ATLANTA POLICE DEPARTMENT

CVSA Approval Form for Covert Examination

Date
Complaint #
Examination requested by
Type of Case

CVSA approval for conducting a covert interview is granted by:

CID Commander	_____________________________	_____________________

Signature
Date

OPS Commander	_____________________________	_____________________

Signature
Date

Form APD 341 9/17/03

ATLANTA POLICE DEPARTMENT

AJordan

2004-01-07

Atlanta Police Department