Legal Trap and Trace Form

LEGAL TRAP AND TRACE FORM

Requesting Agency:   Case Number:

Court / Authorizing Officer:   Jurisdiction:

RECITALS

WHEREAS, the Requesting Agency has presented facts to the Authorizing Officer sufficient to establish legal authority under applicable law to order non-content interception or capture of addressing, routing, or signaling information associated with communications to or from the Target; and

WHEREAS, the Telecommunications Provider is authorized under applicable law to capture and disclose non-content call-identifying information, routing data, and related metadata ("Trap and Trace Data") upon lawful order or warrant and to implement technical measures necessary to obtain such data; and

WHEREAS, the parties desire to set forth the scope, procedures, limitations, retention, and chain-of-custody practices governing the disclosure and handling of Trap and Trace Data in connection with the Requesting Agency's investigation;

NOW THEREFORE

In consideration of the mutual covenants and representations contained herein, and subject to the terms and conditions set forth below, the Telecommunications Provider agrees to assist the Requesting Agency consistent with the authorizing order.

1. DEFINITIONS

For purposes of this Form, "Target Identifier" means the telephone number(s), electronic identifier(s), or network address(es) specified below; "Trap and Trace Data" means addressing, routing, signaling, or session-identifying information associated with incoming or outgoing communications, excluding the content of any communication.

2. AUTHORIZATION AND SCOPE

Target Identifier:

Type of Target:

Legal Basis / Authority:

Period of Authorization: From through unless sooner terminated by the Authorizing Officer.

Capture Mode (check all that apply): Incoming addressing / source identifiers Outgoing addressing / destination identifiers Routing / signaling metadata Date/time stamps

3. PROVIDER OBLIGATIONS

Telecommunications Provider Name:

The Provider shall implement, operate, and maintain the technical means necessary to capture the authorized Trap and Trace Data and deliver such data to the Requesting Agency in a secure and verifiable manner. Provider agrees it will not capture or disclose content of communications as part of this authorization.

4. DATA HANDLING, RETENTION, AND CHAIN OF CUSTODY

Delivery Method:

Provider shall maintain a contemporaneous log documenting all personnel who access the Trap and Trace Data and the specific data delivered. The log shall be made available to the Requesting Agency or Authorizing Officer upon lawful request.

5. CONFIDENTIALITY AND USE LIMITATIONS

Trap and Trace Data disclosed under this Form shall be used solely for the investigation described in the authorization and shall not be used for any unauthorized surveillance or unrelated investigative purpose. Disclosure to third parties is permitted only as required by law or court order.

6. NOTICES

7. INDEMNIFICATION AND COSTS

The Requesting Agency agrees to reimburse the Provider for reasonable costs directly associated with implementing the technical measures required by this authorization, subject to the Provider's documented standard billing practices. The Provider shall invoice the Requesting Agency in accordance with the billing contact information set forth herein.

8. RECORDS AND AUDIT

The Provider shall preserve logs, records, and copies of Trap and Trace Data and make them available for inspection or audit by the Authorizing Officer or the Requesting Agency pursuant to lawful process.

9. MISCELLANEOUS

Amendments: This Form may be amended only by a written instrument signed by both parties. Waiver: No waiver by any party of any breach shall constitute a waiver of any other breach. Counterparts: This Form may be executed in counterparts, each of which shall be deemed an original.

Governing Law: This Form shall be governed by and construed in accordance with the laws of the state or federal jurisdiction of the Authorizing Officer identified above, without regard to conflict-of-law principles.

Entire Agreement: This Form, together with the authorizing order or warrant, constitutes the entire agreement between the parties relating to the subject matter and supersedes any prior agreements or understandings, whether written or oral.

Severability: If any provision of this Form is held to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

10. AUTHORIZED REPRESENTATIONS AND CERTIFICATIONS

The Requesting Agency certifies that the facts presented to the Authorizing Officer support the legal basis cited above and that this authorization is limited to non-content Trap and Trace Data specified herein. The Requesting Agency further represents that it will comply with any minimization or disclosure restrictions imposed by the Authorizing Officer.

SIGNATURES

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