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EVIDENCE TRANSMITTAL/CHAIN OF CUSTODY
EVIDENCE TRANSMITTAL/CHAIN OF CUSTODY
ocws
2014-01-14T12:21:13-05:00
Submitting Investigator
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Case #
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Insurance Company Information
Name
Company
Address / Civic Address
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AK
AR
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
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MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Canada - Choose Province
AB
BC
MB
NB
NL
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ON
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Zip / Postal Code
Phone Number
Fax Number
Email
Case Information
Case Name or Insured
Claim Number
Loss Location
Policy Number
City / Municipality
State / Province
US - Choose State
AL
AK
AR
AZ
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Canada - Choose Province
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Zip / Postal Code
Artifact Year Make / Model
Identification Number
Loss Date
Please describe the evidence in detail and include location from where evidence was recovered. (Example: One gallon can containing burned carpet, padding and debris removed from the center of the living room by the love seat.)
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
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