Run: Evidence Room Access Log

Auto-generated sequential entry number for audit trail continuity.

Date on which access to the evidence room occurred.

Name and location of the evidence room being accessed.

Name of the evidence custodian or supervisor who granted access for this entry.

Official badge or employee ID number as shown on credentials.

Department or external agency the entrant represents.

Custodian must confirm identity before granting access.

Date and time the entrant entered the evidence room.

Date and time the entrant exited the evidence room. Must be after Time In.

Indicate whether the entrant was accompanied by the evidence custodian or another authorized officer at all times.

Enter all associated case or report numbers. Leave blank only if access is for general administrative purposes.

Be specific. Include evidence tag numbers where available. Example: Item #E-2024-0441 — firearm; Item #E-2024-0442 — ammunition.

Select the authorization basis for removing items from the evidence room.

By signing below, I certify that: (1) all information entered in this log is accurate and complete; (2) I accessed only the items listed above; (3) I did not alter, tamper with, or remove any items except as documented; and (4) I understand that falsification of this record may constitute a criminal offense and/or departmental policy violation.

Signature of the individual who accessed the evidence room.

Signature of the evidence custodian or authorized supervisor who oversaw this access event.

Use this field to document any irregularities, seal conditions, damaged packaging, or other observations noted during this access.