EFTA00109731¶
| 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 MEC/MDCS.¶
| Name: Last | First | Middle | AKAs: |
|---|---|---|---|
| Race (Check) | Sex (Check) | Ethnic Origin (Check) | D.O.B. |
| B W A I | N F | Hispanic or Other |
CHARGES¶
CHECK CATEGORY OF CHARGES(S):¶
- FELONY
- MISDEMEANOR
- CIVIL CONTEMPT
- MATERIAL WITNESS
OTHER¶
NARRATIVE: Title: USC: NARRATIVE: 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 Print |¶
Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by:¶
(OPTIONAL USE) ANS Code # Staff Init. Add AKA# 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 (NCIO); Copy-For Removing Official; Copy-for Control as Remanding Receipt (Immate); 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¶