EFTA00132013¶
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 | Date and Time |
|---|---|
| □ HAZMAT □ Latents □ FGJ | Signature of Seizing Indent |
| □ Req. Charging □ Freeze □ Refrigerate | Printed Name/Agency: |
| □ Biohazard | Reason: Initial Collection |
| □ Other | Collected By: Agency: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: | 8/10/19 10:00 AM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: | 8/15/19 10:00 AM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: | 8/16/19 2:00 PM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: | 8/15/19 3:00 PM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: | 8/15/19 3:00 PM |
| Printed Name: | Signature: |
| Reason: | Printed Name: |
| Reason: | Reason: |
Firearm Certification by (F1/SWAT) / Explosive Material Certification by (SABT):¶
Printed Name:¶
Signature:¶
Date:¶
Case ID: 90A-NY-3151227¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132014¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 9/12/20 11:58am | Signature: Printed Name Reason: | 9/12/20 11:58am |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 6/3/20 11:58am | 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: 11 Barcode: €6516204¶ This form is incomplete without reference to the FD-1087.¶ |