EFTA00040020



# UNITED STATES DEPARTMENT OF JUSTICE

UNITED STATES MARSHALS SERVICE
SOUTHERN DISTRICT OF NEW YORK

## ARRESTEE INFORMATION

ARRESTEE INFORMATION

Before any arrestee can be processed by the USMS any and all medical problems/conditions must be declared.

This form must be completed for each arrestee and given to the responding USMS personnel before the arrestee will be received for processing.

Arrestee name: Jeffrey Epstein

If yes, please list the arrestee's USMS number. ___

If you cannot identify USMS number, please provide arrest information (IE: date, arresting agency, location)

Arrestee's representation for this days proceeding: (Circle) Legal Aid CJA retained If legal aid, has arrestee met with counsel? Circle: YES NO Does the arrestee have any current detainers? Circle: YES NO If yes, please list: ___

Doe arrestee have any long ter medical condition or conditions (to include: her 1 problems c' betes, asthma tuberculosis, HIV, AIDS, hepatitis etc.)? Circle: YES NO Does arrestee require medication/medical attention for this condition? Circle: YES NO Do you, as the arresting agent, currently possess at least one days dosage of the arrestee's medication? Circle: YES NO Explain:

Does arrestee have/display/complain of any other medical ailments(IE: broken bones, open wounds etc.)?

Circle: YES NO

Does arrestee require medication/medical attention for this condition? Circle: YES NO

Do you, as the arresting agent, currently possess at least one days dosage of the arrestee's medication?

Circle: YES NO

Is the arrestee a drug addict/user? Circle: YES NO If yes, does this require any special medical program (IE: methadone treatment)? Explain:

Do you, as the arresting agent, if applicable, possess a medical clearance/fit for confinement letter from a healthcare professional? Circle: YES NO (Please attach) ARRESTEE PROCESSING CHECKLIST

1. Have you completed any and all USMS paperwork.

To include: USMS 312 (Please fill out all forms as completely as possible)

2. Attached a photo of arrestee to paperwork.

3. Fingerprint cards

*1 for USMS file

*1 for the FBI for FPC classification

4. Filled out and attached the BOP-9.

5. Strip searched arrestee.

6. Taken any and all

ARRESTING AGENT: (b) (6), (b) (7)(C), (b) (7)(F)

CONTACT # WHILE IN THIS BUILDING:

*****NOTE TO ALL ARRESTING AGENTS*****

Be advised, the USMS provides the COURTESY of holding and producing arrestee prior to the arrestee’s magistrate court appearance. However, the arrestee is not considered a USMS prisoner until a U.S. Magistrate Judge REMANDS said arrestee to USMS custody. This means that as the arresting agent, you must be available at all times to respond to any and all matters concerning your arrestee, as you are the responsible party.

United States Marshals Service Policy and Procedures Manual 5.1-1.(a)