Republic of the Philippines

National Police Commission

PHILIPPINE NATIONAL POLICE
TARLAC CITY POLICE STATION
Tarlac City
CSI FORM 1
FIRST RESPONDER FORM
________________
Date

THIS IS TO CERTIFY that the Crime Scene (CS) described hereunder

was turned over by the First Responder (FR) to the Duty
Investigator/Investigator-On-Case (IOC) with the following gathered information:
Primary Place of Occurrence:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Secondary Place of Occurrence:
______________________________________________________________________
______________________________________________________________________
_____________________________________________________________________
Type/nature of Incident:__________________________________________________
Rank and Names of First Responder:_______________________________________
_____________________________________________________________________
Time/Date Report of Incident was received by FRs:____________________________
Time FRs arrived at the Crime Scene:_______________________________________
Weather Condition:______________________________________________________
Time CS Cordoned Off and Secured/Signs Posted:_____________________________
Time Flash Alarm/Request for Support Relayed by FR to TOC:___________________
_____________________________________________________________________
A. Names of Victim/s and Status (Safe/Injured/Hospitalized/Deceased, etc)
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
__________________________________________________________________

B. Name of Person/s found at (inside) the Crime Scene by FR (Address and

Contact No.)
______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

C. Names of Suspect/s and Status (Arrested/At-large, etc) and weapon, if any:

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

___________________________________

______________________________

__________________________________

______________________________

__________________________________

D. Name of Person Found near or at the vicinity of CS (Address/Contact Nr):

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

E. Name of Person/s Interviewed by the FR (Address/Contact Nr):

______________________________

_________________________________

______________________________

_________________________________

______________________________

_________________________________

______________________________

_________________________________

______________________________

_________________________________

______________________________

_________________________________

F. Name of Person/s who Entered the CS after the arrival of FR and Prior to Arrival
of Investigator (Medics, Local Officials, etc) (Address/Contact Nr):
______________________________

_________________________________

______________________________

_________________________________

______________________________

_________________________________

______________________________

_________________________________

______________________________

_________________________________

______________________________

_________________________________

G. List of Evidence that may have been seized or collected by the FR (if any) :
Description

Disposition

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

______________________________

__________________________________

H. Areas where Initial Search were conducted:

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
__________________________________________________________________
On-Scene Command Post (OSCP) established at:
___________________________________________________________________
Time and Date of Arrival of Investigator at the CS:
___________________________________________________________________

This further certifies that the Crime Scene and all the evidence therein by
the FRs have been properly secured and preserved and that all the information
contained herein is true and correct to the best of our ability:
Name and Signature of First Responders:
__________________________________---_______________________________
__________________________________---_______________________________
CS Received By Duty Investigator/IOC:
___________________________________________________________________
Time/Date: __________________________________________________________
Witnessed By:
___________________________________________________________________
__________________________________________________________________
Prepared and Submitted By:
___________________________________________________________________
(Rank/Name/Designation of Officer/Signature over Printed Name)

Republic of the Philippines

National Police Commission
PHILIPPINE NATIONAL POLICE
TARLAC CITY POLICE STATION
Tarlac City
CSI FORM 2

REQUEST FOR THE CONDUCT OF SOCO

________________________
Time/Date
FOR

: Chief, TPCLO
Tarlac Provincial Crime Laboratory Office
Camp Macabulos, Brgy. San Vicente,
Tarlac City

FROM

:______________________

SUBJECT

: SOCO Assistance

1. Request for the availability of SOCO Team to process the Crime Scene located
at
________________________________________________________________
_______________________________________________________________
NATURE OF THE CASE
: _______________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
_______________________________________________________________
2. This request is made with the assurance that the Duty investigator/InvestigatorOn-Case, being in-charge of the Crime Scene shall remain and provide all the
necessary security and support to the SOCO Team during the whole process
until after the crime scene is released.
3. Further request that this office be furnished a copy of the list of evidence
gathered and the result of the examination conducted thereon.
4. For consideration and approval.

FOR THE CHIEF OF POLICE:

________________________________
Duty Investigator/Investigator-On-Case