EFTA00132001¶
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 #¶
Special Handling Instructions¶
| Initial Receipt | |
|---|---|
| □ HAZMAT □ Latents □ FGJ | Signature of Seizing In |
| □ Rq. Charging □ Freeze □ Refrigerate | Printed Name/Agency |
| □ Biohazard | Reason: Initial Collection |
| □ Other | Collected By Agency: FBI |
Relinquished Custody¶
| Date and Time | Accepted |
|---|---|
| Signature: 8/12/19 | Signature: 8/12/19 |
| Printed N: 10:00am | Printed N: 10:00am |
| Reason: TO CART | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/15 | Signature: 8/15/15 |
| Printed N: 10:20am | Printed N: 10:20am |
| Reason: TRANSFER | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/19 | Signature: 8/15/19 |
| Printed N: 20:00am | Printed N: 20:00am |
| Reason: TRANSFER | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/17 | Signature: 9/12/120 |
| Printed N: 3:00am | Printed N: 22:00am |
| Reason: TRANSFER | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: | Signature: |
| Printed Name/Agency: | Printed Name/Agency: |
| Reason: | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: | Signature: |
| Printed Name/Agency: | Printed Name/Agency: |
| Reason: | Reason: |
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
| Printed Name: | NCIC: |
ATF Trace Form Completed: □¶
Case ID: 90A-NY-3151227¶
Barcode: E6516200¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132002¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 9/12/20 11:50 | Signature: Printed Name Reason: | 3/6/20 11:50 |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 6/3/20 11:50am | Signature: Printed Name/Agency: Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: |
Case ID: 90A-M-3151227 IB: 7 Barcode: E6526200¶ This form is incomplete without reference to the FD-1087.¶ |