immediately and usually collect the sample within 48 hours.

Lextox Collector GP

Other:





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