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(g) Upon the request of t?i~ ~r~on whose blood sample was taken for a chemical test to determine the alcoholic content thereof, the results of such test or tests shall be ~de available to hLm. (h) A fee not exceeding five dollars shall be atlc~,~ed the person withdrawing a blood sa~te in ac- cordance with this section, which Fee shall be paid out of the appropriation for cri=~nal charges. If the person whose blood sample was withdrawn is subsequently convidted for violation of ~ 18-52, the amount' charged by the person withdra~ng the sample shall be taxed as part of the costs of the crir,~.~nal case and shall be paid into the general fund of the State treasury. (i) in any trial for a violation of ~ 18-52 this section shall not otherwise li~.~t the introduction of any relevant evidence bearing upon any question at issue before the court, and the court shall, regardless of the result of the blood test or tests, if any, con- sider such other relevant evidence of the condition of the accused as shall be admissible in evidence. The failure of an accused to permit a sm~ple of his blood to be withdra~,m for a chemical test ~o determine the alcoholic content thereof is not evidence and shall not be subject vo comnent at the trial Of the case~ nor shall the fact that a blood test has been offered the accused be evidence or the subject of coment. (j) The form referred to in par~apn (c) shall contain a brief statement of the law requiring the taking of a blood sa~pte and the penalty for refusal, a declaration of refusal amd lines for the signature of the person from ~om the blood sample is soug~t, the date and the signavure of a witness ~o the sign- ing. If such person refuses or fails ~o execute such declaration, the committing justice, clerk or assis- tanz clerk shall certify such fact, and that the mitring justice, clerk or assists~nv clerk advised the person arrested that such refusal or failure, if found ~o be um~easonabie, constitutes grota~ds for the revocation of such person's License to drive. ~ne mitting or issuing justice, clerk or assistmnt clerk shall forthwith issue a warrs~nt charging the person refusing to take the test to determine the alcoholic content of his blood, with violation of this section'~ 21