Order DUI Kits

Toxicology DUI (Antemortem) Kit Order FormPlease complete all of the fields below to submit a request for Toxicology DUI (Antemortem) Collection Kit.

DUI kits are used for LIVING subjects. If you need to request postmortem kits (for deceased subjects) please click here. 

Please only submit one request per location. 

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DUI Kit Request

Number of Kits*? 0 2 4 6 8 10

Agency Information

Agency Name*

If ALEA DPS, Please Put County Assigned Below.

First Name*

Last Name*

Phone Number*

Fax Number

E-Mail*

Shipping Information

Street Address*

City*

State*

Zip Code*

Use the box below to provide additional comments for your order

Message

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