USCIS trafficking certification for an Epstein victim, completed 2022

Supplement B, Delaration of Law Enforcement Officer for Victim of Trafficking in Persons¶

Department of Homeland Security U.S. Citizenship and Immigration Services¶

USCIS Form I-914 OMB No. 1615-0099 Expires 12/31/2023¶

Form I-914, Supplement B Edition 12/02/21¶

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Part 2. Agency Information (continued)¶

8. Agency Type

☒ Federal □ State □ Local □ Tribal¶

9. Case Status

☐ On-going ☒ Completed¶

0. Certifying Agency Category

[ ] Judge [×] Law Enforcement [ ] Prosecutor [ ] Other¶

11. Case Number 12. FBI or SID Number

Part 3. Statement of Claim¶

1. The applicant is or has been a victim of a severe form of trafficking in persons. Specifically, he or she is a victim of: (Select all that apply. Base your analysis on the victimization the applicant experienced rather than on the specific violations charged, the counts on which convictions were obtained, or whether any prosecution resulted in convictions. Note that the definitions that control this analysis are not the elements of criminal offenses, but are those set forth at 8 CFR 214.11(a).)

Sex trafficking in which a commercial sex act was induced by force, fraud, or coercion. Sex trafficking means the recruitment, harboring, transportation, provision, obtaining, patronizing, or soliciting of a person for the purpose of a commercial sex act.¶

Sex trafficking and the victim is under 18 years of age.¶

The recruitment, harboring, transportation, provision, or obtaining of a person for labor or services through the use of force, fraud, or coercion for subjection to involuntary servitude, peonage, debt bondage, or slavery.¶

□ Other, specify on attached additional sheets.¶

2. Please describe the victimization the applicant’s claim is based on and identify the relationship between that victimization and the crime investigated or prosecuted. Attach the results of any name or database inquiry performed in the investigation of the case, as well as any relevant reports and findings. Include relevant dates, etc. Attach additional sheets, if necessary.

Applicant was recruited, harbored, and obtained by Jeffrey Epstein and others for purposes of a coercive sexual relationship. On numerous occasions, Jeffrey Epstein coerced, threatened, and forced Applicant into submission for purposes of him committing sex acts with or unto her. Applicant shared pictures of injuries she sustained as a result of physical abuse/encounters with Mr. Epstein.¶

3. Has the applicant expressed any fear of retaliation or revenge if removed from the United States? If yes, explain. Attach additional sheets, if necessary.

Applicant informed us that she and some of her family members in their native directly and indirectly, have received threats during Applicant’s participation in the investigation and prosecution of criminal charges against suspects/defendants Jeffrey Epstein and Ghislaine Maxwell. Applicant expressed fear of retaliation or revenge by individuals connected to or implicated in the alleged criminal acts of Mr. Epstein and Ms. Maxwell. Applicant has expressed fear of serious harm by such individuals if she were to be removed from the United States.¶

Form I-914, Supplement B Edition 12/02/21¶

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Part 3. Statement of Claim (Continued)¶

4. Provide the date(s) on which the acts of trafficking occurred.

5. List the statutory citation(s) for the acts of trafficking being investigated or prosecuted, or that were investigated or prosecuted.

18 USC 371; 18 USC 1591(a),(b); 18 USC 1623; USC 2423(a); NYPL 130.55¶

6. Provide the date on which the investigation or prosecution was initiated. Date (mm/dd/yyyy)

12/06/2018¶

7. Provide the date on which the investigation or prosecution was completed.

Date (mm/dd/yyyy)¶

06/28/2022¶

Part 4. Cooperation of Victim¶

1. The applicant:

A. Has complied with requests for assistance in the investigation/prosecution of the crime of trafficking. (If you select Item A., provide an explanation below in Item Number 2.)¶

B. $ \Box $ Has failed to comply with requests to assist in the investigation/prosecution of the crime of trafficking. (If you select Item B., provide an explanation below in Item Number 2.)¶

C. $ \Box $ Has not been requested to assist in the investigation/prosecution of any crime of trafficking.¶

D. $ \Box $ Has not yet attained the age of 18.¶

E. $ \Box $ Other, specify on attached additional sheets.¶

2. If you selected Item A. or Item B. above, provide an explanation for your selection.

participated in several telephonic and in person meetings with our office concerning our investigation of criminal charges against Jeffrey Epstein and Ghislaine Maxwell. responded to questions asked of her about alleged criminal activities by Mr. Epstein and Ms. Maxwell.¶

Part 5. Family Members Implicated In Trafficking¶

1. Are any of the applicant’s family members believed to have been involved in his or her trafficking to the United States?

   □ Yes X No

If you answered “Yes” to Item Number 1., list the relative(s) and describe the involvement. Attach additional sheets if necessary.¶

Full Name	Relationship	Involvement
N/A	N/A	N/A
N/A	N/A	N/A
N/A	N/A	N/A
N/A	N/A	N/A

Form I-914, Supplement B Edition 12/02/21¶

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Part 6. Attestation¶

Based upon investigation of the facts, I certify, under penalty of perjury, that the above noted individual is or has been a victim of a severe form of trafficking in persons as defined by the VTVPA. I certify that the above information is true and correct to the best of my knowledge, and that I have made, and will make, no promises regarding the above victim’s ability to obtain a visa from U.S. Citizenship and Immigration Services (USCIS), based upon this certification. I further certify that if the victim refuses to comply with reasonable requests for assistance in the investigation or prosecution of the acts of trafficking of which he/she is a victim, I will notify USCIS.¶

Form I-914, Supplement B Edition 12/02/21¶

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