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Chain of Custody Form

This document is a chain of custody form from the Surigao del Norte Police Provincial Office in the Philippines. It lists evidence from a case, including the nature of the case, suspects, and time/location of occurrence. There are spaces to describe each piece of evidence and note its quantity. The form also includes sections to record each time evidence is turned over, including the names and agencies of the transferring and receiving parties, along with the date and time of transfer.

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Eliseo Villar
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2K views2 pages

Chain of Custody Form

This document is a chain of custody form from the Surigao del Norte Police Provincial Office in the Philippines. It lists evidence from a case, including the nature of the case, suspects, and time/location of occurrence. There are spaces to describe each piece of evidence and note its quantity. The form also includes sections to record each time evidence is turned over, including the names and agencies of the transferring and receiving parties, along with the date and time of transfer.

Uploaded by

Eliseo Villar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines

NATIONAL POLICE COMMISSION


PHILIPPINE NATIONAL POLICE
SURIGAO DEL NORTE POLICE PROVINCIAL OFFICE
Borromeo St., Surigao City

CHAIN OF CUSTODY FORM

Nature of Case: ______________________________________________


Name of Suspects/s: __________________________________________
Time, Date and Place of Occurrence: _____________________________
Arresting Officers / Operating Unit: _______________________________
Description of Evidence/s:

ITEM NUMBER QUANTITY DESCRIPTION


____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________
____________ _________ _______________________________

1. TURNED OVER BY : _______________________________________


(Name and Designation)
Agency / Address: ___________________________________________
Time and Date: ___________________________________________
Remarks: __________________________________________________

RECEIVED BY: ___________________________________________


(Name and Designation)
Agency / Address: ___________________________________________
Time and Date: ___________________________________________
Remarks: __________________________________________________
========================================================

2. TURNED OVER BY: _______________________________________


(Name and Designation)
Agency / Address: ___________________________________________
Time and Date: ___________________________________________
Remarks: __________________________________________________

RECEIVED BY: ___________________________________________


(Name and Designation)
Agency / Address: ___________________________________________
Time and Date: ___________________________________________
Remarks: __________________________________________________
========================================================

1
3. TURNED OVER BY: _______________________________________
(Name and Designation)
Agency / Address: ___________________________________________
Time and Date: ___________________________________________
Remarks: __________________________________________________

RECEIVED BY: ___________________________________________


(Name and Designation)
Agency / Address: ___________________________________________
Time and Date: ___________________________________________
Remarks: __________________________________________________
========================================================

4. TURNED OVER BY : _______________________________________


(Name and Designation)
Agency / Address : ___________________________________________
Time and Date : ___________________________________________
Remarks : __________________________________________________

RECEIVED BY : __________________________________________
(Name and Designation)
Agency / Address : ___________________________________________
Time and Date : ___________________________________________
Remarks : __________________________________________________
========================================================

5. TURNED OVER BY : _______________________________________


(Name and Designation)
Agency / Address : ___________________________________________
Time and Date : ___________________________________________
Remarks : __________________________________________________

RECEIVED BY : ___________________________________________
(Name and Designation)
Agency / Address : ___________________________________________
Time and Date : ___________________________________________
Remarks : __________________________________________________
========================================================

6. TURNED OVER BY : _______________________________________


(Name and Designation)
Agency / Address : ___________________________________________
Time and Date : ___________________________________________
Remarks : __________________________________________________

RECEIVED BY : ___________________________________________
(Name and Designation)
Agency / Address : ___________________________________________
Time and Date : ___________________________________________
Remarks : __________________________________________________
========================================================

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