Request a Donated DNA Kit - Adoptees United

Complete the following form to be considered for a donated DNA test kit. Please make sure you have read the priorities and requirements for donating a kit. Your answers are considered confidential and are not shared with anyone without your permission. Please note that there is currently a substantial waiting list to receive donated kits, due to demand. You may have to wait several months before one becomes available.

Name*
First Last
Email*
I am*
You must be either the adoptee or the descendant of an adoptee to be eligible for a donated DNA kit
- an adoptee
- the descendant of an adoptee
Note
If you are the son or daughter of an adoptee, please describe below what circumstances exist that would benefit you in obtaining a donated DNA test kit. Provide the date of birth and adoption of the adoptee parent as well as a description of the efforts to obtain that parent’s original birth certificate.
The Adoptee (You or Your Ancestor)
Date of Birth*
Month
Day
Year
Country of Birth*
U.S. State of Birth*
Where were you or the adoptee born? Choose “Not born in the United States” if you are an intercountry adoptee
U.S. state where the adoption occurred or was finalized*
Provide this information if known.
Current state of residence*
We are limiting donated DNA kits to people currently residing in the United States
Do you have a critical or terminal illness that may provide an additional reason to receive a donated DNA test kit?
If yes, please provide concise details of your circumstances in the next question
- Yes
- No
Is there a specific DNA testing registry/service that is best for your country of birth?
If yes, select the service that you believe is best for you
- AncestryDNA
- 23andMe
- Family Tree DNA
- MyHeritage DNA
Your Mailing Address
Even though you may not be approved for a kit, it’s best to provide this now. Believe it not, some people approved for a kit have never gotten back to me with an address to ship it to.
Street Address Address Line 2 City State ZIP Code
Additional Details/Information
Provide additional details, if any, or provide other information that you believe we should know to make a decision to donate a DNA test kit to you
Statement of Eligibility*
I have read the priorities and requirements for donation of a DNA test kit and I am requesting a kit. I cannot afford to purchase a DNA test kit and would benefit from receiving a donated kit. I understand that the kit may be from AncestryDNA or 23andMe or any other commercially available DNA test registry service. I agree to provide additional information needed to determine eligibility and to arrange for delivery of the DNA kit.
- I agree with this statement and wish to be considered for a donated DNA test kit
Name
This field is for validation purposes and should be left unchanged.

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The Adoptee (You or Your Ancestor)

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