SOUTHWESTERN

INSTITUTE OF FORENSIC SCIENCES

AT DALLAS

TELEPHONE: 214-920-5990
FAX: 214-920-5812

5230 Medical Center Drive

Dallas, Texas 75235

DRUG ANALYSIS LABORATORY

Evidence Summary

FL #: ______________________________
Submitting Agency: DALLAS POLICE DEPARTMENT Offense/Arrest Date: ______________________
(Please Print)
Case Name (s): ________________________________ Comments: ___________________________________
Service #: _____________________ Tag #: ____________________ Invoice #: _______________________
Seized by: ______________________________ Delivered by#:_____________________________________
____________________________________________________________________________________________
Item (s) Received:
Exhibit 1:
Internal Evidence Transfer
_____ heat sealed evidence bag (s) containing
_____ sealed brown paper bag (s) containing
_____ sealed cardboard box (s) containing
_____ sealed biohazard bag (s) containing
_____ sealed manila envelope (s) containing
_____ sealed evidence bag (s) containing
_____ other: _________________________

Date

From To

Sealed

Item (s)

Exhibit:

DPD Drug Protocol Sheet Included Yes No

Submission Wt:
Exit Wt:

Date Received: _______________________ Date/Time Released: _____________________________________

Delivered by: ________________________
(Please Print)
________________________

Released to: _______________________________________

Received by: ________________________

Released by: _______________________________________

_______________________________________