DNACANADA.CA : DNA Canada : Personal Information

Personal Information for Legal Tests ONLY

*indicates required fields.

First Name of Alleged Father:*

Surname of Alleged Father:

Birth Date (M/D/YR):*

Street Address:*

City (Town, Village):*

Postal Code :

Phone number (include area code):*

Email address of Alleged Father:

First Name of Mother:

Surname of Mother:

Birth Date (MM/DD/YR):

Street Address:

City ( Town, Village):

Postal Code:

Phone Number of Mother:

Email Address of Mother:

1st Child Full Legal Name:*

Birth Date ( M/D/YR ):*

2nd Child Full Legal Name:

Birth Date ( M/D/YR ):

3rd Child Full Legal Name:

Birth Date (M/D/YR):

If More children Please indicate full legal names and birth dates:

Email Address you wish to have the results sent to (could also be your lawyer):*

Email Address you wish to have the results sent to (could also be your lawyer):

Please type the text as it appears above: