ATLANTA POLICE DEPARTMENT

Body Transmitter and Body Recorder

Single Party Consent Form

Date:
Location:
I,	, of
(Name of person consenting)
(Address)	(City)	(State)	(Zip)
hereby authorize
and
officers, investigators of the Atlanta Police Department to place a body transmitter and /
or body recorder on my person for the purpose of recording any conversations that I may
have with
(Name of subject or subjects)
on or about
(Date or dates)
I have given this written permission to the above named officer(s) voluntarily, and
without threats or promises of any kind.
(Signature)
Witness
Witness

Form APD 370 6/27/07

ATLANTA POLICE DEPARTMENT

VLivsey

2007-07-06

City of Atlanta