| For each
tested person with US documentation provide the following |
| Complete legal name: |
|
| Date Of Birth (DOB): |
|
| Social Security Number (SSN): |
|
| State or Federal identification type and
number (normally a drivers license): |
|
| Race (Asian, Black, Caucasian, Hispanic, or
other): |
|
| Had a bone marrow transplant or a blood
transfusion within the past 90 days? |
|
| For each
tested person with foreign documentation provide the following |
| Date Of Birth (DOB): |
|
| Government identification type, country, and
number (normally a passport): |
|
| Race (Asian, Black, Caucasian, Hispanic, or
other): |
|
| Had a bone marrow transplant or a blood
transfusion within the past 90 days? |
|
Complete address and phone number (to be
contacted by the DNA collector to schedule your international
appointment):
|
|
