Sample Affidavit For Search Warrant

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SAMPLE
STATE OF __________
[LIST LOCAL COUNTY/PARISH/CITY/ETC]
SAMPLE AFFIDAVIT FOR SEARCH WARRANT
BEFORE
ME,
the
undersigned
authority,
personally
came
and
appeared
____________________________________, a law enforcement officer in the [LOCATION],
State of________, who requests that a search warrant issue for the following:
Whole blood or alveolar lung air from the person of:
__________________________________________________________________  
RACE/SEX _______________ DOB_____________ DL#______________
who is currently under arrest for the offense of Operating a Vehicle While
Intoxicated ______ Offense and in affiant’s custody within the territorial
jurisdiction of this Court.
The facts and circumstances establishing the basis for the issuance of this Search
Warrant are as follows:
Affiant is a full‐time law enforcement officer with __________________‐
_______________ and has been employed in law enforcement for ______ years. Affiant has
successfully completed Police Officer Standardized Training (POST) and is trained to perform
the Standardized Field Sobriety Test (SFST) and is/is not (circle appropriate response) certified
to operate the [name of breath test equipment used]. This experience and education has
trained affiant to detect impaired or intoxicated drivers by:
1)
Observing their driving behavior which includes but is not limited to
weaving in and/or out of their lane of travel, traffic signal violations, and
speeding;
2)
Observing their physical characteristics which include are but not limited
to: blood‐shot eyes, unsteady balance, slurred speech, and/or odor of
alcoholic beverage; and

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