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  • Ut Fm-016f 2017

Get Ut Fm-016f 2017-2026

Fax: (801) 968-1315 e-mail: forensictox utah.gov www.health.utah.gov/lab/toxicology Physical Address: 4431 South 2700 West Taylorsville, UT 84129 Enter information electronically and print a copy to submit with the samples. Submit ONE form per subject. "Print to PDF" to save changes when mobile. (Handwritten forms MUST be legible to be accepted*) SUBJECT INFORMATION Last Name Lab use only First Name AGENCY INFORMATION (please limit abbreviations) Middle Name Gender: Male Female Agency/.

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How to fill out the UT Fm-016f online

Filling out the UT Fm-016f form correctly is essential for ensuring proper processing of toxicology analysis requests. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.

Follow the steps to complete the UT Fm-016f form online.

  1. Press the 'Get Form' button to access the UT Fm-016f document in your online editor.
  2. Begin by entering the subject information. Input the last name, first name, and middle name of the individual. Indicate their gender by selecting either 'Male' or 'Female' and provide the date of birth.
  3. Fill in the agency information. Include the agency or section name, the name of the requesting officer, and the identification number or case number associated with the agency.
  4. In the offense information section, specify the type of offense, the offense date, and the subject type. You can check all applicable incident types.
  5. Provide the sample information. Specify the sample type, number of samples, and collection time. Ensure that you provide details about any suspected drugs and additional information the lab should know.
  6. Complete the sample submission checklist. Ensure each container is labeled correctly with the subject's name and agency case number. Confirm that all tubes are sealed, and that you submit the completed form along with the samples.
  7. Finalize your form. Once all information has been entered, save your changes, download the form, or print it directly. Make sure to submit it with the samples per the lab's instructions.

Start completing your UT Fm-016f form online to ensure accurate toxicology analysis.

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