Fillable Printable Evidence/Property Custody Document
Fillable Printable Evidence/Property Custody Document
Evidence/Property Custody Document
LOCATION FROM WHERE OBTAINED
EVIDENCE/PROPERTY CUSTODY DOCUMENT
MPR/CID SEQUENCE NUMBER
ITEM
NO.
NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED
QUANTITY
DESCRIPTION OF ARTICLES
DA FORM 4137, 1 JUL 1976
OWNER
OTHER
LOCATION
DOCUMENT
NUMBER
APD LC v1.00
ITEM
NO.
DATE RELEASED BY RECEIVED BY
PURPOSE OF CHANGE
OF CUSTODY
CHAIN OF CUSTODY
CRD REPORT/CID ROI NUMBER
RECEIVING ACTIVITY LOCATION
REASON OBTAINED TIME/DATE OBTAINED
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
(Include model, serial number, condition and unusual marks or scratches)
ADDRESS (Include Zip Code)
Replaces DA FORM 4137, 1 Aug 74 and
DA FORM 4137-R Privacy Act Statement
26 Sep 75 Which are Obsolete
For use of this form see AR 190-45 and AR 195-5; the proponent agency is US Army
Criminal Investigation Command
DESTROY
THE ARTICLE(S) LISTED AT ITEM NUMBER(S)
CUSTODIAN, IN MY PRESENCE, ON THE DATE INDICATED ABOVE.
FINAL DISPOSAL ACTION
FINAL DISPOSAL AUTHORITY
ITEM(S)
REQUIRED AS EVIDENCE AND MAY BE DISPOSED OF AS INDICATED ABOVE.
ON THIS DOCUMENT, PERTAINING TO THE INVESTIGATION INVOLVING
(IS) (ARE) NO LONGER
(Organization)(Name)
(Grade)
(If article(s) must be retained, do not sign, but explain in separate
correspondence.)
(Typed/Printed Name, Grade, Title) (Signature) (Date)
WITNESS TO DESTRUCTION OF EVIDENCE
(WAS) (WERE) DESTROYED BY THE EVIDENCE
(Typed/Printed Name, Organization) (Signature)
APD LC v1.00
ITEM
NO.
DATE RELEASED BY RECEIVED BY PURPOSE OF CHANGE
OF CUSTODY
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
SIGNATURE
NAME, GRADE OR TITLE
CHAIN OF CUSTODY (Continued)
RELEASE TO OWNER OR OTHER (Name/Unit)
OTHER (Specify)
