Evidence Chain of Custody Tracking Form
Your Organization / Company, LLC
EVIDENCE CHAIN OF CUSTODY TRACKING FORM
Case Number: ______xxxx_____________ Offense: _________________
Submitting Officer: (Name/ID#) _Private Investigator Smth, Badge #351
Victim: __Joe________________________________________________
Susct: _Fred_________________________________________________
Date/Time Seized: _08/20/2016; 0630hrs (MDT) Location of Seizure: 123 Main Street, Denver, CO 80135
Description of Evidence | ||
Item # |
Quantity |
Description of Item (Model, Serial #, Condition, Marks, Scratches) |
1 |
1 |
Verbatim USB Drive, black, 2.0GB, Serial #23097JR2. Marked as “USB02_032816_4-2”. |
Chain of Custody | ||||
Item # |
Date/Time |
Released by |
Received by |
Comments/Location |
1 |
08/21/16 |
PI Smith, #351 |
Examiner, #891920 |
Released for processing at forensics lab. |
1 |
08/22/16 |
Examiner, #891920 |
Jane Smith, evidence custodian |
Secured in evidence locker awaiting final disposition. |
EVIDENCE CHAIN-OF-CUSTODY TRACKING FORM
(Continued)
Chain of Custody | ||||
Item # |
Date/Time |
Released by |
Received by |
Comments/Location |
Final Disposal Authority |
Authorization for Disposal |
Witness to Destruction of Evidence Item(s) #: __________ on this document were destroyed by Evidence Custodian ___________________________ID#:______ Name & ID# of Witness to destruction: ________________________ Signature: ______________________Date: _______________ |
Release to Lawful Owner Item(s) #: __________ on this document was/were released by Evidence Custodian ________________________ID#:_________ to Signature: _______________________________________________________ Date: __________________________ Copy of Government-issued photo identification is attached. ☐ Yes ☐ No |
This Evidence Chain-of-Custody form is to be retained as a rmanent record by the Anywhere Police Department. |