Full text
I (or state the name of the person who took the samples) took the following samples from (name of offender) in accordance with subsection 487.06(1) of the Criminal Code and was able, by virtue of training or experience, to do so (check applicable box):[ ] individual hairs, including the root sheath[ ] epithelial cells taken by swabbing the lips, tongue or inside cheeks of the mouth[ ] blood taken by pricking the skin surface with a sterile lancet