PREPARE DA FORM 4137

1
PREPARE DA FORM 4137 (EVIDENCE PROPERTY CUSTODY
DOCUMENT)
2
ACTION

• Prepare DA Form 4137 (Evidence/Property
• Custody Document).

3
CONDITIONS
In a classroom, given

• A blank DA Form 4137.
• FM 19-20.
• A written situation.
• A black ink pen.

4
STANDARDS

• Complete DA Form 4137 (Evidence/Property
• Custody Document) without error.

5
ADMINISTRATIVE
MPR/CID SEQUENCE NUMBER
EVIDENCE/PROPERTY CUSTODY DOCUMENT
CRO REPORT/CID ROI NUMBER
For use of this form see AR 195-5 the proponent
agency is US Army
Criminal Investigation Command
RECEIVING AUTHORITY
LOCATION
NAME, GRADE AND TITLE OF PERSON FROM WHOM RECEIVED
ADDRESS
(Include Zip Code)
OWNER
OTHER
LOCATION FROM WHERE OBTAINED
REASON OBTAINED
TIME/DATE OBTAINED
6
DESCRIPTION OF ARTICLES
DESCRIPTION OF ARTICLES
ITEM
QUANTITY
( Include model, serial number, condition and
unusual marks or scratches )
NO.
7
DESCRIPTION OF ARTICLES CONTINUATION SHEET
8
CHAIN OF CUSTODY
CHAIN OF CUSTODY
ITEM
PURPOSE OF CHANGE
DATE
RELEASED BY
RECEIVED BY
NO.
OF CUSTODY
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
SIGNATURE
SIGNATURE
NAME, GRADE OR TITLE
NAME, GRADE OR TITLE
DA FORM 4137
, 1 JUL 76
Replaces DA FORM 4137, 1 Aug 74 and DA FORM
4137-R Privacy Act Statement 26 Dep 75 Which are
Obsolete
DOCUMENT
LOCATION
NUMBER
9
DISTRIBUTION OF DA FORM 4137

• Evidence from an individual.
• - Give last copy as a receipt
• Evidence from the execution of a search
  warrant.
• - Leave last copy as a receipt in
  compliance with
• search warrant

10

• Evidence from processing of a crime scene.
• - Do not leave any copy
• Evidence released to the custodian.
• - Give original and all remaining copies
• After custodian completes the form.
• - Receive copy back for case file

11
REVIEW / SUMMARIZE
Purpose of DA Form 4137 (Evidence and/or
Property Custody Document)

• Complete administrative section.
• Complete description of articles section.
• Complete chain of custody section.
• Distribution of DA Form 4137.