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Instruction Form

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Instruction Form

Please complete this form if you are a solicitor or from a council and you wish to place an instruction for a DNA paternity test with DDC UK. One of our helpful case managers will contact you upon receiving the completed form. If you require immediate assistance, please telephone us at 0800 860 0856.

Case Details

DDC UK Case Number: Court Date:

Registering Solicitor / Institution / Court:

Client Details

Mother

Full Name:

Address:

Postcode:

Telephone: Home: Office: Mobile:

Alleged Father

Full Name:

Address:

Postcode:

Telephone: Home: Office: Mobile:

Could a close relative of this man possibly be the father?

Yes: No: (it is very important that you tick one of these boxes)

If yes, what relationship does he share with the above named alleged father?

Brother: Father: Son:

Children /Child 1

Male: Female:

Full Name:

Address:

Postcode:

Telephone: Home: Office: Mobile:

Child 2

Male: Female:

Full Name:

Address:

Postcode:

Telephone: Home: Office: Mobile:

Report Distribution

Report Addresses

Full Name:

Address:

Postcode: Reference (if applicable):

Full Name:

Address:

Postcode: Reference (if applicable):

Full Name:

Address:

Postcode: Reference (if applicable):

Payment Details

Public Funds

The individuals in this case are publicly funded (tick box if they are)

The testing fees are to be paid by the registering solicitor: Yes: No:

Solicitor / Institution 1: Fees:

Solicitor / Institution 2: Fees:

Solicitor / Institution 3: Fees:

Doctors Fees

To be paid by DDC UK & added to invoice:

To be paid by individual:

Private Funds

The individuals in this case are privately funded (tick box if they are)

Terms and conditions: Cheque: Invoice:

Security Feature

Please type the word DNA into this field (required).