| BP-S377.058 | PRISONER REMAND | CDFRM |
|---|---|---|
| FEP 04 |
U.S. DEPARTMENT OF JUSTICE¶
FEDERAL BUREAU OF PRISONS¶
ARRESTING OFFICER WILL COMPLETE ALL REQUIRED DATA ON THIS FORM PRIOR TO COMMITTING TO ACCURACY/ADVICE.¶
| Name: Last | First | Middle | AKAs: |
|---|---|---|---|
| Race (Check) | Sex (Check) | Ethnic Origin (Check) | D.O.B. |
| 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: 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) ARS 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 (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¶
EFTA00120669¶
EFTA00120670¶
EFTA00120671¶
EFTA00120672¶