ORAGANIZATION NAME

DIGITAL EVIDENCE
CHAIN-OF-CUSTODY FORM

Case Number:_________________________________
Examiner:____________________________________	Client:_______________________________________
Client's Phone No.:_____________________________	

Date/Time Rcvd: ________________	Date/Time Exam: ______________	Critical/Due Date: _____________	
Initial Case Detail/Investigator’s Request for Analysis – Include Unique Keywords or File names:		

	

	

	

	
INVENTORY OF COMPONENTS FOR EXAMINATION
Item	Evidence #	Manufacturer	Model	Serial #	
CPU (1)
					
Monitor (2)
					
Keyboard (3)
					
Mouse (4)
					
HD1	
IDE  SCSI 									

HD2	
IDE  SCSI 									

Other (5)					

Other (6)					

Other (7)					

Other (8)					

Other (9)					

CHAIN OF CUSTODY
ITEM(S) #  or DESCRIPTION         FROM                                    TO                             DATE/TIME                                       REASON