FBI evidence chain of custody forms from the 2019 New York case

EFTA00132046¶

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 □ Req. Charging □ Freeze □ Refrigerate □ Biohazard □ Other ___			Signature of Printed Name Reason: Initial Collected By Agency: FBI		8/12/19 7:00pm
Relinquished Custody		Date and Time	Accepted Custody		Date and Time
		8/16/19	Signature:		8/26/19
		3:15pm	Printed N		3:15pm
		Reason: Charged In Storage			4:30pm
		Date and Time	Accepted Custody		Date and Time
Relinquished Custody		Date and Time	Accepted Custody		Date and Time
		8/16/19	Signature:		8/14/19
		4:30pm	Printed N		4:30pm
		Reason: CHAT			12:09pm
		Date and Time	Accepted Custody		Date and Time
Relinquished Custody		Date and Time	Accepted Custody		Date and Time
		8/19/19	Signature:		8/19/19
		12:30pm	Printed N		12:30pm
		Reason: Transfer TO OTD
		Date and Time	Accepted Custody		Date and Time
Relinquished Custody		Date and Time	Accepted Custody		Date and Time
		8/19/19	Signature:		8/19/19
		12:30pm	Printed N		12:30pm
		Reason: Received From CFH
		Date and Time	Accepted Custody		Date and Time
Relinquished Custody		Date and Time	Accepted Custody		Date and Time
		8/19/19	Signature:		8/19/19
		12:30pm	Printed N		12:30pm
		Reason: Change out
		Date and Time	Accepted Custody		Date and Time
Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT): Printed Name:

Firearm Certification by(FI/SWAT)/Explosive Material Certification by(SABT):	ATF Trace Form Completed:□NCIC:□
Printed Name:
Signature:
Date:

IB: 26¶

This form is incomplete without reference to the FD-1087.¶

EFTA00132047¶

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¶

• ☐ HAZMAT □ Latents □ FGJ
• ☐ Req. Charging □ Freeze □ Refrigerate
• ☐ Biohazard
• ☐ Other

Initial Receipt¶

• Signature of Seller:
• Printed Name/
• Reason: initial
• Collected By:
• Agency: FBI

Date and Time¶

• Date and Time: 8/10/19
• Date and Time: 3:15pm
• Date and Time: 8/16/19
• Date and Time: 4:30pm

Reliquition¶

• Signature:
• Printed Name:
• Reason: TO EVIDENCE

Date and Time¶

• Date and Time: 8/10/19
• Date and Time: 4:30pm
• Date and Time: 8/16/19
• Date and Time: 4:30pm

Reliquition¶

• Signature:
• Printed Name:
• Reason: TRANSFER

Date and Time¶

• Date and Time: 8/17/19
• Date and Time: 12:30pm
• Date and Time: 8/20/19
• Date and Time: 850am

Reliquition¶

• Signature:
• Printed Name:
• Reason: Release NOT FOR EFM

Date and Time¶

• Date and Time: 8/20/19
• Date and Time: 11:30m
• Date and Time: 9/300
• Date and Time: 11:50am

Reliquition¶

• Signature:
• Printed Name:
• Reason: Charge at transfer to W1/07/16

Accepted Custody¶

• Date and Time: Accepted Custody
• Signature:
• Printed Name:
• Reason: Charge to OTP

Accepted Custody¶

• Date and Time: Accepted Custody
• Signature:
• Printed Name:
• Reason: Received from ERF

Accepted Custody¶

• Date and Time: Accepted Custody
• Signature:
• Printed Name:
• Reason: Charge out

Accepted Custody¶

• Date and Time: Accepted Custody
• Signature:
• Printed Name:
• Reason: Charge out

Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶

ATF Trace Form Completed: □¶

Firearm Certification by(FI/SWAT)/Explosive Material Certification by(SABT):	ATF Trace Form Completed:□NCIC:□
Printed Name:
Signature:
Date:

Case ID: 90A-NY-3151227¶

IB: 27¶

Barcode: E6515205¶

This form is incomplete without reference to the FD-1087.¶

EFTA00132048¶

FD-1004 Rev. 7-7-2016¶

FEDERAL BUREAU OF INVESTIGATION EVIDENCE CHAIN OF CUSTODY¶

Evidence Type:¶

• General
• Drugs
• Firearms/Weapon
• Digital
• Valuables
• Firearms/Other

Special Handling Instructions¶

	Initial Receipt
□ HAZMAT □ Latents □ FGJ	Signature of Seizing I
□ Req Charging □ Freeze □ Refrigerate	Printed Name/Agency
□ Biohazard	Reason: Initial Collection
□ Other	Collected By: Agency: FBI

Relinquited¶

Date and Time	Accepted Custody
Signature: 4/16/19	Signature:
Printed N: 3:50pm	Printed N:
Reason: Charged to Storage	Reason: Charged to Storage

Date and Time	Accepted Custody
Signature: 8/16/19	Signature:
Printed N: 11:30pm	Printed N:
Reason: CART	Reason: CART

Date and Time	Accepted Custody
Signature: 8/10/19	Signature:
Printed N: 14:30pm	Printed N:
Reason: Transport	Reason: Transport

Relinquished Custody¶

Date and Time	Accepted Custody
Signature: 8/10/19	Signature:
Printed N: 12:30pm	Printed N:
Reason: Received from ERF	Reason: Received from ERF

Relinquished Custody¶

Date and Time	Accepted Custody
Signature: 8/16/19	Signature:
Printed N: 8:50pm	Printed N:
Reason: Received from ERF	Reason: Received from ERF

Relinquished Custody¶

Date and Time	Accepted Custody
Signature: 8/10/19	Signature:
Printed N: 11:50pm	Printed N:
Reason: Received from ERF	Reason: Received from ERF

Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT):¶

Signature:
Printed Name:
Signature:

ATF Trace Form Completed:¶

NCIC: □¶

Firearm Certification by(FI/SWAT)/Explosive Material Certification by(SABT):	ATF Trace Form Completed:□NCIC:□
Printed Name:
Signature:
Date:

This form is incomplete without reference to the FD-1087.¶