**[Exhibit(400)-130.1]{.underline}**

**TIGTA Special Agent Safety Kit Inventory**

Special Agent Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Division: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ POD:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**[Initials & Date Quantity Item Description]{.underline}**

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Handgun (**Form OI 1930
Required**):

> Model[\_\_\_\_ \_]{.underline}\_ Serial
> Number\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Handgun Magazines:

> Brand\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Child Safety Device:

> Brand\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Home Gun Locker (**Form OI 1930
Required**):

> Brand\_\_\_\_\_\_\_\_\_\_
>
> Description. Attach secure envelope with combination.

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Handgun cleaning kit

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Body Armor **(Form OI 1930
Required**):

> Brand\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Size\_\_\_\_\_\_\_\_\_ Serial Number\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Threat Level\_\_\_\_\_ Date of Manufacture\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Chest plate: Size \_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Second Carrier: Color
\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Handcuffs:

> Brand\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Serial Number\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Handcuff keys

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Handcuff carrier

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Desantis Strong Side Holster

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Other Holster

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Magazine Pouch-Double

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Magazine Pouch-Single

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ OC Spray: Carrier\_\_\_\_\_
Brand\_\_\_\_\_\_\_

> Size\_\_\_\_\_\_\_\_\_ Exp. Date\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Expandable baton: Brand
\_\_\_\_\_\_Size \_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Expandable baton carrier:

> Brand\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Disposable Restraining Devices:
Type \_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Cutting device

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Raid Jacket Size \_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Raid hat

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Equipment bag: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Flashlight: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Belt carrier

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Ear Protection: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Model \_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Eye Protection: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Model \_\_\_\_\_\_\_\_\_\_\_ Case\_\_\_\_

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Gloves

\_\_\_\_\_\_\_[\_]{.underline} \_ \_\_\_ Glove Pouch: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Model \_\_\_\_\_\_\_\_\_\_\_

List Additional Items Here and continue on reverse.

\_\_\_\_\_\_\_\_\_ \_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model \_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_ \_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model \_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_ \_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model \_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_ \_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model \_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_ \_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_: Brand
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Model \_\_\_\_\_\_\_\_\_\_\_

Annual Certification of S/A:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Date \_\_\_\_\_\_\_\_\_\_\_

Annual Certification of DFC/Firearms Instructor
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Date \_\_\_\_\_\_\_\_\_\_\_