Republic of the Philippines

National Police Commission

PHILIPPINE NATIONAL POLICE
Baguio City Police Office
Station 5
Marcos Highway, Legarda Road, Baguio City

CHAIN OF CUSTODY FORM

Nature of Case: _______________________________________________________

Name of Suspects:_____________________________________________________
Time, Date and Place of Occurrence:_______________________________________
Operating Unit:________________________________________________________
Description of Evidence: ________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

TURNED OVER BY : ________________________________

(Name and Designation)

Agency/Address : ________________________________
Time and Date : ________________________________
Remarks : ________________________________

RECEIVED BY : ________________________________
(Name and Designation)
Agency/Address : ________________________________
Time and Date : ________________________________
Remarks : ________________________________

TURNED OVER BY : ________________________________

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

RECEIVED BY : ________________________________
(Name and Designation)
Agency/Address : ________________________________
Time and Date : ________________________________
Remarks : ________________________________