EFTA00132077

90A-NY-3151227 Serial 199

FD-1036 (Rev. 10-16-2009)

# UNCLASSIFIED

FEDERAL BUREAU OF INVESTIGATION

Import Form

Form Type: OTHER - Other

Date: 06/06/2022



Title: (U) 1A Import



Approved By:

Drafted By:



Case ID #: 90A-NY-3151227



(U) UNSUB(S);

JEFFREY EPSTEIN - VICTIM;

DEATH INVESTIGATION

Synopsis: (U) To import FD-1004 package copies into case file as physical 1As.

Enclosure(s): Enclosed are the following items:

1. (U) FD-1004 package copies for evidence items permanently released to OIG: 1B1-1B36, 1B40, 1B42, 1B43, 1B45, and 1B47-1B59

2. (U) FD-1004 package copies for evidence items permanently released to OIG: 1B1-1B36, 1B40, 1B42, 1B43, 1B45, and 1B47-1B59



UNCLASSIFIED

EFTA00132078



FD-1004
Rev. 7-7-2016


FEDERAL BUREAU OF INVESTIGATION
EVIDENCE CHAIN OF CUSTODY

<table><thead><tr><th colspan="2">Special Handling Instructions</th><th colspan="2">Initial Receipt</th><th>Date and Time</th></tr></thead><tbody><tr><td colspan="2">☐ HAZMAT ☐ Latents ☐ FGJ<br>☐ Req. Charging ☐ Freeze ☐ Refillage<br>☐ Biohazard<br>☐ Other ___</td><td colspan="2">Signature of Printed Name<br>Reason: Injury<br>Collected By Agency:</td><td>8/15/19 4:45p</td></tr><tr><td>Relinquished Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td><td></td></tr><tr><td>Signature:<br>Printed Name:<br>Reason: To transport team</td><td>8/15/19 12:00pm</td><td>Signature:<br>Printed Name:<br>Reason: Transport</td><td>8/15/19 6:00pm</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td><td></td></tr><tr><td>Signature:<br>Printed Name:<br>Reason: Transfer to OTIS</td><td>8/16/19 12:06A</td><td>Signature:<br>Printed Name:<br>Reason: receive transfer</td><td>4/04/21 10:14am</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td><td></td></tr><tr><td>Signature:<br>Printed Name:<br>Reason: Joint TD 10103 E694430</td><td>08/16/21 0:30am</td><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td></td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td><td></td></tr><tr><td>Signature:<br>Printed Name:<br>Reason: Joint TD 10103 E694430</td><td>8/19/23 11:50am</td><td>Signature:<br>Printed Name:<br>Reason: charge out</td><td>03/20/11 11:50am</td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td><td></td></tr><tr><td>Signature:<br>Printed N:<br>Reason: Amount transfer to OTIS</td><td>5/30/20 11:50am</td><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td></td><td></td></tr><tr><td>Relinquished Custody</td><td>Date and Time</td><td>Accepted Custody</td><td>Date and Time</td><td></td></tr><tr><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td></td><td>Signature:<br>Printed Name/Agency:<br>Reason:</td><td></td><td></td></tr><tr><td colspan="5">Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT): ATF Trace Form Completed: NCIC:</td></tr></tbody></table>

Case ID: 90A-NY-3151227

This form is incomplete without reference to the FD-1087.