Sample request Format of Toxins Examination

Republic of the Philippines

Department of the Interior and Local Government
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
_________________________________________
___________________________

MEMORANDUM

FOR : Director, PNP Crime Laboratory

FROM :

SUBJECT : Request for Toxins Examination

DATE :

1. Request conducts toxins examination on the accompanying specimen to

determine the poisonous ingredients.

a) NATURE OF CASE :

b) VICTIM :

c) SUSPECT :

d) TDPO :

e) SPECIMEN SUBMITTED :

2. Further request that this Office be furnished a copy of examination result

for our reference.

3. For consideration.

___________________________
(CHIEF OF OFFICE)