Voluntary Consent to Search


(DEPARTMENT NAME)
VOLUNTARY CONSENT TO SEARCH
I,_______________________________, do hereby, freely, voluntarily and without threats, pressure or coercion of any kind, consent to a warrantless search of my ________________________________, by (officers, agents, deputies) of (Department) and individuals in their company. These (officers, agents, deputies) are authorized by me to seize any items, materials or other property which they may deem to be of possible evidentiary value.
LOCATION AND DESCRIPTION OF PREMISES TO BE SEARCHED:
COUNTY OF __________________________________________,







_________________________	_________________________________________________
Witness	Signature of person consenting to search
_________________________	_________________________________________________
Witness	Relationship to premises
	____________________	____________________
	Date of Birth	SSN
	____________________	____________________
	Date	Time
____________________
Case Number