EFTA00132004¶
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 Indent |
| □ Req. Charging □ Freeze □ Refrigerate | Printed Name/Agency: |
| □ Biohazard | Reason: Initial Collection |
| □ Other | Collecte1 By: Agency: |
Reliable Information¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/12/19 10:00AM | Signature: 8/12/15 10:00AM |
| Printed Name: Reason: | Printed Name: Reason: |
| Reason: | Reason: |
Reliquished Information¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/15 10:20AM | Signature: 8/15/15 10:20AM |
| Printed Name: Reason: | Printed Name: Reason: |
| Reason: | Reason: |
Reliquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/15 2:00PM | Signature: 8/15/15 2:00PM |
| Printed Name: Reason: | Printed Name: Reason: |
| Reason: | Reason: |
Reliquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/15 30:00PM | Signature: 9/25/22 32:00PM |
| Printed Name: Reason: | Printed Name: Reason: |
| Reason: | Reason: |
Reliquished 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: |
|---|
| Signature: |
| Date: |
ATF Trace Form Completed:¶
NCIC: □¶
Case ID: 90A-NY-3151227¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132005¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 5/10/20 11:50am | Signature: Printed Name Reason: | 5/10/20 11:50am |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 5/10/20 11:50am | Signature: Printed Name/Agency: Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: |
Case ID: 904- M-3151227 1B: 0 Barcode: E6516202¶ This form is incomplete without reference to the FD-1087.¶ |