EFTA00132068

# FD-1004

Rev. 01-11-2021

FEDERAL BUREAU OF INVESTIGATION
EVIDENCE CHAIN OF CUSTODY

Evidence Type: □ General □ Drugs □ Firearms Weapon
□ Digital □ Valuables

Special Handling Instructions

☐ HAZMAT ☐ Latents ☐ FGJ
☐ Req. Charging ☐ Freeze ☐ Refrigerate
☐ Biohazard
☐ Other ___

Initial Receipt

Signature of:
Printed Name:
Reason: Int
Collected By:
Agency:

Date and Time
Accepted Custody

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