EFTA00109629¶
| BP-S377.058 | |
| FEB 04 |
BP-S377.058 PRISONER REMAND CDFRM¶
U.S. DEPARTMENT OF JUSTICE¶
FEDERAL BUREAU OF PRISONS¶
ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs.¶
| Name: Last | First | Middle | AKAs: |
|---|---|---|---|
| Race (Check) | Sex (Check) | Ethnic Origin (Check) | D.O.B. |
| _B_W_A_I | _M_F | Hispanic or Other |
CHARGES¶
CHECK CATEGORY OF CHARGES(S):¶
- ___ FELONY ___
- ___ MISDEMEANOR ___
- ___ CIVIL CONTEMPT ___
- ___ MATERIAL WITNESS
OTHER¶
NARRATIVE:¶
Title: ___ USC:__ NARRATIVE: Title: ___ USC:__¶
Date of Offense: Date of Arrest: Place of Arrest: ___¶
State of Birth Country of Birth Citizenship Current Address Zip Code¶
Height Ft: In: Weight Hair Eyes Scars / Marks / Tattoos¶
Injuries / Medication¶
Emergency Contact:(Name, Address, Phone Number)¶
Arraigned _Y_N Sentenced _Y_N Special Handling: _Y or _N Remarks:¶
IN IN IN IN IN¶
Remanding Official (Name) Sign Print Agency/District Phone/24 Hour Number¶
OUT OUT OUT OUT OUT¶
Removing Official (Name) Sign Print Agency/District Phone/24 Hour Number¶
FOR BOP USE ONLY¶
Receiving Official (Name) Date / Time Sign Print Releasing Official (Name) Date / Time Print¶
Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by: (OPTIONAL USE) ARS Code Staff Init. Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag # RIGHT THUMBPRINT¶
Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody.¶
(This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91¶
EFTA00109630¶
| BP-S377.058 | PRISONER REMAND | CDFRM |
|---|---|---|
| FEP.04 |
U.S. DEPARTMENT OF JUSTICE¶
FEDERAL BUREAU OF PRISONS¶
ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCS.¶
| Name: Last | First | Middle | Register Number |
|---|---|---|---|
| AKAs: |
Race (Check)¶
- B _ W _ A _ I
Sex (Check)¶
- M
Ethnic Origin (Check)¶
- Hispanic or Other
D.O.B.¶
- SSN:
FEI:¶
- INS:
- Other:
CHARGES¶
CHECK CATEGORY OF CHARGES(S):¶
- ___ FELONY ___ MISDEMEANOR ___ CIVIL CONTEMPT ___ MATERIAL WITNESS
OTHER¶
- NARRATIVE:
- Title: ___ USC:__
- NARRATIVE:
- Title: ___ USC:__
Date of Offense: ___ Date of Arrest: ___ Place of Arrest: ___¶
State of Birth | Country of Birth | Citizenship | Current Address | Zip Code¶
Height Ft: In: | Weight | Hair | Eyes | Scars / Marks / Tattoos¶
Injuries / Medication¶
Emergency Contact: (Name, Address, Phone Number)¶
Arraigned __ Y __ N | Sentenced __ Y __ N | Special Handling: __ Y or __ N Remarks:¶
IN IN IN IN¶
Remanding Official (Name) Sign Print¶
Agency/District¶
Phone/24 Hour Number¶
OUT OUT OUT OUT¶
Removing Official (Name) Sign Print¶
Agency/District¶
Phone/24 Hour Number¶
FOR BOP USE ONLY¶
Receiving Official (Name) Date / Time Sign Print¶
Releasing Official (Name) Date / Time Sign Print¶
Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by:¶
(OPTIONAL USE) ARS Code __ Staff Init.__ ARX AFT __ Create Cash Account __ Deposit Cash __ Amt.__ Detainers __ Court.__ Clothing Bag # __¶
RIGHT THUMBPRINT¶
Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody.¶
(This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91¶