3000-136-024 (R 7/14)
Vehicular Assault, RCW 46.61.522
Reckless Manner Under the Influence of Liquor or Drugs
Disregard for the Safety of Others
Driving While under the Influence, RCW 46.61.502
Physical Control of Vehicle While under the Influence, RCW 46.61.504
Driver under Twenty-one Consuming Alcohol or Marijuana, RCW 46.61.503
is concealed in, about or upon the person of , who is currently in the
custody of the law enforcement officer serving this warrant and located within the County of
.
NOW, THEREFORE, in the name of the State of Washington, you are hereby
commanded with the necessary and proper assistance of a person trained and qualified to draw
blood pursuant to RCW 46.61.506(5), to extract a sample of blood, consisting of one or more
vials, from the person of , who is in the custody of
. The sample shall be extracted within
hours of the issuance of this search warrant. You are further commanded to ensure
the safe keeping of the same and to make a return of said warrant within three (3) days; with a
particular statement of all the articles seized and the name and title of the person who extracted
the sample of blood.
The blood samples seized shall be submitted to the custody of the Washington State
Toxicology Laboratory for appropriate forensic testing as determined by the Washington State
Toxicology Laboratory to determine whether any intoxicating liquor, marijuana, or any drug as
defined in RCW 46.61.540 can be detected and/or quantified.
A copy of said warrant shall be served upon the person from whom the blood is to be
extracted and upon the person who extracted the sample of blood together with a receipt for the
blood that was extracted.