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I-9000 Solution Request form
For use by law enforcement ONLY
An email receipt/confirmation will be sent to the email address that you are required to provide below.
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* Indicates required question
Email
*
Your email
Instructor/Requester contact information
Instructor name
*
Your answer
Agency name
*
Your answer
Instructor or agency phone number
*
Your answer
Is the solution request urgent?
*
Yes
No
Pick-up or ship?
*
Solution will be picked up from the Laboratory services building at 8100 Lowry Blvd, Denver, CO 80230
Solution will be shipped to the address provided
Date of pick-up
MM
/
DD
/
YYYY
Approximate time of pick-up
Time
:
AM
PM
Name of person picking up the order
Your answer
Phone number of person picking up the order
Your answer
Agency shipping information (only needs to be completed if order is being shipped)
PLEASE ANSWER IN THE FORMAT SHOWN BELOW FOR SHIPPING LABEL USE:
-Agency name
-ATTN: (instructor name)
-Shipping street address
-City, State and zip code
Enter agency shipping information here:
*
Your answer
Comments or additional information:
Your answer
Send me a copy of my responses.
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