EFTA00109674¶
BP-S377.058 PRISONER REMAND CDFRM¶
FEDERAL BUREAU OF PRISONS¶
ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs.¶
| Name: Last | First | Middle |
|---|---|---|
| AWAs: |
Race (Check)¶
- B _ W _ A _ I
Sex (Check)¶
- M _ F
Ethnic Origin (Check)¶
- Hispanic or Other
D.O.B.¶
- SSN:
FBI:¶
- 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 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. Add N/A 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-Allen in Custody.¶
(This form may be replicated via WP) This form replaces BP-S377(58) and BP-377(58) of JUL 91¶
EFTA00109675¶
EFTA00109676¶
BP-S377.058 PRISONER REMAND CDFRM¶
U.S. DEPARTMENT OF JUSTICE¶
| ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs. |
|---|
| Name: Last |
| AKAs: |
| Race (Check) __B__W__A__I |
| Last Name CAMACHO |
| First Name FERDINAND |
| Middle Name Suffix 5’07” |
| Hair BALD |
| Regno 79355-054 |
CHARGES¶
OTHER¶
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) | ||||
| IN | IN | IN | IN | IN |
| Remanding Official(Name)SignPrint | Agency/District | Phone/24 Hour Number | ||
| OUT | OUT | OUT | OUT | OUT |
| Removing Official(Name)SignPrint | Agency/District | Phone/24 Hour Number | ||
FOR BOP USE ONLY¶
| Receiving Official(Name) Sign Print Date/Time | Releasing Official(Name) Sign Print Date/Time | ||
| Sentry Load Data:(Must Initial) Name Search Completed by: Clearance/Separate Checked by: | (OPTIONAL USE) ARS Code___ Staff Init.___ Add AKA's ___ Create Cash Account___ Deposit Cash___Amt. Detainers___ Court___ Clothing Bag#___ | RIGHT THEMBPRINT | |
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¶