Form 4—Parentage testing procedure ColleForm 4—Parentage testing procedure Collection of bodily samples

## Form 4—Parentage testing procedure Collection of bodily samples (regulation 21J) PARENTAGE TESTING PROCEDURE COLLECTION OF BODILY SAMPLES NAME OF CHILD WHOSE PARENTAGE IS IN ISSUE: (insert child’s name) 1. I, (insert name of sampler), of (insert professional address), (insert occupation), took the \*bodily sample/\*bodily samples specified below at (insert time) \*am/\*pm on (insert date) at (insert place of collection) from the following \*person/\*persons: (a) (insert name of person, type of bodily sample and person’s photograph); \*(b) (insert name of person, type of bodily sample and person’s photograph); \*(c) (insert name of person, type of bodily sample and person’s photograph); \*(d) (insert name of person, type of bodily sample and person’s photograph). 2. When I took the \*bodily sample/\*bodily samples specified above, I strictly observed the procedures provided under Part IIA of the Family Law Regulations. 3. I placed the \*bodily sample/\*each of the bodily samples specified above in a container that was immediately sealed and then labelled in accordance with regulation 21I of the Family Law Regulations. DATED: (Signature of sampler) \*Omit if not applicable.