EFTA00131998¶
FD-1004 Rev. 7-7-2016¶
FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶
Evidence Type:¶
- General
- Drugs
- Firearms/Weapon
- Digital
- Valuables
- Firearms/Other
Item # 6¶
Special Handling Instructions¶
| Initial Receipt | |
|---|---|
| □ HAZMAT □ Latents □ FGJ | Signature of Seizing |
| □ Req. Charging □ Freeze □ Refrigerate | Printed Name/Agency |
| □ Biohazard | Reason: Initial Collection |
| □ Other | Collected B |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/12/19 | Signature: |
| Printed N: 10:00am | Printed Name: Reason: CAST |
| Reason: TO CART | Reason: CAST |
| Relinquished Custody | Date and Time |
| Signature: 8/15/19 | Signature: |
| Printed N: 10:20am | Printed Name: Reason: RECEIVED |
| Reason: TO CA | Reason: RECEIVED |
| Relinquished Custody | Date and Time |
| Signature: 8/15/19 | Signature: |
| Printed N: 2:00pm | Printed Name: Reason: ACCEPTED |
| Reason: TANSPER | Reason: ACCEPTED |
| Relinquished Custody | Date and Time |
| Signature: 8/15/19 | Signature: |
| Printed N: 3:00pm | Printed Name: Reason: RECEIVED FROM CITY |
| Reason: TRANSFER OTD | Reason: RECEIVED FROM CITY |
| Relinquished Custody | Date and Time |
| Signature: | Signature: |
| Printed Name/Agency: | Printed Name/Agency: Reason: |
| Relinquished Custody | Date and Time |
| Signature: | Signature: |
| Printed Name/Agency: | Printed Name/Agency: Reason: |
| Reason: | Reason: |
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
| Printed Name: |
|---|
| Signature: |
| Date: |
ATF Trace Form Completed:¶
NCIC: □¶
Case ID: 90A-NY-3151227¶
This form is incomplete without reference to the FD-1087.¶
EFTA00131999¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 5/14/09 11:30am | Signature: Printed Name Reason: | 5/14/09 11:30am |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 5/13/09 11:30am | Signature: Printed Name/Agency: Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: |
Case ID: 40A-M-3151227 IB: 6 Barcode: E6516299¶ This form is incomplete without reference to the FD-1087.¶ |