Dd Form 2922 - Forensic Laboratory Examination Request
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1
2FORENSIC LABORATORY EXAMINATION REQUEST
1. TO:
2. FROM:
4. EXAM PRIORITY
5. LAB USE ONLY
a. LAB CASE #
Director
ROUTINE
USACIL
EXPEDITE
4930 N. 31st Street
Forest Park, GA 30297-5205
b. METHOD OF RECEIPT
Trial/Article 32/39A (*)
Other (Specify):
Subject in pre-trial
confinement
3. RETURN EVIDENCE TO:
Subject pending PCS/
Separation/Reenlist (*)
c. RECEIVED BY/DATE
Other
(Specify in Block 13)
*Date
7. TYPE OF OFFENSE
6. SUBMITTING AGENCY CASE NUMBER
8. PREVIOUS EVIDENCE SUBMITTED
DATE:
MAIL METHOD:
LAB CASE #:
SUSPECT(S):
9. SUSPECT(S) [Last, first and middle name(s)]
10. VICTIM(S) [Last, first and middle name(s)]
11. BRIEF DESCRIPTION (SYNOPSIS) OF CASE FACTS THAT MIGHT ASSIST THE LABORATORY IN EXAMINING OR EVALUATING THE
EVIDENCE OR ADDITIONAL DOCUMENTATION ATTACHED (e.g., Summary of investigation, crime scene sketches/photographs, statements)
12. EVIDENCE SUBMITTED
a. EXHIBIT
b. DESCRIPTION OF EXHIBIT
DD FORM 2922, JUL 2006
REPLACES DA FORM 3655, AF FORM 1880, AND
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NCIS FORM 5580/29, WHICH ARE OBSOLETE.
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