Evidence Chain Of Custody Tracking Form (Page 2 of 2) in pdf

EVIDENCE CHAIN-OF-CUSTODY TRACKING FORM

(Continued)

Chain of Custody

Item

Date/Time

Released by

Received by

Comments/Location

(Signature & ID#)

Final Disposal Authority

Authorization for Disposal

Item(s) #: __________ on this document pertaining to (suspect): ____________________________________________

is(are) no longer needed as ev idence and is/are authorized for disposal by (check appropriate disposal method)

☐

Return to Owner

Auction/Destroy/Divert

Name & ID# of Authorizing Officer: ____________________________ Signature: ______________________Date:

_______________

Witness to Destruction of Evidence

Item(s) #: __________ on this document were destroyed by Evidence Custodian ___________________________ID#:______

in my presence on (date) __________________________.

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

Name _____________________________________________________________________________

Address: ________________________________________________ City: ____________________State: _______ Zip Code:

__________

Telephone Number: (_____) ___________________________________

Under penalty of law, I certify that I am the lawful owner of the above item(s).

Signature: _______________________________________________________ Date: __________________________

☐

Copy of Gov ernment-issued photo identification is attached.

Yes

This Evidence Chain-of-Custody form is to be retained as a permanent record by the Anywhere Police Department.

APD_Form_#PE003_v.1 (12/2012)

Page 2 of 2 pages (See front)

Technical Working Group on Biological Evidence Preservation. The Biological Evidence Preservation

Handbook: Best Practices for Evidence Handlers. U.S. Department of Commerce, National Institute of

Standards and Technology. 2013.

Evidence Chain Of Custody Tracking Form Page 2