ARKANSAS STATE CRIME LABORATORY EVIDENCE SUBMISSION FORM MAIN LABORATORY

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The following organizational chart defines the relationships within the DNA unit between individuals depending upon their job


ARKANSAS STATE CRIME LABORATORY EVIDENCE SUBMISSION FORM MAIN LABORATORY

ARKANSAS STATE CRIME LABORATORY

EVIDENCE SUBMISSION FORM

Main Laboratory

3 Natural Resources Dr.

Little Rock AR 72215


Phone: (501) 227-5747

Hope Regional Lab

P.O. Box 868

2500 South Main St.

Hope AR 71802

Phone: (870) 722-8530

Lowell Regional Lab

P.O. Box 2134

1120 W. Monroe Ave.

Lowell AR 72745

Phone: (479) 365-8717

ARKANSAS STATE CRIME LABORATORY EVIDENCE SUBMISSION FORM MAIN LABORATORY


Y N

Has any evidence been previously submitted on this case by any agency, at any location?

Agency Case #

     

ASCL Case #



If known, list ASCL case #:      

Investigating Agency

     

Investigating Officer (LAST, First, Title)

     

If applicable, please list additional agencies involved

     

Phone

     

Mobile

(optional)

     

Type of Offense

     

Date of Offense

     

County of Offense

     

E-Mail Address

     


Suspect

Victim

Name (LAST, First)

Arrested?

SID/SSN

DOB

Race

Sex

1

     

Y N

     

     

     

     

2

     

Y N

     

     

     

     

3

     

Y N

     

     

     

     

4

     

Y N

     

     

     

     

5

     

Y N

     

     

     

     

6

     

Y N

     

     

     

     

7

     

Y N

     

     

     

     

Y N If a felony arrest was made, was a DNA sample collected from the suspect?

Y N For SER/DNA requests: Is a copy of the investigative report (or reports) attached? (If not, please forward any such reports to Evidence Receiving)

Firearms Submissions: By signing, I hereby certify all listed firearms are unloaded.

Signature: Date:      

Detailed Summary of Crime (Use provided addendum if necessary):

     

Important—please note the following:

  • The Arkansas State Crime Laboratory (ASCL):

      • Shall select and use appropriate testing methods/procedures
        (
        Please visit the ASCL website to see available methods: link)

    • Reserves the right to transfer evidence to another accredited laboratory when deemed necessary

  • Evidence Packaging and Labeling:

    • All evidence shall be properly packaged and sealed to prevent contamination and/or tampering

    • All biologically contaminated evidence must be marked BIOHAZARD

    • Sharps must be packaged in such a manner as to protect personnel during handling

  • See the list of included/excluded report elements on the Policies section of our website (link)

  • Give us feedback! Please fill out our Performance Survey at: forms.gle/ps49najJmPKUeZ1aA

LAB USE ONLY



ARKANSAS STATE CRIME LABORATORY EVIDENCE SUBMISSION FORM MAIN LABORATORY

ARKANSAS STATE CRIME LABORATORY

EVIDENCE SUBMISSION FORM

All fields required

ASCL Case #


Agency Case # Error: Reference source not found     

Evidence is analyzed using a priority-based system—please list your evidence in order of priority (where 1= highest priority)


Evidence #

Evidence Description

Serology/DNA Requests:

1. List where item was collected (e.g., “under front passenger seat”)

2. List who the item belongs to, if known (e.g., “victim”)

Requested

Service(s)

(see codes below)

1

     

     

     

     

2

     

     

     

     

3

     

     

     

     

4

     

     

     

     

5

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

Type of Analysis Requested:

     

Requested Service Codes (with Examples)

DA: Drug Analysis

Powders, pills, vegetable material, illicit labs
(please notify ER Technician of all lab materials)

DE: Digital Evidence

Computers, mobile devices

FA: Firearms/Toolmarks/NIBIN

Bullets, firearms, cartridge cases, tool marks

(please ensure firearms are completely unloaded)

LP: Latent Prints

Fingerprint processing/comparison

SER/DNA: Serology/DNA

Body fluids, sexual assault kits, DNA comparison

TR: Trace Evidence

Fire debris, GSR kits

TOX: Toxicology

Blood alcohol, drug impairment, death investigation

Please consult with an ER Technician if you have any questions

Submitting Officer (please print):

     

Signature Date

By signing here, I agree to a streamlined report. For included/excluded report elements, see the ASCL website. All excluded elements are available on request.


Document: ASCL-FORM-12_WD [ID: 1227, rev 9] Revision date: 4/26/2021 12:29:35 PM

Approved by: Moran, Cindy, Black, Ryan

Page 2 of 2


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Tags: laboratory evidence, crime laboratory, laboratory, crime, state, submission, evidence, arkansas