Paternity DNA Testing Form

PATERNITY DNA TESTING AGREEMENT & AUTHORIZATION

WHEREAS, Client Name: (the "Client") requests deoxyribonucleic acid (DNA) testing to establish or exclude biological paternity; and

WHEREAS, Provider Name: (the "Laboratory") is duly qualified and offers forensic and diagnostic DNA testing services under applicable accreditation and standards; and

WHEREAS, the parties desire to set forth the scope, terms, payment, confidentiality, and authorization for collection, testing, reporting and use of DNA test results as set forth below.

Client Information

Subjects to Be Tested

Specimen Collection & Chain of Custody

Specimen Type (check all applicable):
Buccal (cheek) swab
Blood
Other (describe):

Chain of custody required: Yes

Scope of Work

The Laboratory shall perform DNA typing using validated autosomal STR analysis and comparison of reported loci sufficient to render a paternity inclusion or exclusion, prepare a written report of statistical probability, and retain laboratory records in accordance with the Laboratory's policies. Testing does not include Y‑STR, mitochondrial, or specialized kinship testing unless expressly requested and paid for.

Payment Terms

Client agrees to pay the Laboratory the fees set forth below. Payment is due according to the schedule selected; testing and sample processing will not commence until required deposit or full payment has been received.

Late payments shall incur a late fee of on the outstanding balance, calculated monthly.

Term and Termination

This Agreement is effective as of the Effective Date below and continues until completion of the agreed testing and delivery of the final report unless earlier terminated in accordance with this section.

Either party may terminate this Agreement for material breach by the other party if such breach remains uncured for days following written notice. Termination does not relieve Client of liability for fees incurred for services rendered and costs reasonably incurred by the Laboratory up to the effective date of termination.

Confidentiality

The Laboratory will maintain confidentiality of personal and genetic information and will not disclose DNA test results except: (a) as authorized in writing by the Client; (b) to individuals or entities specifically designated by Client on this form; (c) as required by law or court order; or (d) to Laboratory personnel and consultants on a need‑to‑know basis for purposes of sample processing and reporting. Client authorizes release to:

Authorization, Consent and Use of Results

By signing below, Client (or legal guardian if the subject is a minor) affirms that the information provided is true and complete, authorizes the collection and testing of the specimens described herein, and authorizes the Laboratory to release results to the individuals/entities identified. Client acknowledges that genetic test outcomes may have legal, familial, and emotional implications and that the Laboratory cannot provide legal advice.

Retention of specimens: The Laboratory will retain extracted DNA/sample materials for a period of unless otherwise directed in writing. Client may request destruction or additional retention in writing; additional fees may apply.

Legal use: Client acknowledges that results may be used in family law or other legal proceedings if required by court order or if Client explicitly requests an evidentiary chain of custody collection and/or direct release to a court or attorney. Chain of custody procedures must be requested and paid for in advance.

Limitation of Liability & Disclaimer

The Laboratory performs testing using industry standard methods. Except as expressly provided in writing, the Laboratory disclaims all warranties, express or implied. The Laboratory's liability for claims arising under this Agreement shall be limited to direct damages not to exceed the amount paid by Client for the specific test at issue. In no event shall the Laboratory be liable for consequential, incidental, special or punitive damages.

Governing Law; Entire Agreement

This Agreement shall be governed by and construed in accordance with the laws of the State of without regard to conflict of law principles. This document constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior discussions, representations, or agreements, whether oral or written. Any amendments must be in writing signed by both parties.

Acknowledgment

By signing below, the undersigned certifies under penalty of perjury that they are authorized to request testing for the listed subjects and to receive results, that specimen donors consent to sample collection, and that all information provided is true to the best of their knowledge. If signing on behalf of a minor, the signer confirms legal guardianship authority.

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