Request For Adoption Of State Or Local Seizure Page 4

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To be Completed by Federal Investigative Agency
Recommend Adoption:
Adoption is in accordance with general and local policy.
Decline Adoption:
Reason for declination:
Investigative Agency Reviewing Official:
Signature
Date
Immediate Probable Cause Review needed if following factors are not present:
Seizure was based on judicial warrant
Arrest made in connection with seizure
Drugs or other contraband were siezed from the person from whom the property was seized
Investigative Agency Headquarters Approval:
Signature
Date
4

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