EFTA00110596¶
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 COC/ARREST.¶
| Name: Last | First | Middle | AKAs: |
|---|---|---|---|
| Race (Check) | Sex (Check) | Ethnic Origin (Check) | D.O.B. |
| B _ N _ A _ I | M _ F | Hispanic or _ Other |
CHARGES¶
CHECK CATEGORY OF CHARGES(S):¶
- FELONY
- MISDEMEANOR
- CIVIL CONTEMPT
- MATERIAL WITNESS
OTHER¶
NARRATIVE:¶
- Title: ___
- NARRATIVE: ___
- Title: ___
Date of Offense: ___ Date of Arrest: ___ Place of Arrest: ___¶
State of Birth¶
| Country of Birth | Citizenship | Current Address | Zip Code |
|---|---|---|---|
| Weight | Hair | Eyes | Scars / Marks / Tattoos |
Height Ft:¶
In:¶
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 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 Receiving Official (Name) Date / Time Sign Print¶
Releasing Official (Name) Date / Time Sign Print¶
Sentry Load Data: (Must Initial) Name Search Completed by: (Optional USP) Staff Init. Add AKA’B Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag #¶
RIGHT TEAM PRINT¶
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¶
EFTA00110597¶
| BP-S377.058 | PRISONER REMAND | CDFRM |
| FEB 04 |
U. S. DEPARTMENT OF JUSTICE¶
| Last Name |
| EPSTEIN |
| First Name |
| JEFFREY |
| Middle Name |
| EDWARD |
| Name: Last | First |
| AKAs: | |
HL 6’ 0” WL 185¶
HR. GRY EY. BLU¶
REG# 76318-054 NYM 76318-054 EPSTEIN¶
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: Title: USC:¶
Date of Offense: Date 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¶
Rem Sign¶
Print¶
Agency/District¶
Phone/24 Hour Number¶
FOR BOP USE ONLY¶
Receiving Official (Name) Date / Time Receiving Official (Name) Date / Time¶
Sign Print¶
Releasing Official (Name) Date / Time Releasing Official (Name) Date / Time¶
Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by:¶
(OPTIONAL USE Staff Init. Add AKA: Create Cash Account Deposit Cash Amt. Detainers Court Clothing Bag #¶
RIGHT THUMBSPRINT¶
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¶