Get Va Dgs 21-106 2007-2025

The VA DGS 21-106 is a laboratory chain-of-custody form essential for documenting the transfer of evidence and samples. This guide provides a clear, step-by-step approach to help users accurately fill out the form online.

Follow the steps to complete your VA DGS 21-106 form online.

1. Press the ‘Get Form’ button to access the VA DGS 21-106 form and open it in the designated editor for online completion.
2. In Section 1, fill in your name as the investigator, the date you are submitting the form, your agency, and the agency case number. Also, provide the address, city or county, phone number, state, fax number, email, and emergency contact details.
3. In Section 2, record the sampling site and who collected the sample. Make sure to include the ZIP code, the date of collection, the agency name, and a detailed description of the samples submitted, including the number of containers and identification numbers.
4. In Section 3, document the chain of custody by having each person who relinquishes or receives evidence provide their signature, organization, and date/time. Ensure all fields are filled to maintain a complete record.
5. For Section 4, leave it blank as it is intended for DCLS use only. They will fill in laboratory descriptions of the sample once received.
6. Complete Section 5 if applicable, detailing the disposition method, site, and the personnel involved in the disposal of the evidence.
7. If there’s any additional information required, include it in Section 6. Make sure to save your completed form.
8. Finally, choose to save changes, download the completed form, print it, or share it as needed.

Complete the VA DGS 21-106 online today to ensure your evidence is documented correctly.