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SPECIMEN ROUTING REPORT DIC-23A (3/96) INSTRUCTIONS TO ARRESTING OFFICER: If your case involves a blood or urine specimen, complete this form. Send in one copy with the DIC-23 and DIC-24. Send the.

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How to fill out the Dic 23a online

The Dic 23a is an essential form used during the processing of blood or urine specimens in certain cases. This guide provides clear and supportive instructions for users to correctly fill out the Dic 23a online.

Follow the steps to accurately complete the Dic 23a form.

  1. Select the ‘Get Form’ button to access the Dic 23a form. This will download the form to your device for editing.
  2. Provide the defendant’s name in the designated fields. Ensure that the last name is entered first, followed by the first and middle names.
  3. Enter the driver's license number or identification number of the defendant in the respective field.
  4. Fill in the city and county where the arrest occurred, along with the state information.
  5. Complete the arresting officer’s information, including their name and the agency they represent.
  6. Indicate the type of specimen received by checking either the 'Blood' or 'Urine' box. If 'Urine' is selected, proceed to the instructions relevant to that section.
  7. If blood was withdrawn, provide the name and occupation of the person who withdrew the blood by circling the appropriate option from the list provided.
  8. Fill in the date and time when the blood was withdrawn.
  9. Specify the hospital or location where the blood was withdrawn.
  10. Before submission to the lab, indicate where the specimen was stored by listing up to three storage locations.
  11. Enter the name of the person who is submitting the specimen to the lab.
  12. Indicate where the blood specimen was submitted. Choose either 'Evidence Lockbox', 'Other', or 'Not applicable – immediate submission to lab' and provide the relevant lab name and address.
  13. Document the date the specimen was submitted to the lab, ensuring to note AM/PM if applicable.
  14. Review all entered data for accuracy. Once satisfied, users can save their changes, download a copy of the completed form, print it, or share it as necessary.

Complete the Dic 23a and other forms online efficiently and accurately.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232