Chain of Custody

Click here to download generic Chain of Custody forms or general business forms.
Please click here to update your contact information
To print a customized Chain of Custody form for a specific service, please enter the details below and select the 'Submit' button
* indicates required field

Enter Your Contact Information
Enter your contact information below, even if you are creating a COC for another person. The COC generated will appear as a pop-up and will also be emailed to you:
Email Address*
First Name*
Last Name*
Phone*
Clicking on this button will copy your Contact details to the Report-To details

Select Chain of Custody Type and Laboratory
If no laboratory is selected the Cinnaminson laboratory will be utilized.
Service:
Service Type:
Laboratory:

Chain of Custody Report-To Details
Report To First Name*
Report To Last Name*
Report To Email*
Report To Company*
Report To Address 1*
Report To Address 2
Report To City*
Report To State/Province*	Zip/Postal Code *
Report To Country
Report To Phone Number*
Project Name/Number
Provide Results via*	Email Mail Please select an option
Comments/ Special Instructions
State Samples Taken *
Clicking on this button will copy Report-To details to the Bill-To details

Chain of Custody Bill-To Details
Bill To Company Name*
Bill To Address 1*
Bill To Address 2
Bill To City*
Bill To State/Province*	Bill To Zip/Postal*
Bill To Country
Bill To Name*
Bill To Phone*
Bill To Email
Purchase Order Number

*Pop-up’s must be enabled to view the created Chain of Custody (COC).

Please correct the highlighted errors

Samples which are not completely consumed in analysis are retained in accordance with the sample retention schedule set forth in the pertinent quality assurance module. Any questions concerning these schedules should be directed to the Quality Assurance Department. It is the Client's responsibility to notify the laboratory of any specific requirements for sample storage or extended retention times. Special requests for sample handling and/or retention should be documented at the time of sample delivery, and approved by both EMSL and the Client.