EFTA00132022¶
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¶
| Special Handling Instructions | Initial Receipt |
|---|---|
| □ HAZMAT □ Latents □ FGJ | Signature of Seizing |
| □ Req. Charging □ Freeze □ Refigere | Printed Name/Agency |
| □ Biohazard | Reason: Initial Collection |
| □ Other | Collected By: Agency: FB1 |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/12/19 10:00AM | Signature: Printed Name |
| Reason: TO CART | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/19 10:00AM | Signature: Printed Name |
| Reason: TO CART | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/19 2:00PM | Signature: Printed Name |
| Reason: TO CART | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/19 7:26PM | Signature: Printed Name |
| Reason: TO CART | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/19 7:26PM | Signature: Printed Name |
| Reason: TO CART | Reason: |
Relinquished Custody¶
| Date and Time | Accepted Custody |
|---|---|
| Signature: 8/15/19 7:26PM | Signature: Printed Name |
| Reason: TO CART | Reason: |
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶
| Printed Name: |
|---|
| Signature: |
| Date: |
ATF Trace Form Completed:¶
NCIC: □¶
This form is incomplete without reference to the FD-1087.¶
EFTA00132023¶
EVIDENCE CHAIN OF CUSTODY¶
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
|---|---|---|---|
| Signature: Printed Name Reason: | 9/28/20 12:02 | Signature: Printed Name Reason: | 9/25/20 12:02 |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name Reason: | 9/30/20 11:54am | Signature: Printed Name Reason: | 9/30/20 11:54am |
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Reason: | ||
| Relinquished Custody | Date and Time | Accepted Custody | Date and Time |
| Signature: Printed Name/Agency: Reason: | Signature: Printed Name/Agency: Reason: | ||
| Relinquished Custody | Reason: |
Case ID: 90A-M-3151227 1B: 14 Barcode: €6516207¶
This form is incomplete without reference to the FD-1087.¶