EFTA00132007¶
FD-1004 Rev. 7-7-2016¶
FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶
Evidence Type:¶
- General
- Drugs
- Firearms/Weapon
- Digital
- Valuables
- Firearms/Othe:
Item # 9¶
Special Handling Instructions¶
| Initial Receipt | |
|---|---|
| □ HAZMAT □ Latents □ FGJ | Signature of Seizure |
| □ Req. Charging □ Freeze □ Refrigerate | Printed Name/Age |
| □ Biohazard | Reason: Initial Collection |
| □ Other | Collected By: Agency: FBI |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/18/19 | Signature: 8/12/19 |
| Printed Name: 10:00am | Printed Name: 10:00am |
| Reason: TO CART | Reason: CART |
| Relinquished Custody | Accepted Custody |
| Signature: 8/15/19 | Signature: 8/15/19 |
| Printed Name: 10:20am | Printed Name: 10:20am |
| Reason: TO CIA | Reason: RECEIVEN |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/19 | Signature: 8/15/19 |
| Printed Name: 2:00pm | Printed Name: 2:00pm |
| Reason: RECEIVEN |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/16/19 | Signature: 91/25/20 |
| Printed Name: 3:00pm | Printed Name: 3:00pm |
| Reason: Received from CRF |
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):¶
| Signature: | |
|---|---|
| Printed Name: | |
| Signature: | |
| Date: |
ATF Trace Form Completed: ☐ NCIC: ☐¶
Case ID: 90A-NY-3151227¶
Barcode: E6516202¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132008¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 5/12/14 11:50am | Signature: Printed Name Reason: | 11/50am |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 5/3/14 11:50am | 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: 9 Barcode: E6S16202¶ This form is incomplete without reference to the FD-1087.¶ |