Republic of the Philippines

NATIONAL POLICE COMISSION

PHILIPPINE NATIONAL POLICE
ANTI-CYBERCRIME GROUP
Western Mindanao Field Unit
Regional Anti-Cybercrime Office 12
Camp Fermin G Lira, Jr., General Santos City
Email add: acg.wesmin@gmail.com / rdfl12acg@pnp.gov.ph
Office #: (083) 552-4892

Digital Forensic Laboratory

FORM A-8: CHAIN OF CUSTODY FORM
Lab Case #: Date/Time:

Submitting/Requesting Agency: Agency Case #:

Agency Address: Nature of Crime/s:

Contact Official/Investigator: Contact #:

Item Quantity Description of Evidence (Manufacturer, Model #, S/N, condition,

Number marks/scratches, distinguishing characteristics, etc)

Received By: (Rank/Name) Received From: (Rank/Name)

Signature: Signature:

CHAIN OF CUSTODY
Item # Date/Time Received From: Received By: Reason:
Type/Print: Type/Print:

Signature: Signature:

Type/Print: Type/Print:

Signature: Signature:

Form A-8 For Official Use Only Page ____ of ____

Version 20140519 Approved 19 May 2014