Sample Format – For Training Purposes Only

NATIONAL FORENSIC SCIENCE TRAINING INSTITUTE

Camp Vicente Lim, Calamba City, Laguna

Crime Scene _______________________ Date _______________________

Identification # __________ _________

CERTIFICATION OF TURN-OVER OF COLLECTED EVIDENCE AT THE

CRIME SCENE FROM CSI TO IOC
TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that the following items/physical evidence found,

collected, and initially marked and inventoried by the CSI Team at the Crime
Scene located at ________________________________________________________
during the conduct of Crime Scene Investigation covering the period from
__________________________ up to ___________________________ by personnel of
__________________________________________________________________
in connection with the alleged
____________________________________________________________ were properly
turned-over to _____________________________________________________________,
the Investigator-On-Case while at the Crime Scene by
_________________________________________, the Evidence Custodian of the CSI
Team.

Items/Articles Quantity/Units
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________
______________________________________ ______________________________________
_____________ _____________

Sample Format – For Training Purposes Only

Sample Format – For Training Purposes Only

Turned-Over by:

______________________________________ ______________________________________
__ __
Evidence Custodian, CSI Team Date and Time

Received by:

______________________________________ ______________________________________
__ __
Evidence Custodian, CSI Team Date and Time

Witness/e to the Turn-Over:

Signature Over Printed Name Address

______________________________________ ______________________________________
_ _

______________________________________ ______________________________________
_ _

Sample Format – For Training Purposes Only