Law Enforcement DNA Database Consent Form
Personal Information
Full Name
Date of Birth
Address
Phone Number
Email Address
Consent Statement
I voluntarily consent to the collection, analysis, and storage of my DNA for inclusion in the Law Enforcement DNA Database.
Withdrawal of Consent
Contact Information for Inquiries
Law Enforcement Agency Name
Contact Person
Contact Phone
Contact Email
Signature
Signature of Participant
Date
Witness/Officer Signature
Date