Consent to Search Body
Case / Incident No.:
I,
, after
having been advised of my rights not to have a search made of
my body hereinafter mentioned without a search warrant and of
my right to refuse to consent to a search hereby authorize:
and
, Officers/Deputies
of the
(Department)
to conduce a complete search of my body located at:
,
(City)
(State)
and further authorize them to take from my body any samples of
blood, buccal swabs, hairs and other items from my body which
they may desire. This written permission is given by me to the
above named Officers/Deputies voluntary and without threats or
promises or any kind.
Printed:
Signed:
Witness Printed:
Witness Signed:
Witness Printed:
Witness Signed:
Date:
Time: