Warrant Extension - Template

Date: [Insert Date]

Report Number: [Insert Incident Report Number]

Applicant's Name: [Insert Name]

Position/Title: [Insert Position or Title e.g Officer]

Agency: [Insert Law Enforcement Agency Name e.g LSPD/BSCO]

State ID: [Insert Address]

Phone NO: [Insert Phone Number]

JUSTIFICATION FOR EXTENSION

[explain the justification for the extension for the warrant]

REQUESTED ADDITIONAL SEARCH LOCATION:

Address: [Insert Address]

Reason for Inclusion: [insert reading for inclusion]

ITEMS TO BE SEIZED:

[explain what you will be looking to seize]

REASONING:

[explain the reasoning for the extension]

Supervisor Signature: Officer Signature: Judge Signature: Date:

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