Specimen Submission Forms

Environmental Sample for Biological Threat Agent Testing Submission Form
For law enforcement use only.

Lyme Organism in Ticks (PDF: 191 kB)
Use this form to submit tick specimens for testing.

Monster Form (PDF: 152 kB)
Use this form to submit all types of specimens.

Tick-borne Disease Serology (PDF: 108 kB)
Use this form for tick panel tests.

Water Testing Lab Slip (PDF: 218 kB)
Use this form for all water testing.

West Nile virus Infection Case Report (PDF: 96 kB)
Include this form with the West Nile virus Specimen Submittal Form when submitting specimens.

West Nile virus Specimen Submittal Form (PDF: 171 kB)
Use this form to submit West Nile virus specimens.

Zika virus disease – Use these forms to submit Zika virus specimens.