State of Minnesota
Department of Law and Public Safety
Division of State Police
Request for Examination of Evidence
Crime: In the County of:
Lab No: Submitting Agency:
Victim:
Suspect:
Forward Replies to:
Investigated by: Delivered by:
Brief History of Case:
Examinations Requested:
1.
2.
3.
4.
5.
List of Specimens:
Note: Photos of above scene to be forwarded.