Documents and Forms

DCLS

Form/Document Name/Title
Number
Description/ Key Word
Date
Business Unit
File Type
Ch 45 Non-commercial Lab List
Ch 45, Lab List, Directory
07/25
DCLS
PDF
Ch 46 Commercial Lab List
Ch 46 Lab List, Directory
10/25
DCLS
PDF
Ch 45 Non-commercial Expanded List
Ch 45, Expanded, Lab List, Directory
07/25
DCLS
Excel Doc
Ch 46 Commercial Expanded List
Ch 46 Expanded, Lab List, Directory
10/25
DCLS
Excel Doc
DCLS Influenza Test Request Form (62064)
DCLS Influenza Test Request Form
07/25
DCLS
Word Doc
Drinking Water Laboratories with Certification Detail
Drinking Water, Directory, 41, 46
10/25
DCLS
PDF
Drinking Water Laboratories with Certification Detail
Drinking Water, Directory, 41, 46
12/25
DCLS
Excel Doc
MDL Procedure Checklist
MDL
07/22
DCLS
PDF
MDL Data Collection Template Example (7 samples)
MDL
05/21
DCLS
Excel Doc
Acceptable methods for Biosolids Testing reported to VA DEQ
Biosolids DEQ Documents
12/17
DCLS
PDF
Parent Flyer
Newborn Screening
03/22
DCLS
PDF
Chapter 45 Quality Manual Completeness (Renewals) Form #6968
Ch 45, Quality Manual, 6968
04/23
DCLS
Word Doc
Chapter 45 Quality Manual Completeness (Renewals) Form #6968
Ch 45, Quality Manual, 6968
04/23
DCLS
PDF
Citations for common findings - Chapter 45
Ch 45, Internal audit tool, Common findings
03/18
DCLS
PDF
Citations for common findings - Chapter 46
Ch 46, Internet audit tool, Common findings
03/18
DCLS
PDF
Parent Flyer - Spanish
Spanish version of the NBS parent letter
03/22
DCLS
PDF
Student’s t table with calculator for values >100
Student’s t table with calculator for values >100, MDL, t table, statistics,
02/18
DCLS
Excel Doc
Chapter 45 Management Qualifications Form #23114
Ch 45, Management Qualifications, 23114
02/18
DCLS
PDF
Anonymous PERK Submission Instructions
Anonymous PERK Submission Instructions (9875)
12/21
DCLS
PDF
Anonymous PERK Storage Notification Form
Anonymous PERK Storage Notification Form (21482)
10/17
DCLS
PDF
Comprehensive PERK Legislation Summary for Health Care Providers
Comprehensive PERK Legislation Summary for Health Care Providers (21497)
06/19
DCLS
PDF
Anonymous PERK Storage Extension Request Written Objection to Destruction
Anonymous PERK Storage Extension Request Written Objection to Destruction (27568)
02/19
DCLS
PDF
Initial Demonstration of Capability under 1VAC30-46
Initial DOC, Demonstration of Capability
06/23
DCLS
PDF
Drinking Water Corrective Action Form EXAMPLE
Drinking Water Corrective Action Form, example, Ch 41
03/20
DCLS
PDF
Tuning Fork Corrective Action Form
Tuning Fork, Corrective Action, CAP
11/19
DCLS
PDF
Tuning Fork Corrective Action Form
Tuning Fork, Corrective Action, CAP
11/19
DCLS
Word Doc
Tuning Fork Corrective Action Form EXAMPLE
Tuning Fork, Corrective Action, CAP
11/19
DCLS
PDF
Laboratory Certification Feedback Form 6970
VELAP, Feedback, Complaint, Contact Us
08/20
DCLS
PDF
Records of Temperature Monitoring Technical Assistance
Records of Temperature Monitoring, Technical Assistance
09/21
DCLS
PDF
Technical Assistance Document for Revised 1VAC30-45
Ch 45, Revision
03/22
DCLS
PDF
Notice of Revision to 1VAC30-45
Ch 45, Revision
03/22
DCLS
PDF
Notice of Revision to 1VAC30-46
Ch 46, Revision
03/22
DCLS
PDF
Technical Assistance Document for Revised 1VAC30-46
Ch 46, Revision
03/22
DCLS
PDF
MUR 2021 Notice to Laboratories
MUR 2021 Notice to Laboratories
09/22
DCLS
PDF
MUR 2021 Technical Assistance Document
MUR 2021 Technical Assistance Document
09/22
DCLS
PDF
MUR 2021 Methods List
MUR 2021 Methods List
09/22
DCLS
PDF
MUR 2021 Early Transition Change In Scope Request Form
MUR 2021 Early Transition Change In Scope Request Form pdf
09/22
DCLS
PDF
MUR 2021 Early Transition Change In Scope Request Form
MUR 2021 Early Transition Change In Scope Request Form - Word Doc
09/22
DCLS
Word Doc
VDH-ODW Memorandum on Reporting Requirements
Drinking Water Data Portal CMDP
02/23
DCLS
PDF
Internal Audit Tool: Chapter 46 Records Review List
Internal Audit Tool: Chapter 46 Records Review List
03/23
DCLS
Word Doc
Internal Audit Tool: Chapter 45 Records Review List
Internal Audit Tool: Chapter 45 Records Review List
03/23
DCLS
Word Doc
Applicability of Materials Specification Testing for Air Quality Compliance
Applicability of Materials Specification Testing for Air Quality Compliance guidance
04/12
DCLS
PDF
1VAC30-45 and 1VAC30-46 Applicability of Geotechnical and Engineering Testing
1VAC30-45 and 1VAC30-46 Applicability of Geotechnical and Engineering Testing guidance
07/10
DCLS
PDF
VELAP Payment Portal Announcement
VELAP Payment Portal Announcement
11/23
DCLS
PDF
Notice of PFAS Accreditation
Notice of PFAS Accreditation
04/24
DCLS
PDF
PFAS Change In Scope Form 55405
VELAP PFAS Change In Scope Form 55405
04/24
DCLS
PDF
PFAS Change in Scope Form 55405
VELAP PFAS Change in Scope Form 55405
04/24
DCLS
Word Doc
Kustom Signals Service Bulletin 1765A: Eagle 3 Remote Control Certification Procedure
Kustom Signals Service Bulletin 1765A: Eagle 3 Remote Control Certification Procedure Electronic Tuning Fork ETF
04/24
DCLS
PDF
Notice on Protocol Update for Eagle 3 Electronic Tuning Forks
Notice on Protocol Update for Eagle 3 Electronic Tuning Forks ETF
06/24
DCLS
PDF
Notice Concerning Change in Laboratory Ownership
Notice Concerning Change in Laboratory Ownership, Ch 46, Change in Ownership, 1VAC30-46-90 C
07/24
DCLS
PDF
MUR 2023 Preliminary Information Notice
Method Update Rule 2023
08/24
DCLS
PDF
MUR 2023 Method Cross Reference Chart
Method Update Rule 2023
08/24
DCLS
PDF
DCLS Cystic Fibrosis Variant List
DCLS Cystic Fibrosis Variant List 57628
12/24
DCLS
PDF
Information on Standard Methods Naming
Information on Standard Methods Naming, MUR, SM Naming
06/25
DCLS
PDF
File Transfer Instructions
File Transfer Instructions FTP File Transfer Protocol
06/25
DCLS
PDF
Supplement to Change In Scope Form 6972
VELAP COS, Excel Form
07/25
DCLS
Excel Doc
MUR 2021 and MUR 2023 Implementation Date Notice
MUR 2021 and MUR 2023 Implementation Date Notice
12/24
DCLS
PDF
Notice of Certification Period Adjustment, 2025-2026
VELAP, Ch 45, Ch 46, Certificate
07/25
DCLS
PDF
Oropouche Testing Guidance
Oropouche Testing Guidance Instructions
10/24
DCLS
PDF
Rabies Specimen Submission Protocol
Rabies Specimen Submission Protocol
09/24
DCLS
PDF
Packaging Clinical Samples Guide
DCLS Packaging Clinical Samples Guide
09/25
DCLS
Word Doc
Respiratory Illness Collection and Submission Instructions
55083
Respiratory Illness Collection and Submission Instructions 55083
05/24
DCLS
Word Doc
DCLS Flu Testing Reminders
DCLS Flu Testing Reminders
06/24
DCLS
PDF
Tuning Fork Quality Manual Checklist
Tuning Fork Quality Manual Checklist 6957
06/24
DCLS
PDF
Tuning Fork Inspection Checklist
Tuning Fork Inspection Checklist 6954
06/24
DCLS
PDF
Tuning Fork Equipment List
Tuning Fork Equipment List 6959
06/24
DCLS
Word Doc
Tuning Fork Application
Tuning Fork Application 6958
06/24
DCLS
Word Doc
Demonstration of Capability - Eagle 3 Electronic Tuning Fork
Demonstration of Capability - Eagle 3 Electronic Tuning Fork 55131
06/24
DCLS
PDF
Demonstration of Capability - Eagle 3 Electronic Tuning Fork
Demonstration of Capability - Eagle 3 Electronic Tuning Fork 55131
06/24
DCLS
Word Doc
2024 HPAI Testing instructions
2024 HPAI Testing instructions
04/24
DCLS
PDF
DCLS SARS-CoV-2 Sequencing Submission Form
DCLS SARS-CoV-2 Sequencing Submission Form 35889
12/21
DCLS
PDF
Vaccine Preventable Diseases (Measles, Mumps, Varicella Zoster Virus) Collection Instructions
Vaccine Preventable Diseases (Measles, Mumps, Varicella Zoster Virus) Collection Instructions
11/22
DCLS
PDF
Bordetella pertussis PCR and Bacterial Culture Testing at DCLS - Specimen Collection Instructions
Bordetella pertussis PCR and Bacterial Culture Testing at DCLS - Specimen Collection Instructions
04/25
DCLS
PDF
Instructions for Collecting and Submitting Sputum Specimens to DCLS
Instructions for Collecting and Submitting Sputum Specimens to DCLS
04/25
DCLS
PDF
Instructions for Collecting and Submitting Sputum Specimens to DCLS
Instructions for Collecting and Submitting Sputum Specimens to DCLS
04/25
DCLS
PDF
Ebola and Marburg Virus Testing & Shipping Instructions
Ebola and Marburg Virus Testing & Shipping Instructions
06/23
DCLS
PDF
Using Statistical Control Limits and Control Charts
Control Charts; Control Limits, Technical Assistance
11/14
DCLS
PDF
Ch 45 Air Testing Checklist
Ch 45 Air Checklist
04/22
DCLS
PDF
Mpox Testing Guidance
44840
Mpox Testing Guidance - Mpox Testing Guidance FAQ
10/24
DCLS
PDF
Internship References
Form for internship references
11/22
DCLS
PDF
Instructions for the Submission of Stool Specimens - Spanish
Instructions for the Submission of Stool Specimens - Spanish
02/22
DCLS
PDF
Instructions for the Submission of Stool Specimens - Urdu
Instructions for the Submission of Stool Specimens - Urdu
02/22
DCLS
PDF
Instructions for the Submission of Stool Specimens - Arabic
Instructions for the Submission of Stool Specimens - Arabic
02/22
DCLS
PDF
Instructions for the Submission of Stool Specimens - Amharic
Instructions for the Submission of Stool Specimens - Amharic
02/22
DCLS
PDF
Instructions for Completing DCLS Test Request Form
Instructions for Completing DCLS Test Request Form
09/22
DCLS
PDF
COVID-19 Submission Form
Submission form for COVID-19 samples
06/22
DCLS
PDF
Drinking Water Corrective Action Form
Drinking Water Corrective Action Form, Ch 41
11/19
DCLS
PDF
Drinking Water Corrective Action Form
Drinking Water Corrective Action Form, Ch 41
11/19
DCLS
Word Doc
Internship application
Application for internship at DCLS
11/22
DCLS
PDF
Newborn Screening Order Form
Newborn Screening Order Form
07/25
DCLS
Word Doc
Newborn Screening Order Form
Newborn Screening Order Form
06/23
DCLS
Word Doc
Newborn Screening Order Form (Midwives and Primary Care Providers Only)
Newborn Screening Order Form (Midwives and Primary Care Providers Only)
07/25
DCLS
Word Doc
Certificate of Accreditation
Certificate of Accreditation NELAC
07/25
DCLS
PDF
CRO Testing Instructions
CRO Testing Instructions
08/25
DCLS
PDF
Drinking Water Sample Collection Guide
instructions for collecting drinking water samples
02/24
DCLS
Word Doc
Annual Certified Parameter List
ACPL Annual Certified Parameter List
07/25
DCLS
PDF
DCLS Test Request Form
Submission form for samples tested at DCLS
09/22
DCLS
PDF
DCLS Test Request Form
Submission form for samples tested at DCLS
09/22
DCLS
PDF
DCLS Test Request Form
Submission form for samples tested at DCLS
09/22
DCLS
PDF
Instructions for the Submission of Stool Specimens - English
Instructions for the Submission of Stool Specimens
04/25
DCLS
Word Doc
Patient Instructions for Stool Collection
Patient Instructions for Stool Collection
10/24
DCLS
PDF
Tuning Fork Certified Labs
Directory of Laboratories Certified to Perform Tuning Fork Certifications.
10/25
DCLS
PDF
Fees for Drinking Water Certification
Drinking water 41 fee
05/25
DCLS
PDF
Certification of Laboratories Testing for Cryptosporidium under 1VAC30-41 (6/24/2014)
Certification of Laboratories Testing for Cryptosporidium under 1VAC30-41
06/14
DCLS
PDF
Field Testing Interpretation
Field Testing Interpretation
01/09
DCLS
PDF
Final Regulation Publication and Major Changes: Repeal of 1VAC30-40 and Addition of 1VAC30-41
Final Regulation Publication and Major Changes: Repeal of 1VAC30-40 and Addition of 1VAC30-41
03/14
DCLS
PDF
1VAC30-41, Table of Contents
1VAC30-41
08/24
DCLS
PDF
1VAC30-41, Regulation for the Certification of Laboratories Analyzing Drinking Water
1VAC30-41
08/24
DCLS
PDF
Drinking Water Proficiency Testing Timeline Update
Drinking Water Proficiency Testing Timeline Update
12/10
DCLS
PDF
Standard Methods SDWA Crosswalk
Standard Methods SDWA Crosswalk
11/13
DCLS
Excel Doc
Drinking Water Certification Application
Drinking Water Certification Application
03/23
DCLS
Word Doc
Drinking Water Certification Application
Drinking Water Certification Application
03/23
DCLS
PDF
Chemistry Instrumentation and Equipment Form
Chemistry Instrumentation and Equipment Form
02/15
DCLS
Word Doc
Chemistry Instrumentation and Equipment Form
Chemistry Instrumentation and Equipment Form
02/15
DCLS
PDF
Micro Equipment and Supply Form
Micro Equipment and Supply Form
11/16
DCLS
Word Doc
Micro Equipment and Supply Form
Micro Equipment and Supply Form
11/16
DCLS
PDF
Personnel Form
Personnel Form
01/16
DCLS
Word Doc
Personnel Form
Personnel Form
01/16
DCLS
PDF
Tuning Fork Certification Protocol
Tuning Fork Certification Protocol 2364
06/25
DCLS
PDF
Tuning Fork Application
Tuning Fork Application 6958
06/24
DCLS
PDF
Tuning Fork Personnel List
Tuning Fork Personnel List
02/15
DCLS
Word Doc
Tuning Fork Personnel List
Tuning Fork Personnel List
02/15
DCLS
PDF
Tuning Fork Equipment List
Tuning Fork Equipment List 6959
06/24
DCLS
PDF
Tuning Fork Quality Manual Checklist
Tuning Fork Quality Manual Checklist 6957
06/24
DCLS
Word Doc
Tuning Fork Inspection Checklist
Tuning Fork Inspection Checklist 6954
06/24
DCLS
Word Doc
Laboratory Certification Fee Payment Form
Laboratory Certification Fee Payment Form
10/23
DCLS
PDF
1VAC30-45 Table of Contents
1VAC30-45 Table of Contents
04/22
DCLS
PDF
1VAC30-45
1VAC30-45
04/22
DCLS
PDF
1VAC30-46 Table of Contents
1VAC30-46 Table of Contents
04/22
DCLS
PDF
1VAC30-46
1VAC30-46
04/22
DCLS
PDF
Traceability Guidance Document
Traceability Guidance Document
10/16
DCLS
PDF
Effective Corrective Action
Effective Corrective Action
07/16
DCLS
PDF
Repeat Findings Technical Assistance Document
Repeat Findings Technical Assistance Document
07/16
DCLS
PDF
Standard Methods Naming Technical Assistance
Standard Methods Naming Technical Assistance
04/13
DCLS
PDF
Distillation Variance Technical Assistance
Distillation Variance Technical Assistance
03/14
DCLS
PDF
Distillation Variance Application
Distillation Variance Application
03/14
DCLS
PDF
Distillation Variance Application
Distillation Variance Application
03/14
DCLS
Word Doc
Manual Integration Technical Assistance
Manual Integration Technical Assistance
11/16
DCLS
PDF
Frequently Asked Questions
Frequently Asked Questions
11/16
DCLS
PDF
Proficiency Testing FAQ
Proficiency Testing FAQ
11/22
DCLS
PDF
FAQ Fixed Limits
FAQ Fixed Limits
06/15
DCLS
PDF
Information Notice - Drinking Water Certification and VELAP
Information Notice - Drinking Water Certification and VELAP
07/16
DCLS
PDF
Notice - Immediate Analysis Testing
Notice - Immediate Analysis Testing
07/16
DCLS
PDF
Notice Drinking Water Under 1VAC30-46
Notice Drinking Water Under 1VAC30-46
07/16
DCLS
PDF
POTWs and Industrial Users Applicability
POTWs and Industrial Users Applicability
04/09
DCLS
PDF
Standard Methods QAQC Guidance Document
Standard Methods QAQC Guidance Document
03/13
DCLS
PDF
On-site Assessment Admittance Policy
On-site Assessment Admittance Policy
03/19
DCLS
PDF
Reapplication for Certification or Accreditation Guidance Document
Reapplication for Certification or Accreditation Guidance Document
07/16
DCLS
PDF
Onsite Assessment Closure 1VAC30-45 and 1VAC30-46
Onsite Assessment Closure 1VAC30-45 and 1VAC30-46
04/19
DCLS
PDF
SM Performance Limits Guidance Revised
SM Performance Limits Guidance Revised
06/15
DCLS
PDF
VELAP 40CFR136 Table 1B Fixed Limits Table
VELAP 40CFR136 Table 1B Fixed Limits Table
02/16
DCLS
PDF
Corrective Action Form-word document
Corrective Action Form-word document
01/01
DCLS
Word Doc
Corrective Action Form-pdf
Corrective Action Form-pdf
07/16
DCLS
PDF
Onsite Assessment Corrective Action Plan Form-word document
Onsite Assessment Corrective Action Plan Form-word document
03/18
DCLS
Word Doc
Onsite Assessment Corrective Action Plan Form-pdf
Onsite Assessment Corrective Action Plan Form-pdf
03/18
DCLS
PDF
Onsite Assessment Corrective Action Plan Cap Form-Sample
Onsite Assessment Corrective Action Plan Cap Form-Sample
10/18
DCLS
PDF
Program and Application FAQ
Program and Application FAQ VELAP
03/25
DCLS
PDF
Change in Scope Form 6972
Change in Scope Form 6972
06/25
DCLS
PDF
Change in Scope Form 6972
Change in Scope Form 6972
06/25
DCLS
Word Doc
Information and Fees for Adding Fields of Cert 070125
Information and Fees for Adding Fields of Cert, Change in Scope, FAQ
07/25
DCLS
PDF
Ch 46 Certification of Compliance
Ch 46 Certification of Compliance
07/23
DCLS
PDF
Chapter 46 Lab Management Qualifications Form-word document
Chapter 46 Lab Management Qualifications Form-word document
04/22
DCLS
Word Doc
Chapter 46 Lab Management Qualifications Form
Chapter 46 Lab Management Qualifications Form
04/22
DCLS
PDF
Demonstration of Capability Form #6990
Demonstration of Capability Form #6990
04/22
DCLS
PDF
6990 Doc Summary Report Form
6990 Doc Summary Report Form
01/01
DCLS
Word Doc
Ch 45 Quality Systems Checklist
Ch 45 Quality Systems Checklist
11/23
DCLS
PDF
Ch 45 Chemistry Checklist
Ch 45 Chemistry Checklist
04/22
DCLS
PDF
Ch 45 Micro Checklist
Ch 45 Micro Checklist
04/22
DCLS
PDF
Ch 45 SOP Checklist
Ch 45 SOP Checklist
04/22
DCLS
PDF
Ch 45 Certification of Compliance
Ch 45 Certification of Compliance
10/15
DCLS
PDF
45 Renewal Doc
45 Renewal Doc
01/01
DCLS
Word Doc
45 Renewal PDF
45 Renewal PDF
01/01
DCLS
PDF
Chain of Custody
9815
Chain of Custody form
08/15
DCLS
Word Doc