EFTA00131995¶
FD-1004¶
Rev. 7-7-2016¶
FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶
| Evidence Type: | General | Drugs | Firearms/Weapon | Item # |
|---|---|---|---|---|
| Digital | Valuables | Firearms/Other |
Special Handling Instructions¶
| Initial Receipt | Date and Time | |
|---|---|---|
| □ HAZMAT | Latents | Signature of Seizing Individual |
| □ Req. Charging | Freeze | Printed Name/Agency |
| □ Biohazard | Refrigerate | Reason: Initial Collection |
| □ Other | Collected By: Agency |
Relinquished Custody¶
| Date and Time | Accepted Custody | Date and Time |
|---|---|---|
| Signature: | 8/12/19 | Signature: 8/12/19 |
| Printed Name: | 10:00am | Printed Name: 10:00am |
| Reason: TO CART | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody | Date and Time |
|---|---|---|
| Signature: | 8/15/19 | Signature: 8/15/19 |
| Printed Name: | 10:00am | Printed Name: 10:00am |
| Reason: TO CART | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody | Date and Time |
|---|---|---|
| Signature: | 8/15/19 | Signature: 8/15/19 |
| Printed Name: | 2:00pm | Printed Name: 2:00pm |
| Reason: TRANSPER | Accepted | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody | Date and Time |
|---|---|---|
| Signature: | 8/15/19 | Signature: 8/15/19 |
| Printed Name: | 3:00pm | Printed Name: 3:00pm |
| Reason: TRANSPER | Reason: Received from ERF |
Relinquished Custody¶
| Date and Time | Accepted Custody | Date and Time |
|---|---|---|
| Signature: | Signature: | Signature: |
| Printed Name/Agency: | Printed Name/Agency: | Printed Name/Agency: |
| Reason: | Reason: | Reason: |
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
Printed Name:¶
Signature:¶
Date:¶
Barcode: 6516198¶
This form is incomplete without reference to the FD-1087.¶
EFTA00131996¶
EVIDENCE CHAIN OF CUSTODY¶
| Reinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name/Reason: | 9/25/10 12:02 | Signature: Printed Name/Reason: | 9/25/10 12:02 |
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Reason: | 5/18/11 11:04 | Signature: Printed Name/Reason: | 3/3/11 11:04 |
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Reason: | 6/3/12 11:04 | Signature: Printed Name/Agency: | |
| Reliquished Custody | Date and Time | Reason: | |
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: | Signature: Printed Name/Agency: | ||
| Reason: | Reason: | ||
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: | Signature: Printed Name/Agency: | ||
| Reason: | Reason: | ||
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: | Signature: Printed Name/Agency: | ||
| Reason: | Reason: | ||
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: | Signature: Printed Name/Agency: | ||
| Reason: | Reason: | ||
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: | Signature: Printed Name/Agency: | ||
| Reason: | Reason: | ||
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: | Signature: Printed Name/Agency: | ||
| Reason: | Reason: | ||
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: | Signature: Printed Name/Agency: | ||
| Reason: | Reason: | ||
| Reliquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: | Signature: Printed Name/Agency: | ||
| Reason: | Reason: |
Case ID: 40A-NM-31S1227 IB: 5 Barcode: E6S16198¶
This form is incomplete without reference to the FD-1087.¶