Laboratory Analysis Request Missouri Form – Fill Out and Use This PDF

Enter the CRIME LAB NUMBER and the AGENCY CASE NO.

Under STATUS OF CASE, mark NEW, ADD-ON or RESUBMIT.

Enter the SUBMITTING AGENCY, TYPE OF CRIME, DATE OF CRIME and COUNTY OF CRIME.

Enter the INVESTIGATING OFFICER, TELEPHONE NUMBER and E-MAIL.

Mark YES for HIGHWAY/TRAFFIC RELATED CASE?, DRE RELATED CASE? or SEXUAL ASSAULT KIT? if yes.

Mark YES or NO for "Has this evidence been examined by another laboratory?" If yes, explain in the "If yes, explain below" box.

Enter the LAST NAME, FIRST NAME, MI and SEX, and mark Suspect, Victim, Elimination or Other.

Enter the DOB, SSN, SID# and FBI#.

Only DNA evidence associated with a putative perpetrator will be considered for entry into CODIS. In addition, all appropriate reference standards (victim, suspect, elimination) MUST be submitted or a clear explanation given as to why they are unavailable.

Information in the SUMMARY OF INCIDENT should include where the crime occurred (ex. victim's house, suspect's car), if the suspect and victim were husband & wife, dating, or frequented each other's home or vehicle if the crime occurred in one of those locations. Describe known details of how the crime occurred, how access gained to property, was deceased bound or moved after death, was victim stabbed, shot, beaten, and strangled. A written officer's report may be attached rather than filling out this field.

Describe how the item(s) is related to the incident.

Enter the ITEM DESCRIPTION and the AGENCY ITEM #.

Under EXAM REQUESTED, see back for specific exam requests.

Enter the OWNER OF ITEM (Ex: victim, suspect, other).

Enter the SEIZURE LOCATION OF ITEM (Ex: suspect's car, victim's house).

Sign on the SIGNATURE OF PERSON FILLING OUT FORM line and enter the DATE.

DNA Analysis: items from a crime scene and/or subject that does not require analysis for biological fluid stains (ex. blood/semen detection).

Blood Detection and Semen Detection: items to be examined for the presence of blood or semen that will be tested for DNA.

Drug Analysis: items suspected of containing a controlled substance (excluding cannabis).

Marihuana Analysis: items suspected of containing cannabis.

Firearm/Ammunition Examination: firearm examinations and comparisons of ammunition components.

Tool Mark Examination: comparison of tools to toolmarks.

Serial Number Restoration: items with serial numbers to be restored.

Impression (tire/footwear examination): examination of tire/footwear impressions.

Fingerprint (processing): items to be processed for latent prints. Latent comparisons and/or database searches are assumed if latent prints of value are developed.

Fingerprint (latent comparison): comparisons of latent prints developed at the scene with known exemplars. Database searches are assumed if manual comparisons with known exemplars yield negative results or no known subjects are listed.

Postmortem Identification: comparisons and/or database searches of postmortem prints.

AFIS Entry: latent prints to be searched through AFIS and/or NGI databases. This is to be selected only for GHQ lab by agencies who employ latent print examiners to conduct manual comparisons with generated candidate(s).

Blood Alcohol Analysis: blood products to be analyzed for volatiles (i.e., ethanol).

Urine Drug Analysis: urine samples to be analyzed for drugs.

Blood Drug Analysis: blood products to be analyzed for drugs.

Alcoholic Beverage Analysis: non-biological liquids to be analyzed for alcohol content.

Fracture Match (broken/torn): broken or torn items to determine if originally one piece.

Glass (processing/analysis): detection and comparison of glass standards and questioned glass particles from shoes, clothes, or other sources.

Gunshot Residue Kit Analysis: kits taken from hands or other surfaces. Kits from shooting victims are not routinely analyzed.

Gunshot Residue (except kits): items that need to be sampled for the presence of gunshot residue. Clothing is typically limited to gloves, long sleeve shirts, and jackets.

Lamps from automobiles and boats to determine if on/off at the time of accident.

Identification of flammable liquids/residues on fire debris.

Substances suspected of being harmful or causing property damage that may be found in beverages, food, mail, or on damaged property.

Identification of explosives from pre-blast and post-blast items.

Comparison of paint standards and transfers that may arise from a hit and run, burglary, or other incidents.

Detection, identification, and comparison of soil standards and questioned soil samples from shoes, clothes, or other sources.

Comparison of items such as tape, wood, plastics and other miscellaneous materials.

Items requiring DNA examinations that may need subsequent examinations for hair.

Trace exams only: detection, identification, and comparison of hairs/fibers from tape lifts, shoes, clothes, or other sources. DNA exams will subsequently be performed on hair if possible or necessary.