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2. Date of Request*
   Date of Request
4. Name
5. Email Address
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
14. Case #
16. Items*
    List all items you are requesting to have returned
18. Signature*
    By signing above you are agreeing to begin the process of retrieving the described above. You understand that the release of the listed item(s) requires officer and prosecutor approval. A background check is required for any firearm item(s). When all of these conditions have been met an appointment must be scheduled with the Evidence Technician.
22. Evidence Custodian Use Only

    1. Case Status __________
    2. Officer Approval __________
    3. Prosecutor Approval________
    4. Background Needed________
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field