Sample Submission Form

STR profiling for human cell lines – (ECSR03)Cell line species identification by DNA barcoding – (ECSR44)

Complete this form if you are intending to send samples to the European Collection of Cell Cultures (ECACC) Cell Line Identity and Verification Services for STR profiling or species identification.

Once completed please email this form and a completed Biohazard Risk Assessment Form (available from www.phe-culturecollections.org.uk) to culturecollections@phe.gov.uk

Name      

Organisation Name      

Email Address      

Telephone Number      

Postal Address      

Purchase Order (PO) Number      

Cell line Name Expected Species

Name and catalogue number of cell line to be compared to (if applicable)

Tests Requested

STR profiling (human cell lines only) ECACC test no. ECSR03

Cell line speciation by DNA barcoding ECACC test no. ECSR44

                                                                                                                                               

What format of the cell line(s) will you send for testing?

Frozen culture Growing culture Cell pellet DNAWe request a minimum of 2x106 cells or 500ng DNA (at 10ng/µl)

Any additional comments:      

M031.20140317.v1 Page 1 of 1

Culture Collections, Public Health England, Porton Down, Salisbury, SP4 0JG, UKT: +44 (0) 1980 612512 F: +44 (0) 1980 611315 E: culturecollections@phe.gov.uk W: www.phe-culturecollections.org.uk