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¶