Application for Service

Submitting Agency Case Number:

Case Title or Subject Name:

Submitting Agency:

Submitting Person

Name:
Phone Number:
Email Address:

Is the Submitting Person the Lead Investigator?

No Yes

Supervisor

Name:
Phone Number:
Email Address:

Prior associated lab number (if any):

Subject in custody:

No Yes

Classified Material:

No Yes

Priviledged Information Involved:

No Yes

Pending Court Date (if any):

Enter the quantity of:

Computers:
Videos / Media:
Cell Phones / PDAs:
CDs / DVDs:
Floppy Disks:
Other Devices / Media:

Prosecutor

Name:
Phone Number:
Prosecutor's Office:

Legal Authority:

Written commitment from prosecutor:

No Yes

Prepare this case for CAIR:

No Yes

Examination Details

Describe in detail what examinations are needed and what type of data you expect to be present.
Explain any exigent circumstances.
Describe any special handling requirements.

Check any that apply to this case National security implications
Imminent threat of bodily harm
Imminent threat to property

Explain checked items:

Choose the most serious applicable offense

Explain:

For the most serious applicable offense, check all that apply Extensive Public Interest
Public Official / Trusted Position
Career Criminal
Substantial Prevention of Harm / Loss
Monetary Loss Exceeding $100,000
Significant Asset Forfeiture Potential

Explain checked items: