Declaration Of Chain Of Custody Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Declaration Of Chain Of Custody Form. This is a Washington form and can be use in Domestic Relations Statewide.
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Tags: Declaration Of Chain Of Custody, PS 02.0350, Washington Statewide, Domestic Relations
Superior Court of Washington
County of
In re Parentage:
No.
Petitioner,
Declaration of Chain of Custody
(DCLR)
and
Respondent
and
(Optional Use)
Respondent.
Declaration
____________________________________________ [Name] declares:
1.
That I am the __________________________, for the ______________________________ in
______________________________________.
2.
On __________________ [Date], I verified the identity of ____________________________
[Name] and ______________________________ [Name] and witnessed the collection of
____________________ samples from them at _______________________________________.
3.
Immediately subsequent to the collection of said samples, I took possession of the samples and
deposited them in a sealed container, identified by the shipping number ________________,
addressed to ___________________________________________________________________.
4.
I then delivered said containers into the custody of an agent of __________________________.
5.
Other:
I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and
correct.
Signed at _______________________, [City] __________ [State] on ______________________ [Date].
Signature
Print or Type Name
Declaration of Chain of Custody (DCLR) - Page 1 of 1
WPF PS 02.0350 (6/2006) - RCW 26.26.415
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