ED.1036 (Re.. 10.16.2009)

UNCLASSIFIED



### FEDERAL BUREAU OF INVESTIGATION

Import Form

| Form Type: OTHER - Other                       |                                                                   | Date: 12/13/2019 |
|------------------------------------------------|-------------------------------------------------------------------|------------------|
| Title:(U) OIG Forms Provided by OIG SA         |                                                                   |                  |
| Approved By: SSA                               |                                                                   |                  |
| Drafted By:                                    |                                                                   |                  |
| Case ID #: 90A-NY-3151227                      | (U) UNSUB(S);<br>JEFFREY EPSTEIN - VICTIM;<br>DEATH INVESTIGATION |                  |
| Synopsis: (U) On September<br>Waiver Forms for | 6, 2019, OIG SA<br>and                                            | provided the OIG |

••

UNCLASSIFIED

SONY_00017817