Requisition Form

This form can be used in conjunction with your purchase order for testing at Dirats Laboratories. Please fill it in as completely as possible - the more information you provide us, the more useful your Test Report will be. For your convenience, pop-up dialogue boxes have also been added for online help on each field. Just click on a Questions icon below. When you have completed the form, please print it and send it along with your test material.

Test Material


Tests Required

Return Instructions

Client Information