Submission Method In Person Drop Box Mail/Certified
Other
DPS Laboratory Use Only DPS Laboratory Case #
Complete the following for in person submissions only:
Printed Name (of submitting individual)	Agency
Signature	Submission Date

New Service Request

Additional Evidence	Resubmission	Corrected Copy

DPS Lab Case # (if known)
Submission Information
Agency
Agency Case #
Offense
Offense Date
Offense County
Agency Contact Information
Title / Badge #
Full Name

Agency Address	City, State, Zip
Mark if new address
Business Email	Phone	Fax
Contact Info for Additional Report Distribution:

Individual (S = Suspect, V = Victim, E = Elimination) If a pseudonym is in use, only list the pseudonym.

Name (Last, First, Middle, Suffix)	S / V / E	Race	Sex	DOB

No lithium batteries are present in submitted smoking/vaping devices

Description of Evidence Submitted	(Attach Incident Synopsis or Offense Report)

Agency Item #	Brief Description of Evidence [Indicate any information relevant to evidence testing]	Includes	Number of Items	Source/Recovery Location	Request Code(s)
Biohazards Sharps Perishables
Biohazards Sharps Perishables
Biohazards Sharps Perishables

Laboratory Service Request Codes	(Enter selected codes in the “Request Code(s)” column)

AF	AFIS	FA	Firearms and Toolmarks	TOXA	Alcohol/Volatiles [Sexual Assault only]
AVI	Digital/Multimedia (Audio / Video / Image)	FAD	Firearms (Distance)	TOXD	Toxicology (Drugs) [Sexual Assault only]
CMV	Digital/Multimedia (Computer / Mobile / Vehicle)	FAS	Firearms (Serial Number)	TE	Trace Evidence
DNA	Biology/DNA	SD	Seized Drugs Identification	IMP	Impressions
DNY	Biology/DNA (YSTR)	SDQ	Seized Drugs Quantitation (Federal/CID Only)	pGSR	Primer Gunshot Residue
FDE	Forensic Document Examination	H	Seized Drugs Hold/Storage (DPS only)	Ignitable Liquid Residue Can QC Check – Lot #:
FR	Friction Ridge (Latents)	ILR	Ignitable Liquid Residue

Description of Evidence Submitted	(Attach Incident Synopsis or Offense Report)

Agency Item #	Brief Description of Evidence [Indicate any information relevant to evidence testing]	Includes	Number of Items	Source/Recovery Location	Request Code(s)
Biohazards Sharps Perishables
Biohazards Sharps Perishables
Biohazards Sharps Perishables
Biohazards Sharps Perishables
Biohazards Sharps Perishables
Biohazards Sharps Perishables
Biohazards Sharps Perishables
Biohazards Sharps Perishables
Biohazards Sharps Perishables

Laboratory Service Request Codes	(Enter selected codes in the “Request Code(s)” column)

AF	AFIS	FA	Firearms and Toolmarks	TOXA	Alcohol/Volatiles [Sexual Assault only]
AVI	Digital/Multimedia (Audio / Video / Image)	FAD	Firearms (Distance)	TOXD	Toxicology (Drugs) [Sexual Assault only]
CMV	Digital/Multimedia (Computer / Mobile / Vehicle)	FAS	Firearms (Serial Number)	TE	Trace Evidence
DNA	Biology/DNA	SD	Seized Drugs Identification	IMP	Impressions
DNY	Biology/DNA (YSTR)	SDQ	Seized Drugs Quantitation (Federal/CID Only)	pGSR	Primer Gunshot Residue
FDE	Forensic Document Examination	H	Seized Drugs Hold/Storage (DPS only)	Ignitable Liquid Residue Can QC Check – Lot #:
FR	Friction Ridge (Latents)	ILR	Ignitable Liquid Residue