REQUEST FOR SAMPLE COLLECTION KITS

Please check which kits and list the quantity of each that you need. You may email, mail or fax this
form to the Pocatello Region 5 Forensic Laboratory.
hese kits are to be requested only if the sam!les will be submitted to an "daho #tate Police Forensic
#er$ices Laboratory.
%rine &its ''''''
(lood &its ''''''
(lood)%rine &its ''''''
*for sus!ected drug facilitated sexual assaults or other cases warranting the collection of both sam!le ty!es+
Post ,ortem (lood)%rine &its '''''''''
*!ro$ided to -oroners),orticians)Pathologists only+
Ra!e &its''''''
*!ro$ided to hos!itals only . contact your local lab+

/ccident 0ictim &its *Pro$ided to -oroners),orticians 1nly+ ''''''
SEND TO:
2ame3 ''''''''''''''''''''''''''''''''''''''''''''''''''
/gency3''''''''''''''''''''''''''''''''''''''''''''''''''
#treet /ddress3''''''''''''''''''''''''''''''''''''''''''''
''''''''''''''''''''''''''''''''''''''''''''
"daho #tate Police Forensic #er$ices . Region 4
4555 6ubbard . #te. 7895
-oeur d:/lene, "; <=<49
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"daho #tate Police Forensic #er$ices . Region =
?55 #. #tratford ;ri$e
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"daho #tate Police Forensic #er$ices . Region 5
85A C. Lewis
Pocatello, "; <=854
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