CONSENT TO SEARCH , have been advised of my constitutional I

-
CONSENT TO SEARCH
UNIT
DATE
TIME
CHICAGO POLICE DEPARTMENT
TO BE COMPLETED PRIOR TO SEARCH
, have been advised of my constitutional
I,
(Print Full Name)
right not to have a search made of the premises/vehicle described below without a search
warrant first being obtained. I have also been advised that I do not have to consent to this warrantless
search unless I wish to do so.
Having been advised that I do not have to consent to a warrantless search, I hereby authorize
who have iden-
and
and give my consent to
(Officer)
(Officer)
tified themselves as Chicago Police Officers assigned to the
(Unit)
to conduct a complete search at this time of the premises/vehicle under my lawful control and
described as
.
In addition, I hereby authorize and give my consent to the above named officers to obtain
and remove from the searched premises/vehicle any materials, documents, or other items that
may be used in connection with a legitimate law enforcement purpose.
By my signature on this document, I hereby state and certify that this consent to search is
being given by me to the above named officers knowingly, voluntarily, and without having
received any threats, promises, or duress of any kind.
(SIGNATURE)
WITNESS (NON-DEPARTMENT MEMBER, IF AVAILABLE)
(PRINTED NAME)
(SIGNATURE)
REPORTING MEMBER(S)
REPORTING MEMBER'S NAME
STAR NO.
EMPLOYEE NO.
SIGNATURE
REPORTING MEMBER'S NAME
STAR NO.
EMPLOYEE NO.
SIGNATURE
SUPERVISORY APPROVAL
SUPERVISOR'S NAME
STAR NO.
SIGNATURE
INCIDENT INFORMATION
RD NO.
CPD-11.483 (REV. 5/07)
I-UCR CODE
EVENT NO.
CONSENT TO SEARCH INVENTORY NO.
CONSENTIMIENTO DE CATEO
UNIDAD/GRUPO (UNIT)
FECHA (DATE)
HORA (TIME)
(CONSENT TO SEARCH)
DEPARTAMENTO DE POLICIA
CHICAGO POLICE DEPARTMENT
TO BE COMPLETED PRIOR TO SEARCH
Yo,
, se me ha informado que tengo
(Nombre Completo - Print Full Name)
el derecho constitucional denegarme a que se registre el local/vehiculo descrito abajo sin antes
obtener una orden de cateo (registro). Tambien se me ha informado de mi derecho a no
permitir que se registre sin dicha orden de cateo,a menos que yo de mi consentimiento.
Despues de haber sido informado, y entendiendo que no tengo que consentir a un registro sin
orden de cateo de la presente doy mi consentimiento a :
(Nombre del Oficial - Officer)
y
quienes se han identificado como oficiales del
Departamento de Policia de Chicago, asignado a
(Nombre del Oficial - Officer)
(Unidad/Grupo - Unit)
que conduzcan un registro (cateo) completo en este momento del local/vehiculo que se
encuentra bajo mi control legal y descrito como:
Ademas, doy mi autorizacion y mi consentimiento a los oficiales arriba mencionados para
que obtengan y se lleven del local/vehiculo registrado (cateado) cualquier material,
documento, u objeto que se pueda usar en relacion y proposito legitimo de la ejecucion de la ley.
Poniendo mi firma a este documento, declaro y certifico que este consentimiento para
registrar ha sido dado a sabiendas y en forma voluntaria, por mi, a los oficiales arriba
mencionados sin haber recibido amenazas, promesas o coaccion de ninguna clase.
(FIRMA - SIGNATURE)
TESTIGOS (NO MIEMBRO DEL DEPARTAMENTO DE POLICIA SI ES POSIBLE)
(NOMBRE IMPRIMIDO - PRINTED NAME)
(FIRMA - SIGNATURE)
REPORTING MEMBER(S)
REPORTING MEMBER'S NAME
STAR NO.
EMPLOYEE NO.
SIGNATURE
REPORTING MEMBER'S NAME
STAR NO.
EMPLOYEE NO.
SIGNATURE
STAR NO.
SIGNATURE
SUPERVISORY APPROVAL
REPORTING MEMBER'S NAME
INCIDENT INFORMATION
RD NO.
CPD-11.483 (REV. 5/07)
I-UCR CODE
EVENT NO.
CONSENT TO SEARCH INVENTORY NO.