WORK ETHIC CAMP
NEBR.ASKN
PROCEDURE
EVIDENCE HANDLING PROCEDURES
Good Life. Great Mrssion
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
PAGE
March 1,2021
203.Ol.OOl
I of lO
STATEMENT OF AVAILABI LITY
Official Distribution
EFFECTIVE:
REVISED:
REVISED:
REVISED:
REVISED:
REVISED:
REVIEWED:
REVISED:
REVIEWED:
REVISED:
REVISED:
REVISED:
May 24,2OO2
September 21,2012
October 25,2013
November 24,2014
September 30, 2015
September 30, 2016
December 31,2016
September 30,20'17
September 30, 2018
December 31, 2019
July 31 ,2020
March 1,2021
SUMMARY OF REVISION/REVIEW
Changed strip search to safety search in section l.C.1.c.iii
APPROVED
PAMELA MORELLO, WARDEN
WORK ETHIC CAMP
WORK ETHIC CAMP
NEBRAEKA
PROCEDURE
EVIDENCE HANDLING PROCEDURES
Good Life. Great Mission
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
March 1,2021
203.Ol.OOl
PAGE
2oflO
STATEMENT OF AVAI LABI LITY
Official Distribution
PURPOSE
To provide for the handling of physical evidence recovered at the Work Ethic Camp (WEC), and to specify exact
procedures for its control, identification, protection, storage, movement, and final disposition.
GENERAL
The importance of the correct recovery and maintenance of physical evidence at the WEC cannot be overstated in
relation to disciplinary or legal procedures. The guidelines covering rules of evidence and the chain of accountability for
all recovered evidence, as contained herein, are directive in nature and must be obeyed.
PROCEDURE
EVIDENCE
A.
Evidence Storage Areas
There is one evidence storage area within the facility located in room A188, which is restricted exceot to
the following team members: Warden, SecurityAdministrator, LieutenanUshift Supervisor, Evidence
Custodians, Shift Sergeant, Key & Tool Control, and Maintenance. This area is the onlv one where
evidence is stored unless unique conditions exist. All evidence concerning lnstitutional Disciplinary
Committee (lDC) or Unit Disciplinary Committee (UDC) Hearings (with the exception of currency/coin
subject to special handling, paragraph V.D. below) is stored in this area untilthe conclusion of the IDC
or UDC hearing and authority for destruction or return of evidence is given. Any deviation(s) requires
the approval of the Shift Supervisor/designee on a case-by-case basis.
B.
V
,
Evidence Custodians
There will be one Sergeant and one other Security team member appointed by the Security
Administrator to act as Evidence Custodians. The Sergeant will be designated as the Primary Evidence
Custodian and the other Security team member appointed will be designated as the Alternate Evidence
Custodian.
C.
Evidence Collection Procedures
Any pertinent physical evidence and the containers for which become(s) available in the course of a
Evidence
misconduct
criminal investigation are properly protected through use
(see
strictly
adhered
for
WEC
are
below)
the
The
Rules
of
Evidence
Bags/Tags.
Containers/Evidence
to and there will always be a continuous written Chain of Accountability.
or
1
of
Proper Handling Techniques
a.
When collecting evidence that has blood on it, DO NOT PUT lT lN A PLASTIC
CONTATNER/BAG. Let the blood air dry, then place evidence in a paper sack. Let
the blood air dry, then place evidence in a paper sack. Tape (packing/packaging such
as 2 inch wide 3M tape) the bag shut and initial across the tape onto the packaging.
That marking shall traverse the boundary between the seal and the packaging when
possible. Then place a properly filled out tag on the sack, do not collapse the bag.
\-/
WORK ETHIC CAMP
NEBRASKN
PROCEDURE
EVIDENCE HANDL!NG PROCEDURES
Good Life. Great Mission
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
PAGE
March 1,2021
203.Or.OOr
3oflO
STATEMENT OF AVAILABILITY
Official Distribution
See Procedure 115.15.001, Serious lnfectious Diseases, for precautions to be
followed when handling items contaminated with blood.
b
When collecting weapons as evidence, collect them by picking them up by other than
the handle or area where there may be finger prints (i.e., if it is a knife, pick it up bythe
blade tip). Then place it in a plastic evidence container and secure it with tow file
labels.
c.
When collecting liquids in containers (with the exceotion of taking urine specimens),
place a seal over the opening of the container and mark it with initials, date, and time.
Then place in evidence bag.
t.
When collecting urine specimens, the specimen containers must be labeled
with the inmate's full name, identification number, the date and time, name of
team member and witnesses, and any other relevant identifying information,
including whether or not the inmate is currentlytaking prescribed medications,
type of test such as "R.U.A." for random testing, or "R.S." for reasonable
suspicion.
Plastic gloves must be worn by any inmate giving a urine specimen and by
team member supervising the urine collection. Refusal by the inmate to wear
gloves while providing the specimen will be considered a refusalto submit to
the urinalysis.
iii.
lnmates will be safety searched prior to providing a urine sample.
iv
A "statement of Testing Blood or Urine for Drugs and/or Alcohol" form must
be completed prior to each urinalysis. Similarly, whether or not an inmate is
taking any prescription or over-the-counter medication must be recorded on
this form. Forms indicating refusal will be attached to the lncident Report, a
copy of which will be sent to the Security Administrator and Unit Manager.
V
The Evidence Tag (Attachment 1) will be marked "R.U.A.", "R.S.", to identify
the specimen, and will be placed in a specially marked box in the Admissions'
freezer. The Evidence Tag must be completed thoroughly. Onlythe person
who administers the UA test will sign the area "From". Only the team member
transporting the UA specimens will sign the areas designated as'To," and
"Date and Time".
vl.
The U/A will be placed in the freezer in the Admissions Property Room after it
has been sealed and secured in an evidence bag. The freezer will be
secured with a locking mechanism.
d.
Place only one item in an evidence bag if there is a chance of contaminating other
items in the bag.
e.
lf evidence is found and the suspect is not known and the item can be printed, (for
example a "note"), provide a list of all inmates with access to the immediate area.
WORK ETHIC CAMP
NEBRAEKA
PROCEDURE
EVIDENCE HANDLING PROCEDURES
Good Life. Great Mission
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
PAGE
March l,2O2l
203.Ot.OOr
4ofIO
STATEMENT OF AVAILABILITY
Official Distribution
f.
lf the evidence found is a needle(s), DO NOT ATTEMPT TO RECAP OR TO COVER
THE NEEDLE WITH TAPE. Carefully, place any needles in individual, hard plastic
containers and seal with office labels signed by the team member securing the
evidence.
g.
Bag and tag currency, jewelry, medication and drugs separate from any other
evidence collected.
h.
D.
lf the evidence found is medication, place it in its own container. Discovering team
member will fill out a NDCS ldentification of Confiscated Medication (Attachment 2).
Evidence Containers/Evidence Bagsffags
Whenever physical evidence is collected it will be properly secured and marked through the use of
evidence containers/bags and tags. lf the evidence is too large to be placed in a bag, place an
evidence tag on it. The information on these containers/tags must be complete and accurate. lf
quantities are significant, prepare a typed listing showing: item, owner, taken from/to, date, storage
location, finaldisposition, and authority. Evidence containers/tags can be obtained from the Housing
Unit Work Station or the Sergeant's Office (See Attachments '1,2,3, and, 4 on the proper filling out of
evidence information.
E.
V
)
Rules of Evidence
Whenever there is an incident that requires collection of physical evidence, the following steps shall be
taken.
1
2.
Protect the scene as much as possible by allowing no team member or inmate traffic through
the area. After preliminary investigation and collection of the pertinent physical evidence, the
area may be sealed or opened for normal use, as appropriate to the infraction. The first team
member on the scene will protect the area until relieved by the Assistant Shift Supervisor.
Prepare a description of the scene. Show the entire area encompassed at the scene through:
a.
b.
c.
d.
Photographs (properly labeled Photo l.D. Label - Attachment 3).
Video (properly labeled Video Evidence Label - Attachment 4).
Drawing (hand-drawn sketch of entire room, area, etc.)
Written description, noting the exact location of all evidence located within the scene
area.
NOTE: Do not forget to note the location of all persons in the scene area not connected with
the investigative force and to call the NDCS lnvestigators and/or Nebraska State Patrol, if
needed.
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WORK ETHIC CAMP
NEBRASKA
PROCEDURE
EVIDENCE HANDLING PROCEDURES
Good Life. Great Mission
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
PAGE
March 1,20.21
203.Or.OOr
5oflO
STATEMENT OF AVAILABI LITY
Official Distribution
II.
3.
Protect all physical evidence collected. Be sure not to damage or deface the property. Place
the evidence in an evidence bag. Attach the completed evidence tags onto the bag and
properly seal the bag. After the evidence has been marked (also photographs or video tapes),
the reporting team member places it in an evidence drop box. (Any evidence to be immediately
submitted to outside law enforcement authorities will be processed through the Evidence
Custodian. A copy of the evidence tag, for evidence transferred to outside authority, shall be
retained by the Evidence Custodian, and the Evidence Log will reflect that this evidence has
been turned over to another law enforcement jurisdiction).
4.
Maintain accurate chain of accountability for evidence. This will be accomplished by having
each person who has had possession of the evidence from the time of collection until the final
disposition, after case disposition, affix signature, date, and time when the evidence was taken
possession of/relinquished. This must be done without fail. (See Attachment 1 on Proper
Filling Out of Evidence Tag) NOTE: Each party signing the evidence tag will be responsible
for the evidence until signed off to another person.
DUTIES OF CUSTODIANS
A.
The Primary Evidence Custodian is responsible for the handling, storage, records, providing the
evidence for the IDC or UDC Hearing and the disposition of evidence after the hearing. The Evidence
Custodian will submit an itemized list of evidence that has been placed into evidence every 30 days to
the Security Administrator, and an itemized list of evidence for final disposition of evidence every 90
days to the Security Administrator.
B.
ItI.
The Alternate Evidence Custodian performs duties of Primary Evidence Custodian in the absence of
the Primary Evidence Custodian and assists in other evidence handling duties as needed.
SUBMISSION OF EVIDENCE
A.
Evidence confiscated by team members will be placed in an evidence container or bag. An evidence
tag will be properlyfilled out and attached. The evidence will be placed in a secure evidence depository
by the reporting team member. Physical evidence subject to confiscation shall be defined as any
documents, property, photographs, body hair/fluids, or contraband relating to specific rules violations.
Evidence may be confiscated at the time of the occurrence or as soon thereafter as it becomes
available to a team member with knowledge of the rules infraction.
B
Evidence in the form of photographs will have a completed Photo l.D. Label affixed to each photo, and
will be placed in an evidence bag with a completed evidence tag. DVD's and videotapes that are
submifted into evidence will have a completed Video Evidence Labelaffixed to the videotape along with
a completed evidence tag. (NOTE: Videotapes of Use-of-Force will be retained for at leastfive years).
c.
Team member completing the Evidence Tag will sign the "FROM" area. 'TO", "DATE", and'TlME" will
be left blank for the Evidence Custodian to sign. The evidence willthen be placed in the Evidence Drop
Box. Upon recovery of the evidence from the Evidence Drop Box, the Primary or Alternate Evidence
.DATE', and "TIME" section of the Evidence Tag as well as the next
Custodian will fill in the 'TO",
"FROM" area. Whenever possible, evidence should be turned into the Primary or Alternate Evidence
Custodian, in person, in order to avoid any possible break in the Chain of Evidence Possession.
WORK ETHIC CAMP
NEBRAEKA
PROCEDURE
EVIDENCE HANDLING PROCEDURES
Good Life Great Mission
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
PAGE
March 1,2021
203.Or.OOr
6oflO
STATEMENT OF AVAILABI LITY
Official Distribution
D
On occasion, there may be times when evidence (immediately following discovery) may need to be
destroyed because of health and/or sanitation reasons. When this becomes necessary, the discovering
team member will photograph the evidence and make comment on the lncident Report as to why the
evidence was so disposed of.
E.
IV.
When evidence is confiscated and placed in the evidence container, it is important that the label on the
Evidence Bag be filled out properly and completely. Make sure the Evidence Bag is properly sealed so
the evidence will not fall out when placing it into the evidence drop box.
PROCEDURES FOR EVIDENCE CUSTODIAN IN HANDLING OF EVIDENCE
A
Upon receiving evidence from the investigating team member, the Evidence Custodian will ensure the
evidence tag is complete, prepare an Evidence Record (Attachment 5), and make entryof evidence on
the Master Evidence Log (Attachment 6). ln the case of evidence being used in disciplinary actions
against more than one inmate, the evidence materials are to be labeled with all suspect's names and
numbers to represent each inmate charged.
1
lnformation on the left side of the Evidence Record pertains to information of the Evidence Bag
or Tag.
2
The right side of the Evidence Record pertains to information dealing with the handling of the
evidence by the Evidence Custodians.
3.
All entries on the Evidence Record Card should be typewritten or printed in ink. Blue and black
ink are the only ink colors to be used.
4.
The left side of the Card should contain the following:
a.
b.
c.
\-/
Block 1 - Enter name of inmate suspect (Last Name First)
Block 2 - Enter registration number of inmate/inmate.
Block 3 - Enter last names and numbers of other suspects.
When more than one suspect is involved, an Evidence Record Card will be
filled out for each suspect. Each card will contain the names and numbers of
other suspects.
il.
lnformation pertaining to the handling of the evidence when multiple suspects
are involved will be documented on one Evidence Record Card.
il1.
The card containing the handling information will be determined by using the
last names of the inmate suspects. lnformation pertaining to the handling of
the evidence will be annotated on the Evidence Record Card of the suspect
whose last name is closest to the beginning of the alphabet.
iv.
lf there are no suspects, the evidence will be filed under'NONE'
v
WORK ETHIC CAMP
NEBRASKN
PROCEDURE
EVIDENCE HANDLING PROCEDURES
Good Life. Great Mission
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
PAGE
March 1,2021
203.Or.OOr
ToflO
STATEMENT OF AVAITABILITY
Official Distribution
d
Block 4 - Enter the physical description of the evidence collected including size, color,
material used, quantity, etc., (description of evidence may be more detailed than
description on Evidence Tag).
e
Block 5 - Enter the date and time the evidence was recovered. This date and time
should correspond to the date and time on the evidence tag.
f.
g.
h.
i.
Block 6 - Enter name of team member recovering evidence.
j
Block 7 - Enter the general description of the location where the evidence was found.
Block 8 - Evidence Custodian to record Evidence Area of Storage.
Block 9 - Enter name of team member surrendering evidence to Evidence Custodian.
Block 10 - Enter the date and time the evidence was surrendered to the Evidence
Custodian.
k.
Block 11 - Enter the name of the Evidence Custodian who received the evidence.
Blocks 12, 13 and 14 - Will be completed any time that evidence is removed from the
evidence locker.
lf the evidence is removed and returned to the evidence locker more than once,
additional entries so indicating will be made on the back of the Evidence Record Card.
l.
Block 12 - Enterthe date and time thatthe evidence is removed from the
evidence locker.
ii
Block 13 - Enter the name of the person receiving the evidence and the name
of the Evidence Custodian surrendering custody of the evidence.
Block 14 - Enter the reason for removing the evidence from the evidence
locker.
IV
Evidence should only be removed for laboratory analysis, investigation by law
enforcement agencies, court appearances, WEC disciplinary proceedings,
lDC, UDC, final disposition, or other occasions deemed necessary by the
Warden/designee.
Unless special conditions exist, evidence will be picked up and transferred by
the assigned Evidence Custodians.
vi
It will be the responsibility of the Evidence Custodians to periodically contact
any agencies that have custody of evidence checked out of the WEC
evidence locker to ensure eventual return of such evidence.
m
Blocks 15, 16 and 17 - Evidence that has been checked out of the evidence locker and
is being returned. lf the evidence is removed and returned to the evidence locker
WORK ETHIC CAMP
NEBRAEKA
PROCEDURE
EVIDENCE HANDLING PROCEDURES
Good Life. Great Mrssion
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
PAGE
March 1,2o21
203.Or.OOr
I of IO
STATEMENT OF AVAI LABILITY
Official Distribution
more than once, additional entries may be made on the back of the Evidence Tag.
n.
Block 15
- Enter the date and time that the evidence is returned to the Evidence
Custodian.
o.
Block 16 - Enter the name of the person returning the evidence.
p.
Block 1 7 - Enter the name of the Evidence Custodian receiving the returned evidence
q.
Block 18 - Enter the final disposition of the evidence on the back of the form
l.
The date, method and location of final disposition of evidence will be
recorded.
il.
All dispositions of evidence will require the signatures of both the Evidence
Custodian and a witness.
iii.
V.
\-/
SPECIAL PROCEDURES FOR HANDLING CONFISCATED CURRENCY OR COIN
A.
VI.
Make cross-reference entries to Official Disposition Report to Warden
Upon receipt of evidence consisting of U.S. currency or coin, the Evidence Custodian will provide a
receipt to the reporting team member and a copy to the Business Manager for the evidence received.
The cash/coin evidence will remain in the Evidence Locker until after disposition is made by the IDC or
UDC. lf, after a minimum of 90 days has passed and no legal action involving the evidence is pending,
the Evidence Custodian will deliver the evidence to the Business Manager so it may be credited to the
appropriate inmate's confiscated cash account. The Business Manager will sign and date the Evidence
Bag and also provide a detailed receipt to the Evidence Custodian for the money received. All
cash/coin evidence will remain in the Evidence Locker until the first business day when the Business
Manager is available to receipt it properly. All currency is to be secured with the Business
Manager/designee as soon as possible.
FINAL DISPOSITION OF EVIDENCE
A.
Disposition of evidence may be obtained after IDC or UDC has determined the status of the evidence
and annotated the evidence's disposition on the IDC or UDC Action Sheet.
B.
Items of evidence for IDC hearings or items which may be used in possible criminal investigations will
be stored for a minimum of ninety days, with the exception of alcohol or perishable goods such as
bread and milk. Positive urinalysis specimens shall be maintained in accordance with Policy 211.01,
lnstitutions: Drug Testing Program.
c.
After evidence has been stored for a minimum of 90 days and no legal action involving the evidence is
pending, authorization for final disposition of evidence may be obtained by notifying the Security
Administrator/designee of disposal intent. This will be accomplished in writing, giving an itemized list of
the evidence to be disposed. The Security Administrator or designee will affix his/her signature for
authorization.
\-/
WORK ETHIC CAMP
NEBRASKN
PROCEDURE
EVIDENCE HANDLING PROCEDURES
Good Life. Great Missron
DEPT OF CORRECTIONAL SERVICES
REVISION DATE
NUMBER
PAGE
March l,2O2l
203.OI.OOr
9oflO
STATEMENT OF AVAILABILITY
Official Distribution
D
The specific method of disposal will be by physical removal to the City Landfill. A witness will
accompany the Evidence Custodian and observe the disposal of the evidence.
1
E.
When sending drugs to be tested at the State Crime Lab, team member will complete a
Nebraska State Patrol Evidence and lnventory Submittal Form and Receipt (Attachment 7).
The State Crime Lab will only test drugs if the NDCS is going to press charges.
Evidence that is not considered contraband will be returned to the owner(s) after g0 days or
immediately after the investigation has determined the status of the evidence. The owner will sign for
the returned property on the Evidence Record Card. Confiscated items that cannot be returned to the
owner of record due to discharge or death shall be donated to a charitable organization. Anydisposition
of evidence will be reflected on the Evidence Log.
F
The Evidence Custodian will retain records in the form of Evidence Cards, Tags, and Evidence Logs for
five years after the disposition of evidence. The Evidence Log will show the final disposition and date.
A report detailing the materials disposed of, by date and witnesses will be submitted on a routine basis
to the Security Administrator/designee for permanent file. Evidence Logs will be routinely audited by
the Security Administrator to ensure that all entries are correct. The Security Administrator will submit a
report to the Warden detailing the results of such audits.
REFE
STATUTORY REFERENCES: None stated.
POLICY:
A.
Policy 2O3.01, Security and Control.
PROCEDURE:
A.
IV
Procedure 115.15.001, Serious lnfectious Diseases.
ATTACHMENTS:
A.
B.
C.
D.
E.
F.
G.
Evidence Tag and the Proper Procedure for Filling Out Evidence Tag (Attachment 1).
NDCS ldentification of Confiscated Medications (Attachment 2).
Photo l.D. Label (Attachment 3).
Video Evidence Label (Attachment 4).
Evidence Record Card (Attachment 5).
WEC Master Evidence Log (Attachment 6).
Evidence and lnventory Submittal Form and Receipt (Attachment 7).
WORK ETHIC CAMP
NEBRAEKA
Good Life. Great Mission
DEPT OF CORRECTIONAL SERVICES
PROCEDURE
EVIDENCE HANDL!NG PROCEDURES
REVISION DATE
NUMBER
PAGE
March 1,20.21
203.Or.OOr
lO of lO
STATEMENT OF AVAILABILIry
Official Distribution
V.
vr.
NEBRASKA SECURITY MANUAL CHAPTER
OO7
AMERTCAN CORRECTTONAL ASSOCTATTON (ACA) STANDARDS
A.
Performance Based Standards for Adult Community Residential Services (ACRS) (4th edition)
4-ACRS-2C-03
\-/
\-/
(Attachment l)
PROPER PROCEDURE FOR FITTING OUT EVIDENCE TAG ON
WORK ETHIC CAMP EVIDENCE TAC
1 EVIDENCEDESCRIPTION:
Tnas information must
Nebraska Depl. of Correctional Services Fac.lProg
Case No
EVIDENCE
by the reporting
emplovee ancl must be accurate
enough to distinguish the
evidence contained.
completecl
Evidence DescriPtion
Place Evidence Found
2
Date & Time of EecoverY
Olf ense
Suspect
PTACE EVIDENCE FOUND:
Reporting employee rnust fill in
Victim
this inforrnataon, being
Evidence Recovered 8Y
as possible.
ocs-^ tc@s
(',rr,E6)
t)e
Signorurc. flrnl
CHAIN OF POSSESSION ON B€VERSE SIOE
as
specific
3
DATE & TIME OF RECOVERY:
The reporting employee rnust be
as accurate as possible in filling in
this information
CHAIN OF POSSESSION OF EVIDENCE
4
Signatures Required
From
Date
To
Time
SUSPECT
List of fender name & number and
be precise. lf more than one
suspect, be sure to list
all narnes and numbers.
offender
is
5. OFFENSE/CASENUMBER:
aqtt|q write in these spaces This
information will be filled in bY
DisciplinarV Committee staf f.
6.
7.
VICTIM:
Reporting emploYee will fill in
this informataon, 0NLY if the rttle
infraction was against another
EVIDENCE RECOVERED BY.
This information is essential to
maintain chain of evidence,
person(s).
8.
CHAIN OF EVIDENCE:
possession of evidence cnanges,
TIME
EACH
this part of tag must be updated The first
name will be the employee who originallY
recoverecl the evidence. When the evidence is turned over to
another person, it will be signed
and dated ancl the tinre noted WITHOUT FAIL
Evidence MUST be siqned for. lt CAN NOT lle
signed over "TO" an object (i e ''evidence locker" or "refrigerator"t
SERVICES
DEPARTMENT OF CORRECTIONAL
--loEnrrrtcATtoN
'NEBRASKA
oF coNFlscATED MEDIcATIoNS
MATE
DESCRIPTION OF MEDICATION FOUN D
INMATE
BER:
DI
DA
\-,
(uaue or.r corcAlNER. coLoR, TABLET, cAPSULE, ETc ):
NUMBER OF P]LLS CONFISCATED:
I
RING
DI
,
PRESGRIPTION ]SEDIGATION
PRESCRIBED TO ABOVE-NAMED INMATTZ
EVes flruo
]SSUEDTOABOVE-NAMED
ICATION
NAME:
(SPEOFY TYPE OF DRUG, I.E., TRANQUILIZER, ANTI-
OFM
DEPRESSANT. ANTIBIOTIC. BARBITURATe,
t.--.
::-
OVER.THE.GOUNTER HEDICATION
TYPE
CATION
INMATE?
flYEs Eruo
E:
(sPEctFY usE,
1.E.,
FoR PAIN, ANrAclD'
sTooL soFrENER. ANIIBIOTIC OINTMEtfi' Erc.):
Erc.)l
TOTAL NUMBER ISSUED:
TOTAL NUMBER OF PILLS PRESCRIBED:
NUMBER OF REFILLS
TE ISSUED
ISSUED:
TE
EXPIRATION DATE
EXPIRAT]ON DATE:
ORIGINAL CONTAINER?
ABUSTVE/INTOXICANT
DRUG?
lves
Eno
EYES
EINO
ORIGINAL CONTAINER?
IYES
Eno
ABUSIVE/INTOXICANT DRUG?
EYES
ENO
FOR
FOR
TAKEN WTH MEAL / FOOD?
Eves
Eruo
SELF.MEDICATION?
EIYES
EHO
DATE:
'AFF
FORWARD TO DISCIPLINARY COMMITTEE COORDINATOR'S OFFICE
\-/
DISTRIBUTION: Attactl orighal to corr$Po]ding Mlsconduct Repdt
OCS4€dm{62+c
PRINTED FRorll AGENCY SMRED DRIVE
AR2B.O1
(Attachnent 2)
NEBRASKA DEPARTMENT OF CORRECTIONAL
SERVICES
PHOTO ID LABEL
CASE
I
TNMATE NAME(S)
PICruRE
NUMEE
DESCRIPTION OF PHOTO
PLAC E PHOTO TAKEN
DArE AND TIME OF PHOTO
PHOTO TAKEN BY
DCS-A-sec-o22 (t/98)
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(Attachnent
NEBRASKA DEPARTMENT OF CORRECTIONAL SERVICES
EVIDENCE RECORO
2
1
INMATE NAME
3. OTHER SUSPECTS:
NUMBER
&l
)
8. BrN#
9. RECEIVED FROM
10. DATE/TIME
11. RECEIVED BY:
12. DATE/TIME OUT
4. EVIDENCE DESCRIPTION:
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14. REASON:
1
5. DATE/TIME RETURNED:
5. DATE/TIME RECOVERED
6. RECOVERED BY:
16. RECEIVED FROM
7. PLACE FOUND:
17. RECEIVED BY:
DCS-A'sec-o11 (r- 297)
18. FINAL DISPOSITION: SEE REVERSE SIDE
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A
Evidence & lnventory
Submitting Agency: Type or print Sections A thru E Only
Submitta! Form and Beceipt
Nf;\aska State Patrol
C
nalislics Laboratory
12.>J Arapahoe
Lincoln. NE 68502-4538
(402)471-8950
Nebraska State Patrol
Latent Fingerprint Section
PO. Box 94907
Lincoln. NE 68509-4907
(402)479-491
Nebraska State Patrol
Satellite Crime Lab
P.O. Box 1265
North Platte, NE 69103-1265
DATE
6 or 479-4917 (3OB)53s-8047
INVESTIGATING OFFICER
8ADGE.
ADDFE SS
CITY. STATE
LAB NO
AGE NCY
(
ZIP CODE
)
PHONE,
REPORTS TO BE SENT TO INVESTTGATING OFF]CER AND ANY INDIVIDUAL OR AGENCY SPECIFTED BELOW
B
NAME
AOORESSI
ZIP CODE:
NTME
ADORESS:
ZIP COOE
SUSPECTEO OFFENSEI
NAME
DATE CFIME OCCURREO
COUNTY
AGENCY CASE NO.
NSP CASE NO
BACE
<D
t-
I
6
tr
O
tU
o_
a
l
U)
FACTS CF CASE
D
DISPOSIT,ON CF EVIDENCE. Ahet aoaiysls !flt@t
Will Pick Up
Approgate
Elank_
Mail Back (2 lbs. or less)
INVENTORY OF EVIDENCE SUBMITTED
NO.
NSP 750, Aug 98
DESCR'PTION
(INVENTOBY conlinued on reverse side)
EXAMINATION(S) REOUESTED
SEX
LAB NO
TNVENTORY OF EVIDENCE SUBMITTED (continued)
E
EXAMINATION(S) BEOUESTED
DESCBIPTION
NO.
Use addrtionai sheels if necessary
----- For Laboratory Use OnlY
F
BE CE'VE
TIME:
DATE
D BY
AGENCY'
BAOGE NO
FROM.
\-/
REGISTEBED/CEBTIFIEO IJAIL I'IO
TIME
DAT E
RELEASEO BY
BADGE ilO,
FEGTSTEREDTCERTIFIED
AGENCY
iJAIL IIO
CHAIN OF POSSESSION OF EVIDENCE
ITEM
NO.
DESCBTPTION
IN
Use additional sheels i! necessary
OUT
DATE/
TIME
RECE]VED
BY
BELEASED
BY