How to Fill Out Evidence Submission Form

Evidence Submission Form at a glance

What it is: The Arkansas State Crime Laboratory Evidence Submission Form.

Who signs: Submitting Officer (please print), Signature and Date.

What to bring and attach to Evidence Submission Form

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.

A filled-in Evidence Submission Form example: a deputy submits a pistol and a swab

Evidence Submission Form example filled out, example: a deputy submits a pistol and a swab
Deputy Jane Sample of a county sheriff's office submits this form. One burglary suspect was arrested, so a DNA sample was collected; no evidence was previously submitted. The picture shows the filled form and none of its entries is real. Only one person is listed, so rows 2 to 7 of the people table stay empty. ASCL case # is left blank because no evidence was previously submitted. Mobile is left blank because it is optional. Evidence rows 3 to 12 stay empty because only two items are listed.

How to fill out Evidence Submission Form, box by box

Previously submitted evidence, ASCL Case # and Agency Case #

Evidence Submission Form example filled out, previously submitted evidence, ASCL Case # and Agency Case #

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

If known, list ASCL case #.

Enter the Agency Case #.

Investigating Agency and Investigating Officer

Evidence Submission Form example filled out, investigating Agency and Investigating Officer

Enter the Investigating Agency.

If applicable, please list additional agencies involved.

Enter the Investigating Officer (LAST, First, Title).

Enter the Phone, the Mobile (optional) and the E-Mail Address.

Offense

Evidence Submission Form example filled out, offense

Enter the Type of Offense, the Date of Offense and the County of Offense.

Suspect, Victim, Name, Arrested, SID/SSN, DOB, Race and Sex

Evidence Submission Form example filled out, suspect, Victim, Name, Arrested, SID/SSN, DOB, Race and Sex

Enter Suspect or Victim, Name (LAST, First), Arrested?, SID/SSN, DOB, Race and Sex.

DNA sample and investigative report

Evidence Submission Form example filled out, dNA sample and investigative report

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 and Detailed Summary of Crime

Evidence Submission Form example filled out, firearms Submissions and Detailed Summary of Crime

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

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

Evidence in order of priority

Evidence Submission Form example filled out, evidence in order of priority

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

All fields required.

Enter the Evidence #, the Evidence Description and the 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”).

Enter the Requested Service(s) (see codes under Type of Analysis Requested).

Type of Analysis Requested

Evidence Submission Form example filled out, type of Analysis Requested

Type of Analysis Requested.

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.

Submitting Officer

Evidence Submission Form example filled out, submitting Officer

Submitting Officer (please print), Signature and 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.

More rules for Evidence Submission Form

Main Laboratory, 3 Natural Resources Dr., Little Rock AR 72215, Phone: (501) 227-5747. Hope Regional Lab, 2500 South Main St., Hope AR 71802, Phone: (870) 722-8530. Lowell Regional Lab, 1120 W. Monroe Ave., Lowell AR 72745, Phone: (479) 365-8717.

Please consult with an ER Technician if you have any questions.

Sources

[1] ASCL-FORM-12_WD Evidence Submission Form (rev 11, 02/23/2026), Arkansas State Crime Laboratory (the Official source link on this page).

ASCL-FORM-12 Evidence Submission Form PDF Details

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

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

Officer: Investigating Officer (LAST, First, Title)

Reports: For SER/DNA requests: Is a copy of the investigative report (or reports) attached?

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

Biohazard: All biologically contaminated evidence must be marked BIOHAZARD

QuestionAnswer
Form NameASCL-FORM-12 Evidence Submission Form
Form Length2 pages
Fillable?Yes
Fillable fields136
Avg. time to fill out23 min
Editionrev 11, 02/23/2026
Other namesASCL-FORM-12, Evidence Submission Form
Official sourceASCL-FORM-12_WD Evidence Submission Form (rev 11), Arkansas State Crime Laboratory