EFTA00132019¶
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 # 13¶
Special Handling Instructions¶
□ HAZMAT □ Latents □ FGJ □ Req. Charging □ Freeze □ Refrigerate □ Biohazard □ Other ___¶
Initial Receipt¶
Signature of Seizing Date and Time Printed Name/Agency Reason: Initial Collection Collected By Agency: FB¶
Date and Time¶
Relinquished Custody Signature: Printed Name: Reason: TO CART¶
Date and Time Accepted Custody Signature: Printed Name: Reason: CAH¶
Date and Time Relinquished Custody Signature: Printed Name: Reason: TO CAH¶
Date and Time Accepted Custody Signature: Printed N Reason: CAH¶
Date and Time Relinquished Custody Signature: Printed N Reason: TO CAH¶
Date and Time Accepted Custody Signature: Printed N Reason: CAH¶
Date and Time Accepted Custody Signature: Printed N Reason: TO CAH¶
Date and Time Accepted Custody Signature: Printed N Reason: TO CAH¶
Date and Time Accepted Custody Signature: Printed N Reason: TO CAH¶
Date and Time Accepted Custody Signature: Printed N Reason: TO CAH¶
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
Printed Name:¶
Signature:¶
Date:¶
Case ID: 90A-NY-3151227¶
Barcode: E651 6206¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132020¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 25/02 10:03 | Signature: Printed Name Reason: | 9/25/20 22:02 |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Reason: | 9/25/20 11:50 | Signature: Printed Name Reason: | 3/30/20 11:50 |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Reason: | 5/30/20 11:50 | Signature: Printed Name/Agency: Reason: | |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: |
Case ID: 90A-NM-3151227 IB: 13 Barcode: €651.6206¶ This form is incomplete without reference to the FD-1087.¶ |