0% found this document useful (1 vote)
1K views13 pages

CSI Form 1

The first responder's form documents a murder that occurred in Bahada, Poblacion, San Remigio, Cebu. PO1 Nielita Aragon and PO1 Gimuel Atabelo responded to the incident at 10:45PM on October 11, 2021. They found Mario Dalogdog deceased at the crime scene. Paulo Tapao was arrested as a suspect. Evidence collected included bullets, a phone, swabbed blood, a footprint, and gun powder. The form was submitted by Inspector Allan Clent Morales.

Uploaded by

Jane C. Calago
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (1 vote)
1K views13 pages

CSI Form 1

The first responder's form documents a murder that occurred in Bahada, Poblacion, San Remigio, Cebu. PO1 Nielita Aragon and PO1 Gimuel Atabelo responded to the incident at 10:45PM on October 11, 2021. They found Mario Dalogdog deceased at the crime scene. Paulo Tapao was arrested as a suspect. Evidence collected included bullets, a phone, swabbed blood, a footprint, and gun powder. The form was submitted by Inspector Allan Clent Morales.

Uploaded by

Jane C. Calago
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 13

CSI Form 1: First Responder’s Form

RIZWOODS COLLEGES
#14 Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

FIRST RESPONDER’S FORM


(This Form shall be brought by the First Responder and/or Investigator at the Crime
Scene and shall be accomplished by the First Responders at the On Scene
Command Post (OSCP)

December 12, 2021


Date
THIS IS TO CERTIFY that the Crime Scene (CS) described hereunder was
turned over by the First Responder (FR) to the Duty Investigator /Investigator-On-
Case (IOC) with the following gathered information:

Primary Place of Occurrence: Bahada, Poblacion, San Remigio, Cebu

Secondary Place of Occurrence: Bahada, Poblacion, San Remigio, Cebu

Type/Nature of Incident: Murder under Article 248(1) of Act No. 3815 or the Revised
Penal Code (RPC)

Rank and Names of First Responders: PO1 Nielita Aragon and PO1 Gimuel Atabelo

Time/Date Report of Incident was received by FRs: 10:45PM/ October 11, 2021

Time FRs Arrived at the Crime Scene: 10:50PM

Weather Condition: Sunny

Time CS Cordoned Off and Secured/Signs Posted: 10:53PM

Time Flash Alarm/Request for Support Relayed by FR to TOC: 10:56PM

A. Names of Victims and Status (Safe/Injured/Hospitalized/Deceased, etc.,):

Mario Dalogdog

Deceased

B. Names of Persons Found at (inside) the Crime Scene by FR (Address/Contact Nrs):

Chrizel Agbones Bahada, Poblacion, San Remigio, Cebu

Robert Gomez Bahada, Poblacion, San Remigio, Cebu

C. Names of Suspects and Status (Arrested/At-large, etc..) and Weapons, if any:

Paulo Tapao Arrested

D. Names of Person Found Near or at the Vicinity of CS (Address/Contact Nr):

Lianie Edano Bahada, Poblacion, San Remigio, Cebu

Alma Barquillas Bahada, Poblacion, San Remigio, Cebu

E. Names of Persons Interviewed by the FR (Address/Contact Nr):


Chrizel Agbones Bahada, Poblacion, San Remigio, Cebu

F. Names of Persons Who Entered the CS after the Arrival of FR and Prior to Arrival
of Investigator (Medics, Local Officials, etc) (Address/Contact Nr):

Hon. Gabriel Ortega 09160236722

Hon. Nate Garces 09234669972

G. List of Evidence That Have Been Seized/Collected/Recovered by the FR (If Any):

Description Disposition

Bullet 1

Bullet 2

Phone

Swabbed Blood

Footprint

Gun Powder

H. Areas where Initial Search were conducted:

Bahada, Poblacion, San Remigio, Cebu

On-Scene Command Post (OSCP) established at:

Bahada, Poblacion, San Remigio, Cebu

Time and Date of Arrival of Investigator at the CS:

10:50PM/ October 11, 2021

This further certifies that the Crime Scene and all the evidence therein by the
FRs have been properly secured and preserved and that all the information
contained herein is true and correct to the best of our ability:

Name and Signature of First Responders:

PO1 Aljohn Limoran ________________________

PO1 Jovan Paez ________________________

CS Received By Duty Investigator/ IOC: Murder under Article 248(1) of Act No. 3815
or the Revised Penal Code (RPC)

Time/Date: 11:01PM/ October 11, 2021

Witnessed By:

Chrizel Agbones

Prepared and Submitted by:

Inspector Allan Clent Morales


Rank/Name/Designation of Officer/
Signature over Printed Name

CSI Form 2: Request for the Conduct of SOCO

RIZWOODS COLLEGES
#14Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

REQUEST FOR THE CONDUCT OF SOCO


(This shall be brought to the Crime Scene by the Investigator/SOCO Team
and to be accomplished by the Investigator/Investigator-On-Case
before the SOCO Team process the Crime Scene)

11:00PM/ October 11, 2021


Time and Date

FOR : Chief, PMAJ Gerald Senina CLO

FROM : Inspector Kent Ryan Genodepanon

SUBJECT : SOCO Assistance

1. Request for the availability of SOCO Team to process the crime scene located at

Bahada, Poblacion, San Remigio, Cebu

NATURE OF CASE : Murder under Article 248(1) of Act No. 3815 or the
Revised Penal Code (RPC)

Time and Date of Incident: 10:45PM/ October 11, 2021

2. This request is made with the assurance that the Duty Investigator/ Investigator-
On-Case, being in- charge of the Crime Scene shall remain and provide all the
necessary security and support to the SOCO Team during the whole process
until after the crime scene is released.

3. Further request that this Office be furnished a copy of the list of evidence
gathered and the result of the examination conducted thereon.

4. For consideration and approval.

For the Chief of Police:

Inspector Allan Clent Morales


(Duty Investigator/Investigator-On-Case)
CSI Form 3: Turn-Over of Collected Evidence from Investigator to SOCO Team
Leader
RIZWOODS COLLEGES
#14Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

TURN-OVER OF COLLECTED EVIDENCE AT THE CRIME SCENE


FROM INVESTIGATOR TO SOCO TEAM
(If Applicable)
October 12, 2021
Date
This further certify that the following items/physical evidence found, collected
and initially marked and inventoried by the investigator at the crime scene were
properly turned over to SOCO Team Evidence Custodian:

ITEMS/ARTICLES QUANTITY/UNITS
(Technical Description)
Bullets 2
Blood 1 swabbed
Footprint 1
Paraffin Cast 1
Phone 1

Police Inspector Ulrich Bulhot


(SOCO Team Evidence Custodian)
Witnessed by:
Inspector Kent Ryan Genodepanon
Duty Investigator/IOC
Received By: Police Inspector Ulrich Bulhot

Time/Date : 09:50PM/ Auust 6,2019

Turned over By :Inspector Kent Ryan


Genodepanon

Time/Date : 01:50AM/ October 12, 2021


CSI Form “4”

SOCO REPORT FORM “1”


RIZWOODS COLLEGES
#14 Caabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

October 11, 2021


DATE
RE SOCO REPORT NR: 10112021

PERSON PRESENT AT THE CRIME SCENE

REASON/S TO BE AT REMARKS
NAME DATE/TIME CRIME SCENE ADDRESS
October 11, First Responder Bahada, Poblacion,
PO1 Aljohn Limoran 2021 San Remigio, Cebu
October 11, First Responder Bahada, Poblacion,
PO1 Jovan Paez 2021 San Remigio, Cebu
October 11, Investigator On Case Bahada, Poblacion,
Police Inspector Kent Ryan 2021 San Remigio, Cebu
Genodepanon
October 11, Coordinate with the Bahada, Poblacion,
Police Inspector Ulrich 2021 Investigator and for the San Remigio, Cebu
Bulhot collection of the
evidences
October 11, Coordinate with the Bahada, Poblacion,
Police Inspector Zegfred 2021 Investigator and for the San Remigio, Cebu
Calinawan collection of the
evidences
October 11, Coordinate with the Bahada, Poblacion,
SPO2 Vincent Ibot 2021 Investigator and for the San Remigio, Cebu
collection of the
evidences
October 11, Coordinate with the Bahada, Poblacion,
SPO2 Robert Gomez 2021 Investigator and for the San Remigio, Cebu
collection of the
evidences

Prepared by: Certified by: Noted by:

Police Inspector Jane Melody Calago Police Inspector Princess Aying PMAJ Evidence
Custodian SOCO Team Leader Chief of Office
SOCO REPORT FORM “2”
RIZWOODS COLLEGES
#14Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

October 11, 2021


DATE
RE SOCO REPORT NR: 10112021
EVIDENCE LOG

QTY DESCRIPTIO SIGNATUR


N OF COLLECTE TIME SPECIFIC E
SPECIMEN D BY COLLECTE PLACE REMARK OF
COLLECTED D S SEARCHER
2 Bullet SPO2 09:30 PM/ Bahada,
Vincent Ibot 09:33 PM/ Poblacion
09:37PM , San
Remigio,
Cebu
1 Blood SPO2 09:38PM Bahada,
swabbe Vincent Ibot Poblacion
d , San
Remigio,
Cebu

1 Footprint SPO2 09:45PM Bahada,


Vincent Ibot Poblacion
, San
Remigio,
Cebu
1 Paraffin Cast SPO2 09:45PM Bahada,
Robert Poblacion
Gomez , San
Remigio,
Cebu
1 Phone SPO2 Bahada,
Vincent Ibot Poblacion
, San
Remigio,
Cebu

Prepared by: Certified by: Noted by:

Police Inspector Zegfred Calinawan Police Inspector Ulrich Bulhot PMAJ Gerald Senina
Evidence Custodian SOCO Team Leader Chief of Office
SOCO REPORT FORM “3”

RIZWOODS COLLEGES
#14Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

October 11, 2021


DATE

RE SOCO REPORT NR: 10112021

SCENE OF CRIME EXAMINATION WORKSHEET


SKETCH DETAILS AND MEASUREMENT

NOTE: NOT TO SCALE

LEGEND:

TITLE BLOCK
a.Nature of Case: Murder under Article 248(1) of Act
No. 3815 or the Revised Penal Code (RPC)

Victim/s: Carl Cedric Lequigan

Officer-on-Case: Inspector Kent Ryan Genodepanon


Date & Time Sketched: October 11, 2021 @ 09:25PM
Place of Incident: Bahada, Poblacion, San Remigio,
Cebu
Weather Condition: Starry
Sketched by: PO1 Jovan Paez
Witnesses: 1. Chrizel Agbones
2. Robert Gomez
Prepared by: Certified by: Noted by:

Police Inspector Zegfred Calinawan Police Inspector Ulrich Bulhot PMAJ Gerald Senina
Evidence Custodian SOCO Team Leader Chief of Office
SOCO REPORT FORM “4”

RIZWOODS COLLEGES
#14Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

INVENTORY OF EVIDENCE COLLECTED

1. SOCO Case Number: 10112021


2. Time and Date of Inventory: 01:38AM/ October 12, 2021
3. Facts of the Case:./

a. Nature of the Case: Murder under Article 248(1) of Act No. 3815 or
the Revised Penal Code (RPC)
b. Victim/s or Complaint: Carl Cedric Lequigan

c. Place of Incident: Bahada, Poblacion, San Remigio, Cebu


d. Evidence Collected at the Crime Scene:

a. Bullets
b. Blood
c. Footprint
d. Fingerprint
e. Phone

CONCURRED: PREPARED BY:

P/INS. Kent Ryan Genodepanon P/INS. Zegfred Calinawan


Investigator-on-Case Evidence Custodian

WITNESSES:

Signature over Printed Name Address

Chrizel Agbones Bahada, Poblacion, San Remigio, Cebu


CSI Form 5 - Release of Crime Scene Form

RIZWOODS COLLEGES
#14Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

RELEASE OF THE CRIME SCENE

TO WHOM IT MAY CONCERN:

This is to certify that a Crime Scene Investigation was conducted at


Bahada, Poblacion, San Remigio, Cebu from 10:55pm to 01:50am by the members
of the San Remigio Police Station and SOCO Team in connection with the Murder
under Article 248(1) of Act No. 3815 or the Revised Penal Code (RPC).
This is to further certify that a final crime scene survey was conducted on or
about 12midnight and that the CSI was concluded and the cordon was officially lifted
and crime scene was officially released at around 01:52am.

SIGNED:

P/INS. Kent Ryan Genodepanon 01:48am/ October 12, 2021


(Chief of Police/IOC) (Time and Date)

Police Inspector Ulrich Bulhot 01:48am/ October 12, 2021


(SOCO Team Leader) (Time and Date)

Conformed by:

Lucia Gallo
Owner of the Property/Local Authority/Representative

01:48am/ October 12, 2021


(Time and Date)

Witness:

PO1 Aljohn Limoran


PO1 Jovan Paez
Annex G- CSI Form 6: IOC/Investigator’s CSI Form

RIZWOODS COLLEGES
#14Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

IOC/INVESTIGATOR’S CSI FORM


(This Form shall be brought by the IOC/Investigator at the Crime Scene and shall be
accomplished by the IOC/Investigator-on-Case at the On-Scene Command Post
(OSCP)

October 11, 2021


Date
THIS IS TO CERTIFY that the Crime Scene (CS) described hereunder was
turned over by the First Responder (FR) to the Duty Investigator /Investigator-On-
Case (IOC) with the following gathered information:

Primary Place of Occurrence: Bahada, Poblacion, San Remigio, Cebu

Secondary Place of Occurrence: Bahada, Poblacion, San Remigio, Cebu

Type/Nature of Incident: Murder under Article 248(1) of Act No. 3815 or the Revised
Penal Code (RPC)

Rank and Names of First Responders: PO1 Aljohn Limoran and PO1 Jovan Paez

Time/Date Report of Incident was received by FRs: 10:45PM/ October 11, 2021

Time FRs Arrived at the Crime Scene: 10:50PM

Weather Condition: Starry

Time CS Cordoned Off and Secured/Signs Posted: 10:53PM

Time Flash Alarm/Request for Support Relayed by FR to TOC: 10:56PM

A. Names of Victims and Status (Safe/Injured/Hospitalized/Deceased, etc.,):

Carl Cedric Lequigan Deceased

B. Names of Persons Found at (inside) the Crime Scene by FR (Address/Contact Nrs):

Chrizel Agbones Bahada, Poblacion, San Remigio, Cebu

Robert Gomez Bahada, Poblacion, San Remigio, Cebu

C. Names of Suspects and Status (Arrested/At-large, etc..) and Weapons, if any:

Paulo Tapao Arrested

D. Names of Person Found Near or at the Vicinity of CS (Address/Contact Nr):


Lianie Edano Bahada, Poblacion, San Remigio, Cebu

Alma Barquillas Bahada, Poblacion, San Remigio, Cebu

E. Names of Persons Interviewed by the FR (Address/Contact Nr):

Chrizel Agbones Bahada, Poblacion, San Remigio, Cebu

F. Names of Persons Who Entered the CS after the Arrival of FR and Prior to Arrival
of Investigator (Medics, Local Officials, etc) (Address/Contact Nr):

Hon. Gabriel Ortega 09160236722

Hon. Nate Garces 09234669972

G. List of Evidence That Have Been Seized/Collected/Recovered by the FR (If Any):

Description Disposition

Bullet 1

Bullet 2

Phone

Swabbed Blood

Footprint

Gun Powder

H. Areas where Initial Search were conducted:

Bahada, Poblacion, San Remigio, Cebu

On-Scene Command Post (OSCP) established at:

Bahada, Poblacion, San Remigio, Cebu

Time and Date of Arrival of Investigator at the CS:

10:50PM/ October 11, 2021

This further certifies that the Crime Scene and all the evidence therein by the
FRs have been properly secured and preserved and that all the information
contained herein is true and correct to the best of our ability:

Name and Signature of First Responders:

PO1 Aljohn Limoran ________________________

PO1 Jovan Paez ________________________

CS Received By Duty Investigator/ IOC: Murder under Article 248(1) of Act No. 3815
or the Revised Penal Code (RPC)

Time/Date: 11:01PM/ October 11, 2021

Witnessed By:

Chrizel Agbones
Prepared and Submitted by:

Inspector Kent Ryan Genodepanon


Rank/Name/Designation of Officer/
Signature over Printed Name

CSI Report
RIZWOODS COLLEGES
#14Cabreros St., Basak San Nicolas, Cebu City
College of Criminal Justice

MEMORANDUM

FOR : Chief of Police

FROM : Investigator-on-Case

SUBJECT : Crime Scene Investigation Report re Murder under Article 248(1) of


Act No. 3815 or the Revised Penal Code (RPC)

DATE :October 11, 2021

1. Respectfully submitted is the Respectfully report on Crime Scene


Investigation conducted on October 11, Bahada, Poblacion, San Remigio, Cebu for
alleged Murder under Article 248(1) of Act No. 3815 or the Revised Penal Code
(RPC).

2. The following are the significant activities and information:

a. That the First Responders led by PO1 Aljohn Limoran arrived at the
crime scene on/at, 10:50PM and was able to secure and establish the security
cordon on/at 10:53PM on October 11, 2021; (Please see attached FR Request of
assistance CLO).

b. That the Investigator-on-Case arrived at the crime scene on/about


10:50PM/ October 11, 2021 and thereafter assumed responsibility over the crime
scene and conducted inquiry on the incident; (see attached Investigation CSI Form)

c. That members of the SOCO TEAM (if applicable) led by Police Inspector
Ulrich Bulhot arrived at the crime scene on/at 11:15pm and conducted forensic
investigation and collected all potential pieces of evidence; and

d. That the crime scene was formally released to Police Inspector Ulrich
Bulhot of SOCO Team and security cordon was lifted on/a 01:53am.

3. Attached are the FR’s Report, Investigator’s CSI Form and SOCO reports
for your reference which will form as an integral part of the Case Folder of Murder
under Article 248(1) of Act No. 3815 or the Revised Penal Code (RPC).

Inspector Kent Ryan Genodepanon


Investigator/investigator on Case

You might also like