Test request forms

For our commonly used test request forms, refer to the list below.

Please note we are in the process of updating all our forms to fillable on-screen forms. We have indicated which forms are currently fillable below.

Instructions for using fillable on-screen forms
Please open the relevant form below in Adobe Acrobat Reader, complete on-screen, then SAVE AS the pdf to your hard drive. You can then print out the form and send to ESR with your specimen.

We recommend using the latest version of Adobe Acrobat Reader, available as a free download on their website (external link) .

Food and export: 

Food Chemistry sample submission form [PDF, 545 KB] (fillable)

Food Forensic investigation request form [PDF, 106 KB] 

Microbiological Analysis of Foods form [PDF, 152 KB]

STEC confirmation sample submission form [PDF, 39 KB]

Food export certification (radiation-free authentication) request form [PDF, 71 KB]

Environmental microbiology:

Legionella sample request form [PDF, 987 KB] (fillable)

Water:

Microbiological Analysis of Water form [PDF, 122 KB]

Environmental water sample testing form for Legionella, Mycobacterium, Pseudomonas and Heterotrophic Plate Counts [PDF, 989 KB] (fillable)

Health and surveillance:

Microbiological Analysis of Clinical Specimens form [PDF, 86 KB]

Influenza surveillance specimen request form [PDF, 547 KB] (fillable)

Non-human single specimen request form [PDF, 75 KB]

Nosocomial Infections Laboratory multiple isolate referral request form [PDF, 533 KB] (fillable)

Single human source specimen form [PDF, 894 KB] (fillable)

Further testing information:

Water testing services [PDF, 130 KB]

Food testing services [PDF, 130 KB]

Health testing services