Agent Specific Fact Sheets
Sample Submission Guidelines
The following forms are required to be completed and accompany any sample submitted to the Louisiana Office of Public Health Laboratory for Biological Threat testing.
Anthrax (Bacillus anthracis)
Botulism (Clostridium botulinum)
Brucellosis (Brucella species)
Plague (Yersinia pestis)
Staphylococcus enterotoxin B (SEB)
Tularemia (Francisella tularensis)
Viral Hemorrhagic Fevers
Environmental Sample Submission Forms
The following forms are required to be completed and accompany any sample submitted to the Louisiana Office of Public Health Laboratory for Biological Threat testing. Each form is in PDF format and can be viewed and printed using Adobe Acrobat Reader
Law enforcement agencies which have been registered on the OPH Bioterrorism Incident Tracking System (BITS) can enter sample data online and view test results at the OPH Portal
Important: All samples must be issued a state police Communications Information Report (CIR) number prior to submission to any OPH laboratory. This number may be obtained by calling the Louisiana State Police HazMat Hotline at 877-925-6595. Samples without CIR numbers will not be accepted for testing.
Chain of Custody Form - This form is used by law enforcement agencies to ensure that samples have not been tampered with during transport and testing of potential biological threat samples.
Environmental Screening Form - For laboratory safety reasons the Louisiana OPH Laboratory requires that all potential biological threat samples must be screened for the following hazards:
· Volatile Organic Compounds
· Chemical Nerve Agents
· Incendiary, aerosol, pressurized gas vessel, or other potential dissemination device.
Samples will not be accepted into the laboratory unless they have been screened for the above hazards prior to delivery.
Contact the Louisiana State Police HazMat Hotline (877-925-6595) immediately if a sample has been found to contain any of the above hazards.
Sample Submission Form - All samples must be accompanied with a sample submission form detailing such items as submitter contact information, description of the sample(s), and other relevant sample information. These details can be entered directly into the OPH BITS system negating the need for this form to be completed.
Disposal of Bioterrorism Sample Form - This form directs the laboratory to either destroy or save samples for return to the submitting agency which have been found to contain NO biological threat agents. Positive samples are automatically saved as criminal evidence.