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AFFIDAVIT
(MISSING PRINTS)
If a peace officer omits/forgets to put the two index fingerprints
on the back of the sample collection card, and the judge refuses
to grant the peace officer a Form 5.09 (Authorization for the
taking of additional samples of bodily substances for forensic
DNA analysis), the officer shall provide the National DNA Data
Bank with the following:
Affidavit (missing prints)
- I ___________________
(state name, rank, badge no., police dept.) did take a biological
sample from__________________ (state offender's name and D.O.B.)
on_________________ (date and time) using the supplies provided
in a single operational DNA Data Bank sampling kit.
- The biological
sample was taken from_______________________ (state offender's
name) as were his/her fingerprints on the Fingerprint Identification
Form (3801), and both were taken from the same offender on the
same occasion on ___________________ (date/time).
- I___________________________
(state name) did not place the offender's fingerprints on the
back of the sample collection card (3800).
- I________________________________(state
name) affirm that there is no possibility of having someone
else's biological sample on the sample collection card (3800)
and no one else's fingerprints on the Fingerprint Identification
Form (3801) and that both belong to _________________ (state
offender's name).
- I_________________________
(state name) affirm that no other offender was sampled by me
on this same occasion________________ (date/time).
Officer's signature:_____________________ Date: _____________________
Officer's
name, rank: (please print):__________________________________
Other
signature(s):_____________________ Date:______________________
(if applicable)
Other name,
title and rank (please print):______________________________
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