Case Submission Form

Online Case Submission form for Heart of America RCFL.

WARNING: DO NOT enter any Classified Information in to this form!

If you have any questions, please call the laboratory at (816) 584-4300.

Submitting Agency Please select the agency this form is being submitted from. If your agency is not listed, please fill out the agency you are with, in the text box below.

Other Agency If your agency is not listed in the dropdown above, please type out the name and address in the following text field.

Submitting Agency Case Number

Case Title or Suspect Name

Legal Authority

Please upload a copy of the Legal Authority document

Additional Legal Authority Document 1 Use this field to upload an additional Legal Authority Document.

Additional Legal Authority Document 2 Use this field to upload an additional Legal Authority Document.

Additional Legal Authority Document 3 Use this field to upload an additional Legal Authority Document.

Additional Legal Authority Document 4 Use this field to upload an additional Legal Authority Document.

If Other or Abandoned Property was selected for Legal Authority, please upload a copy of the LAS-413 Legal Authority Statement

(If "Consent" or "Abandoned Property" selected) Please upload a copy of LAS-413 Legal Authority Statement

Case Agent / Investigator

Name

Phone Number

Email Address

Supervisor

Name

Phone Number

Email Address

HARCFL Prior Association

Prior associated HARCFL number (if any)

Subject

Subject in custody

yes no

Criminal Offense

Other Criminal Offense

Details of Request Please provide detailed information pertaining to what is needed and authorized by the legal authority.

Computers

Quantity of Computers Please enter the number of computers.

Select Requested Information Regarding Submitted Computer(s)

Other Requested Information Regarding Submitted Computer(s)

Cell Phone(s) / Tablet(s)

Quantity of Cell Phone(s) / Tablet(s) Please enter the number of Cell Phone(s) / Tablet(s).

Select Requested Information Regarding Submitted Cell Phone(s) / Tablet(s)

Other Requested Information Regarding Submitted Cell Phone(s) / Tablet(s)

External Storage Devices

Quantity of External Hard Drive(s) Please enter the number of external hard drives.

Quantity of Flash Media (Thumb Drives) Please enter the number of thumb drives.

Information Regarding External Storage Device(s)

Select Requested Information Regarding External Storage Device(s)

Other - External Storage Device(s)

Information Regarding DVR(s) / Camera(s)

Quantity of DVR(s) / Camera(s) Please enter the number of DVR(s) and/or Camera(s).

Select Requested Information Regarding Submitted DVR(s) / Camera(s)

Other - Information Regarding Submitted DVR(s) / Camera(s)

Information Regarding Other Electronic Device(s)

Quantity of Other Electronic Device(s) Please enter the number of Other Electronic Device(s)

Select Requested Information Regarding "Other" Submitted Device(s)

Other - Select Requested Information Regarding "Other" Submitted Device(s)

Information Applying to this Case

Select any that apply to this case

If any items were selected in the previous question. Please explain them here:

For the most serious applicable offense, select all that apply