Order from the Lab

Records Request - Evidential Breath Alcohol Testing

This order form is for records pertaining to any EBAT conducted using the Intoxilyzer 5000EN and performed prior to May 1, 2013.

Litigation packets for any EBAT conducted using the Intoxilyzer 9000 and performed after May 1, 2013 are now included as part of every subject test report provided by the law enforcement agency.

Toxicology Testing Supply Order Form

(Available to law enforcement professionals only)

 Packing Slip Order Forms
(Packing slips are required for shipments of more than one sample or specimen. Customers may use their own packing slip. This order form is for customers ordering large quantities only. For smaller quantities of packing slips, download fillable forms below to save for reuse.)

• General Lab Testing Packing Slip
• Newborn Screening Packing Slip

Newborn Screening Results Request Order Form

(Available to healthcare professionals only.)

Includes: enteric supplies, sexually transmitted disease supplies, West Nile Virus, Pertussis, rabies test request forms, and more.

Water Testing Supply Order Forms (Select form by customer type.)

Well owner, Private Citizen, Realtor Water Testing Supply Order Form

(For well owners, general public, realtors or those testing water from nursing homes, hospitals, hotels, bath houses or spas.)

Water Provider or Wastewater Company Water Testing Supply Order Form

(For water providers and wastewater companies
for regulatory compliance water testing.)

 Compliance testing schedules, facility name, PWSID & sampling site numbers