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Sequencing Service Request Form
Sequencing Service Request Form
Click to download and print the
Sequencing Service Request Form
Contact Email
*
Click to review the description of services if needed.
Service Requested
16S rRNA amplicon sequencing
WGS seq
RNAseq
shallow WGSseq
Other
If other:
Platform
Illumina
Ion S5 Chef
Please let us know if your project is "URGENT"
*
Yes
No
Deadline
*
MM slash DD slash YYYY
Project(s) Information
Does information apply to ALL samples submitted:
*
Yes
No
If NO please provide project information for additional samples in a separate form.
Samples
Please attach file containing samples ID
Drop files here or
Select files
Max. file size: 98 MB.
If you are requesting DNA/RNA isolation
Indicate source:
Stool
Saliva
Plaque
Biofilm
Blood
Serum
Tissue
Other
Not applicable (I am submitting DNA/RNA)
If other:
Indicate preservant (e.g. ethanol, RNA later) if any
If 16S rRNA sequencing, indicate target
V3-V4 (Standard)
If you are submitting DNA or RNA indicate
Nucleic acid purification method
Elution buffer
Concentration (indicate in sample ID spreadsheet)
Quantification method
Total volume
Specific sequencing platform, read length and type (ex: MiSeq PE250)
Core standard for service
Additional Services Requested
Sample storage
DNA QC and quantification
Δ