Eureka Genomics Sample Submission Form for a Prepared Library

Completed forms must be included with the sample shipment and sent by email via the submission button below. Samples lacking a completed form will be
delayed and/or refused.

Required fields are bold

Step 1.

Quote #

Step 2. General Information

Principal Investigator:
Date Submitted:
Phone:
E-mail:

Step 3: List of Samples

Sample Description Sample ID
as appears
on tube		 Type of
Prepared Library		 Are standard
sequencing
primers
used?		 DNA
insert only
size (bp) for
Paired End
Library		 Conc.
(ng/uL)		 Total
Volume
(uL)		 Is a
QC
gel image
included?		 Is the
A260/280
included?		 Indexed? Specify
Sequencing Type
and # Cycles
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

For Shipping and Handling Information, Click Here.

Sample requirements and documentation for submission

Access code:
Please enter the word "egcode" in the space above to submit form.