Attached is the Form I-9188, which needs to be completed and signed by the law enforcement agency. I have completed the parts I need to complete, but please make sure that the FBI completes the following:¶
1. Part 2. Agency Information:¶
- a. (questions 1-3) Please complete the full name and title of the FBI agent signing the Form.
- b. (questions 4.2.-5.h.) include the name of the Head of the FBI and the address for the FBI Office
- c. (question 9.) include the court case number for defendant Ghislaine Maxwell
2. Part 3. Criminal Acts:¶
- a. (question 1.-3) I listed sexual exploitation and trafficking as the criminal activity for parts 2.a.-2.d. please list the dates the criminal activity occurred as alleged in the Indictment and the section of the USC code she is charged with
- b. (question 4.b.) list the city and state where the violations occurred
- c. (question 6.) Please describe the criminal activity being investigated according to the charges and allegations in the indictment
- d. (question 7) describe the injury to Ms.
3. Pan 6. Certification¶
- a. Have the FBI agent sign, date and include his telephone and fax number A
Supplement B, U Nonimmigrant Status Certification¶
Department of Homeland Security U.S. Citizenship and Immigration Services¶
USCIS Form 1-918 OMB No. 1615-01 Expires 04/30/20¶
| For USCIS Use Only | Remarks | |||||
|---|---|---|---|---|---|---|
| ► START HERE - Type or print in black or blue ink. | ||||||
| tali | ”, ttr | Name of Head of Certifying Agency | ||||
| 1. | Alien Registration Number (A-Number) (if any) | 4.a. | Family Name (Last Name) | |||
| 11.- A | 4.b. Given Name | |||||
| 2.a. Family Name (Last Namc) | 4.c. | (First Name) Middle Name | ||||
| 2.b. Given Name (First Name) | ||||||
| 2.c. | Middle Name | |||||
| Other Names Used (Include maiden names, nicknames, and | 5.a. Street Number and Name | |||||
| aliases, if applicable.) | O FIr. 5.b. ❑ Apt. O Ste. | |||||
| If you need extra space to provide additional names, use the space provided in Part 7. Additional Information. | 5.c. | City or Town | ||||
| 3.a. Family Nam (Last Name) | 4.f. ZIP Code 5.d. State | |||||
| 3.b. Given Name (First Name) | 5.f. Province | |||||
| 3.c. | Middle Nam | 5.g. Postal Code | ||||
| 4. | Date of Birth (mm/dcl/yyyy) | 5.h. Country | ||||
| 5. | O 0 Male Gender Female | |||||
| F | 1 6X1e•Lf,AL “. | |||||
| 6. | Agency Type | |||||
| 1. | Name of Certifying Agency | O O Local Federal O State | ||||
| Federal Bureau of Investigations | 7. | Case Slams | ||||
| Name of Certifying Official | On-going O ▪ Completed | |||||
| 2.a. | Family Name (Last Name) | O Other | ||||
| 2.b. Given Name | 8. | Cenifying Agency Category | ||||
| (First Name) | O 0 O Law Enforcement Prosecutor Judge | |||||
| 2.c. | Middle Name | O Other | ||||
| Title and Division/Office of Certifying Official 3. | 9. | Case Number | ||||
| 10. | FBI Number or SID Number (if applicable) | |||||
| Form 1-918 Supplement B 04/24/2019 | 5 Page 1 |
EFTA00038705¶
| Part 3. Crim last Acts If you need extra space to complete this section, use the space provided in Part 7. Additional Information. | 4.a. | Did the criminal activity occur in the United States (including Indian country and military installations) or e territories or possessions of the United States? O N O Yes | ||
|---|---|---|---|---|
| 1. | The petitioner is a victim of criminal activity involving a violation of one of the following Federal, state, or local criminal offenses (or any similar activity). (Select all applicable boxes) | 4.b. If you answered “Yes,” where did the criminal activity occur? | ||
| ❑ Abduction ❑ Abusive Sexual Contact ❑ Attempt to Commit Any of the Named Crimes ❑ Being Held Hostage | • Manslaughter • Murder Obstruction of Justice Peonage Perjury | 5.a. Did the criminal activity violate a Federal extraterritori jurisdiction statute? ❑Yes ❑N 5.b. If you answered “Yes,” provide the statutory citation providing the authority for extraterritorial jurisdiction. | ||
| ❑ Blackmail ❑ Conspiracy to Commit Any of the Named Crimes Domestic Violence Extortion False Imprisonment Felonious Assault Female Genital Mutilation Fraud in Foreign Labor ❑ Contracting | Prostitution Rape 0 Sexual Assault Sexual Exploitation Slave Trade Solicitation to ❑ Commit Any of the Named Crimes ❑ Stalking ❑ Torture [] Trafficking | 6. | Briefly describe the criminal activity being investigate and/or prosecuted and the involvement of the petitione named in Part 1. Attach copies of all relevant reports findings. | |
| ❑ Incest ❑ Involuntary Servitude ❑ Kidnapping Provide the dates on which the criminal activity occurred. 2.a. Date (mm/dd/yyyy) | ❑ Unlawful Criminal Restraint ❑ Witness Tampering | |||
| 2.b. Date (mm/dd/yyyy) 2.c. Date (mm/dd/yyyy) 2.d. Date (mm/dd/yyyy) | 7. | Provide a description of any known or documented inj to the victim. Attach copies of all relevant reports and findings. | ||
| 3. | List the statutory citations for the criminal activity being investigated or prosecuted, or that was investigated or prosecuted. | |||
| Form 1-918 Supplement B 04/24/2019 | Page 2 5 |
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| 4. | Other. Include any additional information you would I4e to provide. | |
|---|---|---|
| For the following questions, if the victim is undcr 16 years of age, incompetent or incapacitated, then a parent, guardian, or next friend may act on behalf of the victim. | ||
| Does the victim possess information concerning the criminal activity listed in Part 3.? La Yes 0 No | ||
| Has the victim been helpful, is the victim being helpful, or is the victim likely to be helpful in the investigation or prosecution of the criminal activity detailed above? El Yes 0 No | ||
| Since the initiation of cooperation, has the victim refused or failed to provide assistance reasonably requested in the investigation or prosecution of the criminal activity detailed above? 0 0 No Yes | ||
| If you answer “Yes” to Item Numbers 1. - 3., provide an explanation in the space below. If you need extra space to complete this section, use the space provided in Part 7. Additional Information. | ||
| Form 1-918 Supplement B 04/24/2019 | Page 3 |
| Part 5. Family Members Culpable In Criminal Activity | Part 6. Certification | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 1. | Arc any of the victim’s family members culpable or believed to be culpable in the criminal activity of which the petitioner is a victim? If you answered °Yes.” list the family members and their criminal involvement. (If you need extra space to complete this section, use the space provided in Part 7. Additional Information.) 2.a. Family Name (Last Name) | N No Yes | I am the head of the agency listed in Part 2. or I am the pers in the agency who was specifically designated by the head of the agency to issue a U Nonimmigrant Status Certification o behalf of the agency. Based upon investigation of the facts, I certify, under penalty of perjury, that the individual identified Part 1. is or was a victim of one or more of the crimes listed Part 3. I certify that the above information is complete, true and correct to the best of my knowledge, and that I have ma and will make no promises regarding the above victim’s abili to obtain a visa from U.S. Citizenship and Immigration Servi (USCIS), based upon this certification. I further certify that i | ||||||
| 2.b. Given Name (First Name) | the victim unreasonably refuses to assist in the investigation prosecution of the qualifying criminal activity of which he o she is a victim, I will notify USCIS. | ||||||||
| 2.c. Middle Name | I. | Signature of Certifying Official (sign in ink) | |||||||
| 2.d. Relationship | 4 | ||||||||
| 2.e. Involvement | 2. | Date of Signature (miniddiyyyy) | |||||||
| 3. | Daytime Telephone Number | ||||||||
| 3.a. Family Name (Last Name) | 4. | Fax Number | |||||||
| 3.b. Given Name (First Namc) | |||||||||
| 3.c. Middle Name | |||||||||
| 3.d. Relationship | |||||||||
| 3.e. Involvement | |||||||||
| 4.a. Family Name (Last Name) | |||||||||
| 4.b. Given Name (First Name) | |||||||||
| 4.c. Middle Name | |||||||||
| 4.d. Relationship | |||||||||
| 4.e. Involvement | |||||||||
Form 1.918 Supplement a 04/24/2019 Page 4 g 5¶
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| 1 Part 7. Additional Information | 5.a. | Number Page | 5.b. | Part Number | 5.c. | Item Num |
|---|---|---|---|---|---|---|
| If you need extra space to complete any item within this supplement, use the space below or attach a separate sheet of paper; type or print the agency’s name, petitioner’s name, and the Alien Registration Number (A-Number) (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. If you need more space than what is provided, you may also make copies of this page to complete and file with this supplement. I. Agency Name Federal Bureau of Investigations alehtroner’s Name 2.a. Family Nam (Last Name) 2.b. Given Name (First Name) | 5.d. | H | ||||
| 2.c. Middle Name | ||||||
| A-Number (if any) 3. Is. A | 6.a. | Page Number | 6.b. Part Number | 6.c. | Item Number | |
| 4.b. 4 c. 4.a. Part Number Item Number Page Number L 1 | 6.d. | |||||
| I | ||||||
| Form 1.918 Supplement B 04/24/2019 | Page 515 |
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