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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 If blood was withdrawn, provide the name and occupation of the person who withdrew the blood by circling the appropriate option from the list provided.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 Fill in the date and time when the blood was withdrawn.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 Specify the hospital or location where the blood was withdrawn.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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