Blank Bureau of Prisons prisoner remand form, one marked 2015

EFTA00120665¶

BP-S377.058 PRISONER REMAND C¶

FEB 04¶

U. S. DEPARTMENT OF JUSTICE¶

FEDERAL BUREAU OF PRISONS¶

ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs.						PICTURE
Name: Last		First		Middle
AKAs:
Race (Check)	Sex (Check)	Ethnic Origin (Check)		D.O.B.	SSN:		FBI: INS: Other:
B _ W _ A _ I	M _ F	Hispanic or _ 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 IN
Remanding Official (Name) Sign Print				Agency/District		Phone/24 Hour Number
OUT 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 Sign Print
Sentry Load Data: (Must Initial) Name Search Completed by: Clearance/Separate Checked by:				(OPTIONAL USE) ARC Code Staff Init. Add REM & Create Cash Account Deposit Cash Amt. Detailers Court Clothing Bag

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¶

EFTA00120666¶

U. S. DEPARTMENT OF JUSTICE¶

FEDERAL BUREAU OF PRISONS¶

ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCA.¶

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

CHARGES¶

CHECK CATEGORY OF CHARGES(S):¶

FELONY
MISDEMEANOR
CIVIL CONTEMPT
MATERIAL WITNESS OTHER

NARRATIVE: Title: 71 USC: 846 Dangerous Drugs¶

NARRATIVE: Title: _ USC:_¶

Date of Offense: 2/11/2015 Date of Arrest: 3/11/2015 Place of Arrest: ___¶

State of Birth	Country of Birth	Citizenship	Current Address	Zip Code
Height Ft: 5 In: 3	Weight 135	Hair Blk	Eyes Blue	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 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: | Staff Init. | RIGHT THUMBPRINT |¶