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Republic of the Philippines

Department of the Interior and Local Government


BUREAU OF FIRE PROTECTION
NATIONAL HEADQUARTERS
ARSON LABORATORY SERVICE
Agham Road, Brgy. Bagong Pag- asa, Quezon City
Telefax Number: (02) 426-0219/426-0246 local 103
Emai: bfpflares@yahoo.com

EVIDENCE SUBMISSION FORM

FOR : CHIEF, BFP


BFP National Headquarters
Agham Road, Brgy. Bagong Pag-asa, Quezon City

ATTN: Chief, Arson Laboratory Service (ALS)

SUBJECT : Laboratory Examination, Request for

DATE : ___________________

Request Laboratory Examination on the accompanying specimen/subject(s)


specifically for the purpose of:

For FINGERPRINTING

I. FACTS OF THE CASE


1. Nature of the Case : _________________________________________
2. Suspect : _________________________________________
3. Victim : _________________________________________
4. Complainant : _________________________________________
5. Duty Investigator : _________________________________________
Unit Assignment : _________________________________________
6. Place of Fire Incident : _________________________________________
7. Time & Date of Fire Incident: _________________________________________
8. Place where evidence was collected: _________________________________
9. Time & Date evidence was collected: _________________________________

II. EVIDENCE SUBMITTED


___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Requested by:

________________________
Investigator on Case

Approved for Submission:

______________________
City/Municipal Fire Marshal

BFP- QSF-ALS-007 Rev.ØØ (04.30.18)

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