Name * First Name Last Name Phone (###) ### #### Email * Date of Birth MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Test Type Requested Paternity Test (legal/court-admissible) Paternity Test (peace of mind only) Maternity Test Sibling Test Grandparentage Test Immigration DNA Collection Infidelity/Personal Item Testing Lifestyle DNA/Wellness Testing Postmortem Testing Reason for Testing Please briefly explain the reason for your DNA testing request. Office Location Eastpointe - 18121 E 8 Mile Rd. Ste. 330 Eastpointe, MI 48021 Detroit - 2751 E Jefferson Ave. Ste. 456 Detroit, MI 48207 Appointment Availability Please list three availability dates (dates will be confirmed by site) Payment Method Self-Pay Attorney/Court Ordered Employer/Agency Referral Consent & Authorization Checkboxes with required agreement before submitting: I understand that DNA testing results are confidential and may only be released to authorized parties.. I consent to SKBrown Logistics collecting my DNA sample(s) for the purpose indicated. I acknowledge that payment is required before services are rendered (unless prearranged with a partner, attorney, or agency). Thank you! Our testing team will be in contact with you shortly.Thank you for using,SKBrown Logistics
