Utah Toxicology Analysis Request Form: Filing, Delivery, and Independent Test

The Utah Toxicology Analysis Request Form is the submission document that law enforcement officers complete when sending blood, urine, or other biological samples to the Utah Public Health Laboratory’s Forensic Toxicology section for analysis. A completed, legible form must travel inside the package with every set of samples, and submissions that arrive without one, or that fail the lab’s labeling and packaging requirements, can be returned to the submitting agency unprocessed.1Utah Public Health Laboratory. Toxicology Analysis Request Form One form per subject: if an incident involves more than one person, each person’s samples need their own form.

Where to Download the Current Form

The fillable PDF lives on the Utah Public Health Laboratory’s Forensic Toxicology page at uphl.utah.gov/forensic-toxicology/.2Utah Public Health Lab. Forensic Toxicology The lab recommends filling it in electronically and printing the completed version. Handwritten forms are accepted, but anything the lab cannot read may be rejected.1Utah Public Health Laboratory. Toxicology Analysis Request Form If you are working in the field, use “Print to PDF” to save a filled copy to a mobile device before printing.

How to Fill Out the Form

The form has four blocks. Work through them in order and double-check the identifiers before you print.

Agency Information

Enter your law enforcement agency or section name, the requesting officer’s name, the agency case number, and the county where the incident occurred.1Utah Public Health Laboratory. Toxicology Analysis Request Form The agency case number carries through to every container in the package, so get it right here. A missing or illegible case number is one of the fastest ways to delay a submission.

Subject Details

Record the subject’s last, first, and middle name, date of birth, and gender.1Utah Public Health Laboratory. Toxicology Analysis Request Form Every sample container must carry, at minimum, the subject’s first and last name and the agency case number. Without those two identifiers on the container itself, the lab may decline to process the sample.2Utah Public Health Lab. Forensic Toxicology

Incident Data

Select the offense type that fits the investigation:1Utah Public Health Laboratory. Toxicology Analysis Request Form

  • DUI (alcohol and/or drug)
  • Felony Accident
  • Drug-facilitated sexual assault — include both urine and blood when possible
  • Fatality
  • Other (free-text)

Enter the offense date and time in 24-hour format, followed by the collection date and time. The interval between the alleged offense and the sample collection matters to interpretation, so be precise.

Specimen Information and Testing Panel

Indicate whether you are submitting blood, urine, or both, and check the number of containers for each. The form provides boxes for zero through three containers per sample type.1Utah Public Health Laboratory. Toxicology Analysis Request Form Then choose the testing panel:

  • Alcohol (blood-alcohol concentration only)
  • Drugs — abused, prescription, OTC, and others
  • DUI (Metabolite)
  • Possession
  • Vehicle Homicide

The current scope of testing and reporting limits appears in the lab’s Client Services Manual. If a suspected drug sits outside the standard panel, the lab can forward samples to an outside reference laboratory.2Utah Public Health Lab. Forensic Toxicology

Packaging and Labeling Before You Submit

This is where submissions most often fail. Work the built-in checklist before sealing the shipping container.1Utah Public Health Laboratory. Toxicology Analysis Request Form

  • Seal every tube, bottle, and outer package with evidence tape or seals.
  • Initial and date every seal, not just the outer box.
  • Label each individual container with the subject’s first and last name and the agency case number.
  • Place the printed, completed form inside the package with the samples.
  • Use leak-proof primary containers and secondary packaging to contain biohazard risk during transport.

Samples without proper seals, labels, or the accompanying form can be returned to the submitting agency rather than analyzed.1Utah Public Health Laboratory. Toxicology Analysis Request Form

Where to Deliver Samples

The Utah Bureau of Forensic Services runs three regional labs, each with its own intake schedule. Call ahead if you are arriving outside posted hours.3Utah Bureau of Forensic Services. Contact

  • Central Lab, Salt Lake City — 4451 S Constitution Blvd, Salt Lake City, UT 84129. Evidence intake Monday through Friday, 9:30 a.m. to 4:00 p.m. Outside those hours by appointment.
  • Northern Lab, Ogden — 819 West 2nd Street, Ogden, UT 84404. Evidence intake Monday through Thursday, 8:00 a.m. to 12:00 p.m. Closed Fridays. Other times by appointment.
  • Southern Lab, Cedar City — 181 DL Sargent Dr., Cedar City, UT 84721. By appointment only.

An authorized officer can hand-deliver the evidence, or it can travel through a registered carrier. On hand-delivery, the person dropping off the samples signs the “Relinquished By” section of the form. That signature documents the exact moment the lab took possession, which matters later if results are offered as evidence in court.

What Happens After the Lab Accepts the Samples

Once intake is complete, samples enter the workflow for the panel you selected. Processing time depends on current caseload and the complexity of the analysis, with fatality cases and urgent public safety matters generally moving ahead of routine DUI screens.

The completed report goes to the submitting agency, not to the person who was tested. Results are typically delivered through a secure portal or mailed to the investigating officer for the case file. The lab operates as a neutral forensic entity and does not release results directly to the public or to the tested individual; a person seeking their own results generally goes through their attorney or the agency that submitted the samples.4Utah Bureau of Forensic Services. Utah Bureau of Forensic Services

The Subject’s Right to an Independent Test

Utah law gives a tested person the right to have a physician or physician assistant of their own choice perform an additional chemical test at their own expense. The independent test happens after the officer-directed test, not instead of it, and the statute makes clear that a person does not have the right to consult with an attorney before deciding whether to submit to the officer-directed test.5Utah Legislature. Utah Code 41-6a-520 The independent result exists so defense counsel can compare it against the state lab’s findings.