SECTION: 705.1 EYEWITNESS IDENTIFICATION FORM

CHARLES R. GUILLORY

Sheriff & Tax Collector

200 Court Street

Suite 100

VILLE PLATTE, LA 70586

Ph. 337-363-2161

Fax 337-363-7390

EYEWITNESS IDENTIFICATION FORM

PHOTO LINEUP

Case Number:                                                 __________________________________

Law Enforcement Official Name:                  __________________________________

Date and Time of Presentation:                      __________________________________

Witness Name:                                                __________________________________

Attorney Name & P-Number, if present:        __________________________________

Instructions (read by law enforcement official to witness)

In a moment I am going to show you some photographs. A photograph of the person who is involved in the crime may or may not be among them. You will be shown all of the photographs and you may take your time looking at them.

If you see the person who committed the crime or was present at the scene of the crime, pick that photograph. If not, don't pick any photograph.

Do you understand these instructions?

Witness Statement (written by law enforcement official)

I, ____________________________ affirm that I read or was read the instructions above, I understood the instructions, and the statement written by the law enforcement official accurately reflects what I said.

Finally, I understand that I should not talk to other people about the photos or tell them which photo I picked, if any.

Signature of Witness______________________________________________________