EFTA00110592

| BP-S377.058 | PRISONER REMAND | CDFRM |
| :--- | :--- | :--- |
| FEP-01 | | |

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

# AVERTISING OFFICER WILL COMPLETE AND REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/KDC.

| Name: Last | First: | Middle: |
| :--- | :--- | :--- |
| AKAs: | | |

**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: ___ USC:___
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 |
| Removal 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)
Ass Code: Staff Init.
Add RKA F
Create Cash Account
Deposit Cash Amt.
Detainers Court
Clothing Bag #

RIGHT TRANSFERNT

EFTA00110593

| BP-S377.058 | PRISONER REMAND | CDFRM |

| :--- | :--- | :--- |

| FEB 04 | | |

U.S. DEPARTMENT OF JUSTICE

ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO AVOIDANCE.

Name: Epstein Jeffrey
AKAs:

Race (Check) B W A I
Sex (Check) M F
Ethnic Origin (Check) Hispanic or Other
D.O.B. SSN:
FBI: FBI: 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

Remove Sign Print Agency/District Phone/24 Hour Number

FOR BOP USE ONLY

Receiving Official (Name) Sign Print Released Official (Name) Date / Time 9/10/1972

Sentry Load Data; (Must Initial)
Name Search Completed by:
Clearance/Separate Checked by:

(OPTIONAL USE Staff Init.
ARS Code Amst. Create Cash Account Deposit Cash Detainers Court Clothing Bag #

RIGHT THURSDAY

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-5378(58) and BP-377(58) of JUL 91