BP-A0348 ADMINISTRATIVE DETENTION ORDER¶
JAN17¶
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶
| NEW YORK MCC | ||||
|---|---|---|---|---|
| Inslibton | ||||
| Date/Time: 07-29-2019 12:21 | ||||
| IH nil UnitOfficer TO: Sp | ||||
| IEUTENANT FROM: | (Nameftitte) | |||
| SUBJECT: Placement°, | EPSTEIN. JEFFREY EDWARD | Reg. No | 78318-054 | in Administrabve Detention |
| ✓ | (a) Is pending an investigation for a violation of Bureau regulations: | |||
| (b) Is pending an SIS investigation. | ||||
| (c) Is pending investigation or trial for a criminal act; | ||||
| (d) Is lobe admitted to Administrative Detention | ||||
| (1) Since the inmate has requested admission (or protection; | ||||
| I hereby request placement in Administrative Detention for my own protection. | ||||
| Inmate Signature/Register No.: | ||||
| Staff Witness Printed NameSignature: | ||||
| the necessary Information will be forwarded for an appropriate hearing by the SRO. | (2) Since a serious threat exists to individual’s safety as perceived by staff, although person has not requested admission; referral of | |||
| (e) | Is pending transferor is In holdover status during transfer. | |||
| (0 | Is pending classification; or | |||
| (9) designee. | Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden’s | |||
| population poses a serious threat to Me. property, self, staff, other inmates. or to the security or orderly running of the institution because’ | II is this Correctional Supervisors decision based on all the circumstances that the above named ni mate’s continued presence in the general | |||
| PENDING UDC FOR CODE 228 SELF-MUTILATION | ||||
| Therefore, the above named Inmate is to be placed in Administrative Detention until further notice. The Inmate received a copy of this Order on | ||||
| (date! time) | ||||
| Staff Witness Signature/PrintedName | Date | |||
| Supervisor 24 hour review of placement: Signature/Printed name | ||||
| documented here. | In the case of DHO action, reference to that Order Is outfitted In other cases. the Correctional supervisor will make an independent review and decision, which Is | |||
| - Administrative Detention Unit; Copy — Psychology; Copy • Central File | Record Copy - Inmate Concerned (not necessary if placement is a result of holdover status); Copy Captain; Copy • Unit Manager, Copy • Operation Supervisor | |||
| POF | Prescribed by P5270 | (Replaces BP-A0308 of JAN 88.) |