# UNITED STATES GOVERNMENT MEMORANDUM
#### Metropolitan Correctional Center, New York, New York
#### DATE: August 13, 2019
#### SUBJECT: File removal
On August 13, 2019 at approximately 4:25 pm, Associate removed the original file for Epstein, Jeffrey N76318-054. I was able to make copies of all forms and place in his duplicate file.
7.058 PRISONER REMAND CDFRM EB C U.S. DEPARTMENT OF JUSTICE Last Name 07-08-2019 EPSTEIN ARRESTING OFFICER WILL COMPLE Re ALL REQUIRED First Name DATA ON THIS FORM PRIOR TO COMITTING TO JEFFREY MCC/MDCs . Middle Name Sallo EDWARD Name: Last Mi First nr 6' 0" wi. 185 AKAS : Hr. GRY Ey. BLU REG# 76318-054 NYM 78318-054 EPSTEIN Race (Check) Sex (Check) Ethnic Origin (Check B Hispanic or Othe W A CHARGES CHECK GATEGORY OF CHARGES (S) : CIVIL CONTEMPT MATERIAL WITNESS OTHER NARRATIVE KING CONSPIRAC Title : NARRATIVE USC:1581 Title: 10 MINOR Place of Arrest: Berg/~ L Date of Offense: Date of Arrest: of Birth irth Stat Tatto Heighy 00 In : Ft : / Medication Emergency Contact: (Name, Addr Inju Number Special Handling: y or Arrai Senten Remarks: IN IN IN IN IN Phone/24 Hour Number cen Rema Sign Print OUT OUT OUT Ager94 Remov Sign Print FOR BOD USE ONLY Date / Time Date / Time Qfficial (Name) Rece Sign 7-8-19-915AM4 Prin RIGHT THUMBPRINT Sentry Load Data: (Must Initial) OPTION Sta ed by: ARS Cod Name Add AKA Checked by: Create Cash Account Cles Deposit Cash _ Amt. Detainers Court Clothing Bag # Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCC); Copy-INS-Alien in Custody. (NCIC) ; Copy-For This form replaces BP=S377 (58) and BP-377 (58) of JUL 91 (This form may be replicated via WP)
# PRISONE D PRISONER MEDICAL RECORDS RELEASE FORMS)
PRISONER MEDICAL RECORDS RELEASE FORM
completed by the prisoner. Section II may be completed by the USMS Inter. Sections iI & iII are to be
or unwilling, but Section II may be completed by the USMS Intake Off completed by the prisoner is in the completed by the USMS intain it a ill are to be
or unded by the prisoner. Section II may be completed by the USMS Intake is unable is unab or portion of the prisoner. Section II may be completed by the USM Stiller if the priser if the priser if the priser if the priser if the priseri ft the sincer if the prisone signature block. All refusals should be immodiately reported to the orisoner is unal sunar is unal s
signature block. All refusals should be immodiately reported to the that Be inter Services Division. The completed USM form 552 is to be Office of Interagency Mdicale
Section I - USMS Prisoner Information I. Prisoner Name (Last. Firsl. MI) 2. USMS Prisoner 4. District # 5. Custopy Date (Mo/Day/Yr) Section II - Prisoner Personal Data And Medical Information 6. Dale Of Birth (Mo/Day/Yr) Medical Insurance Information Medicare Medicaid 10. Phone Number Section III - Medical Consent And Records Release
I certify that the information I have provided above is true to the best of my knowledge.
I hereby authorize the Uniled States Mashals Scrvice to request, review, and laws access to all madical records of care provided to me during the Ular Lan in the custofy of the agency and o all o all other and of care records of care novied of care provise of care provise of providing no with approprial a medical are. adjudical bills for health cares decessary for the proposed ac
of the United States Mandical care. Adulticaling medical bills for of the United States Marshals Service, and for infectious disease
| Signau
Signalur | Date
Dalc |
| ------------------ | ------------ |
| | |
Original -- Prisoner File Copy to District File Copy Cpon Transfer
1 orn USM-552 1.8 64K 142-873 Prictioning
| | | UNITED STATES DISTRICT COURT |
| -------------------------------------------------------- | ---------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------- |
| | | for the |
| | | Southern District of New York |
| | | |
| | United States of America | |
| | v. | )
Case No. |
| | | |
| | Jeffrey Epstein | 49a
19CAN |
| | Defendant | |
| | | |
| | | ARREST WARRANT |
| To: | Any authorized law enforcement officer | |
| | | |
| | (name of person so be arrested) | YOU ARE COMMANDED to arrest and bring before a United States magistrate judge without unnecessary delay |
| | Jeffrey Epstein | who is accused of an offense or violation based on the following document filed with the court: |
| | O Superseding Indictment | |
| 61 Indictment | | |
| | | O Information
O Complaint
O Superseding Information |
| | O Probation Violation Petition | O Supervised Release Violation Petition
O Violation Notice |
| | This offense is briefly described as follows: | |
| | Title 18, United States Code, Section 371 (sex trafficking conspiracy) | |
| | | Title 18, United States Code, Sections 1591(a), (b)(2), and (2) (sex trafficking of minors) |
| | | |
| | | |
| | | |
| | 07/02/2019 | |
| | | |
| | New York, NY | The Honorable Barbara Moses,.U.Si.kTtagObrate Judge |
| | | Printed name and title |
| | | Return |
| | | |
| | This warrant was received on (dam) | , and the person was arrested on (date) |
| | | |
| | | |
| | | \*ream officer s signature |
| Date:
City and state:
at (city and state)
Date: | | O Order of the Court
Printed Minn and fide |
U.S. Department of Justice United States Marshals Service
#### Prisoner Custody Alert Notice
| Prisoner Name: | | Prisoner Number: | |
| ----------------------- | ---------- | ---------------- | ---------------- |
| EPSTEIN. JEFFREY EDWARD | | \_1
76310054 | |
| | | | |
| 7r,r•I',
1% | ±.-dzytrii | | Arrest
Date\_, |
# Alerts:
| Cade | Descdption | Remark | |
| ----- | --------------- | ------------------ | --- |
| SIT I | Mental Concerns | Suicdal Tendencies | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | Prepared By: | Received By: | |
| | Prepared Date: | Received Date: | |
| | | | |
| | | | |
| | | | |
Copy 1 - Jail/Copy 2 - USMS Page 1
Form USM-130 Rev. 12/16
#### BP-A0383 AUG 11
# INMATE PERSONAL PROPERTY RECORD CDFRM
September 12 to 10 to 10 to 10 to 12 and 17 a for 11 and 17 and 11 and 11
U.S. DEPARTMENT OF JUSTICE
#### FEDERAL BUREAU OF PRISON
| Institution: | | | 1. Name | | | | | | | | |
| ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------- | -------------------------------- | --------------- | ----- | ------------------------------- | ---------------------------- | ---------- | ----------------------------------------------------- | ---------------------------------------- | ---------------------------- | --- |
| 2. Register No: | | | 3. Unit: | | | 4. Date & Time of Invadtory: | | | | | |
| Purpose of Inventory (Check one that applies): Date and Time of Action.
5. | | | | | | | | 6. Disposition (Disp.) | | | |
| Admission | Hospital
12 | | | | Transfer | Detemtion | | D-Donated | M -Mail | S-Storage | |
| Release | | Incoming Package | Other (specify) | | | | | K-Keep in Possession
C-Contraband (Attach BP-S102) | | | |
| 7. Type of Property: | | | | | | | | | | | |
| a. Personally Owned Items | | | | | b. Hygiene, ele. | | | d. Food | | | |
| Article
Address Book | Disp. | Plastic spoon, cup | Article | Disp. | Aspirin | Article | Disp. | Article
Bean | | Disp. | |
| Batteries | | Playing Cards
Purse | | | Body Soap
Cotton Swabs | | | Cake
Candy | | | |
| 3 cla
B illfold | | Radio (w/carplug) | | | Deodorant | | | Chips | | | |
| Books, Reading | | Religious Medal
Shirt/Blouse | | | Dental Floss
Dentures Power | | | Colleenrate | Cald drink mix. soda | | |
| hard
soft
Books. Religious | | Shoes | | | Hair Oil | | | Cough Drops | | | |
| hard
Soft
Boot | | Shoes, shower
Shoes. Slippers | | | Petroleum Jejk
Menthel Rub | | | Fish Packs
Fruit | | | |
| Brassiere | | Shorts | | | Razos | | | Honey, Hi-protein | | | |
| Cap. Hat
Coal | | Skirt
Slip | | | Shampoo
Shaving Lotion | | | Mayonnaise | Instant Coffee/Instant Chocolate | | |
| Comb | | Sucks | | | Skin Lotion
Soup Dish | | | Oatmeal | | | |
| Combination Lack
Dress | | Socks. Athletic
Stamps | | | Toothbrush | | | Pepperoni
Noodles | | | |
| Eyeglass Case | | Stockings
Sunglasses | | | Toothbrush Holder
Toothpaste | | | Rice
Sausage | | | |
| Eyeglasses
Gloves | | Sweat pants | | | weezers | | | Spices | | | |
| Hairbrush/Pick | | T-Shirt
Sweat Shirt | | | | | | Tea
Vitamins | | | |
| Handkerchief
Headphanes | | Thermal Botton | | | | | | | | | |
| Laundry Jacket
Laundry Detergent | | Thermal Top.
Underweap | | | e. Hobby craft | | | | | | |
| Legal Materials | | Watch/Watchband
CK147 | | | | | | | e. Miscellaneous (List any damaged | | |
| Letters
Magazines | | | | | | Article | Disp. | | property and from where it was received: | | |
| Mirror | | | | | | | | e.g. U.S. Marshal) | | | |
| Nail Clippers
Pen/Bullpoint | | | | | | | | | | | |
| Pencils | | | | | | | | | | | |
| Personal Papers
Photo Album | | | | | | | | | | | |
| Photo
Plastic Bon Plastic Spoon, e | | | | | | | | | | | |
| 8. Items Alleged by Inmate to Have Value Over \$100.00 | | | | | | | | | | | |
| Description of Propofty | | | | | | | | | | Value Alleged by Inmate | |
| | | | | | | | | | | | |
| | | | | | | | | | | | |
| | | | | | | | | | | | |
| No individual item over \$100.00 | | | | | | | | | | | |
| 9. Article(s) listed as "Mail" (M) Are to he forwarded to IName and Address of Consigneel'. | | | | | | | | | | | |
| | | | | | | | | | | | |
| 10. Clim Release . The neceint of the propetty of the propetty as possible . il rever the minute in comprise in the interest in saccession is saccess . Poperty that is stock. | | | | | | | | | | | |
| of the innue, maked on of the institution of deal in the opeopriate section of this intention of the receiving of lies continent of the property
by signing below. The intine by signing of the investory, except is need on the form. celinquisime of all chim a articles follow and its its is last as stored, receipt of all | | | | | | | | | | | |
| and receipt of a upp of the inemale claims a discrepares in the inventury, the received attends and allectrophy, The innutes states that been is there is mission | | | | | | | | | | | |
| or damaged property, this information should be noted under COMMENTS
COMMENTS: | | | | | | | | | | | |
| Printed Name/Signature of Receiving Off | | | | | | | | | | | |
| I have today reviewed the property returned to me. | | | | | | | | | | | |
| | | Signature of Inmate | | | | | | | | | |
| b. Ipon release of the interest for the only office is a give the inmat that property stared wa result of the inteases should the intent in immals sectifies relesse of the pr
coupe is soled on the new of the investers by signing below. Wan the innue chias a disception in the investory, the investige that manny to recomp of the recomp to resolve th | | | | | | | | | | | |
| diserepancy. If the inmate states that there is missing or damaged propens, this information should be nated under COMMENTS.
COMMENTS: | | | | | | | | | | | |
| Printed Name/Signature of Receiving Officer: | | | | | | | | Date: | | Times | |
| I have today reviewed the property returned to me. | | | | | | | | | | | |
| | | Signature of Inmate | | | | | Register # | | Date | Time | |
| Original: Central File: Copy: Inmate, R&D. Special Housing | | | | | Prescribed by P5510 | | | | | Replace of BP-S383 of AUG 94 | |
| W/s City Bail" of ST Builder | | | | | | | | | | | |
| | | | | | | | | | | | |
NYMD4 535.07 * CIM CLEARANCE AND SEPARATEE DATA ^ 08-10-2019 PAGE 001 OF 001 * 07:17:28
REGISTER NO: (76318-054 NAME: EPSTEIN, JEFFREY EDWARD
| REGISTER | | FIRST | ARS ARS | ARS | ARS QTR |
| ----------------- | --------- | ------- | ---------- | ---- | -------------------------- |
| NUMBER | LAST NAME | NAME | FCL ASSIGN | DATE | TIME ASSIGN |
| | | | | | |
| 76318-054 EPSTEIN | | JEFFREY | NYM A-PRE | | 07-08-2019 1749 Z04-2O6LAD |
\*\*\*\*\* FOI EXEMPT
P0011 THIS INMATE HAS NO CMC ASSIGNMENTS
https://bop.tcp.doj.gov:9049/SENTRY/J1PPG20.do 8/10/2019
| NYMD4 600.00 \* | | SECURITY/DESIGNATION | | | 08-10-2019 |
| --------------------------------- | ----------------------------- | -------------------- | ----------------------- | ---- | ------------------------------------ |
| PAGE 001 OF 001 \* | | DATA | | | 07:18:27 |
| REGNO: V6318-054 | NAME: EPSTEIN, JEFFREY EDWARD | | | | ORG: |
| RC/SEX/AGE: W/M/66 | FORM D/T: | | RES: NEW YORK, NY 10021 | | |
| OFFN/CHG : SEX TRAFFICKING CONSP. | | | | | |
| | SEX TRAFFICKING OF MINORS | | | | |
| CUSTODY: IN | BIL: | | | | CITIZENSHP: UNITED STATES OF AMERICA |
| CIM CONS.: | | | | USM: | |
| JUDGE | RECFACL/PGM: | | | | VOLSUR: |
| VS DT/LOC: | | MOS REL: | SEVERITY: | | |
| CHP/CHS/S: | VIOLENCE: | | ESCAPES.: | | |
| DETAINER.: | AGE: | EDUC LV: | | | HGC: |
| DRUG/ALC.: | TOTAL: | SEC LVL: | | | |
| PUB SAFTY: | | CAR MD/MH: | | | OMDT REF: |
| CCM RMKS.: | | | | | |
P5110 DESIGNATION RECORD DOES NOT EXIST FOR THIS INMATE
haps://bop.tcp.doj.gov:9049/SENTRY/.11PPG00.do 8/10/2019
| NYMD4 | INMATE DISCIPLINE DATA | 08-10-2019 |
| ----------------- | ----------------------------------------------------- | ---------- |
| PAGE 001 OF 001 \* | CHRONOLOGICAL DISCIPLINARY RECORD | 07:18:09 |
| | | |
| | REGISTER NO: V6318-054 NAME: EPSTEIN, JEFFREY EDWARD | |
| FUNCTION: DIS | LIMIT TO rIIMOS PRIOR TO P8-10-2019
FORMAT: CHRONO | |
| | RSP OF: NYM-NEW YORK MCC | |
#### G5463 NO ENTRIES EXIST IN CHRONOLOGICAL LOG FOR TIME PERIOD REQUESTED
hups://bop.tcp.doj.gov:9049/SENTRY/JIPPD50.do 8/10/2019
| LEAVE BLANK
CRIMINAL | | (STAPLE HERE) | LEAVE BLANK | |
| ----------------------- | ------------------------------- | ------------------------------------------------------------------ | ----------- | --- |
| | STATE USAGE | | | |
| STATE USAGE | LAST NAME, FIRST
EPSTEIN, JE | EPSTEIN
JEFFREY | | |
| IASES/MAIDEN | SOCIAL SECURITY N
090443348 | Middle Nam.
EDWARD
w. 185
HE. 6' 0"
Ey. BLU
Hr. GRY | | |
| | | REG#76318-054 NYM | | |
| FBI NO. | STATE IDENTIFICATION NUMBER DATE OF BIRTH MM DD YY | 01/20/1953 | SEX | RACE HEIGHT WEIGHT EYES HAIR
M = I W = I = 00" 185 Bl | | GY |
| ------- | ------------------------------------------------------ | ---------- | --- | -------------------------------------------------------------------- | --- | --- |
| | | | | | | |
-
| | | DEPARTMENT OF JUSTICE | | | FEDERAL BUREAU OF PRIS |
| --------------------------------------------------------------------------------------------------------------------------------- | -------- | ---------------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------- | ---------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Institution: | | | | | |
| 2. Register No: | | 3. Unit: | | | |
| | | Purpose of Inventory (Check one that applies): Date and Time of Action | | | |
| Admission | Hospital | | | | 6. Disposition (Disp.)
M . Mail
D-Donated
S . Storage |
| | | | Transfer | Detention | K-Keep in Possession |
| Release | | Incoming Package
ther (specify) | | | C-Contraband (Attach BP-S102) |
| 7. Type of Property: | | | | | |
| a. Personally Owned Items | | | b. Hygiene, etc. | | d. Food |
| Article | Disp | Article
Plastic spoon, cup | Disp.
=
Article | Disp. | Article
11
Disp. |
| Address Book | | Playing Cards | Aspirin
Body Soap | | Bean
Cake |
| Batteries
B elt | | Purse | Cotton Swabs | | Candy |
| Billfold | | Radio (w/earplug) | Deodorant | | Chips |
| Books. Reading | | Religious Medal | Dental Floss | | Coffeemate |
| hard
soft | | Shirt/Blouse | Dentures Power | | Cold drink mix, soda |
| Books. Religious | | Shoes | Hair Oil
Petroleum Jelk | | Cough Drops |
| hard
Soft | | Shoes, shower
Shoes. Slippers | Menthel Bab | | Fish Packs
Fruit |
| Boot
Brassiere | | Shorts | Razor | | Honey, Hi-protein |
| Cap. Hat | | Skirt | Shampoo | | Instant Coffee/Instant Chocolate |
| Coat | | Slip | Shaving Lotion | | Mayonnaise |
| Comb | | Socks | Skin Lotion | | Outmeal |
| Combination Lock | | Socks. Athletic | Soup Dish | | Pepperoni |
| Dress | | Stamps
Stockings | Toothbrush
Toothbrush Holder | | Noodles
Rice |
| Eyeglass Case | | Sunglasses | Toothpaste | | Sausage |
| Eyeglasses
Gloves | | Sweat pants | Tweezers | | Spices |
| Hairbrush/Pick | | T-Shirt | | | Tea |
| Handkerchief | | Sweat Shirt | | | Vitamins |
| Headphones | | Thermal Botton | | | |
| Laundry Jacket | | Thermal Top
Underwent | c. Hobby craft | | |
| Laundry Detergent | | chband | | | |
| Legal Materials
Letters | | | | Asticle
Disp. | e. Miscellaneous (List any damaged |
| Magazines | | | | | property and from where it was received: |
| Mirror | | | | | e.g. U.S. Marshal) |
| Nail Clippers | | | | | |
| Pen/Ballpoint | | | | | |
| Pencils | | | | | |
| Personal Papers
Photo Album | | | | | |
| Photo | | | | | |
| Plastic Bowl Plastic Spoon. | | | | | |
| 8. Items Alleged by Inmate to Have Value Over \$100.00
Description of Prop | | | | | Value Alleged by Inmate |
| | | | | | |
| | | | | | |
| No individual item over \$100.00 | | | | | |
| | | | | | |
| | | | | | |
| 9. Article(s) listed as "Mail" (M) Are to be forwarded to (Name and Address of Consignee). | | | | | |
| | | | | | |
| | | | | | 10. Clim Recase The receiving of liec progetty as possible, will review the inventery with the interior with the interior in vecury it is accuracy. Property that is store |
| | | | | | of the image, majed out of the institution, or dentised in the appropriate section of this imentory form. The receiving of Secondines of the propecty
by signing below. The image by signing below centery, except as noted on the form, celliquishing of all chim a stices issed as donated, receipt of allables able itsen. |
| | | | | | and receipt of a copy of the innate claims a discrepares in the inventory. In received attends to resolve the discrepary. It the instreamy. It the instisony |
| | | | | | |
| | | | | | |
| | | | | | |
| or damaged property, this information should be noted under COMMENTS
COMMENTS:
Printed Name/Signature of Receiving Officer: | | | | | |
| I have today reviewed the property returned to m | | | | | |
| | | Signature of Inmate | | | |
| | | | discrepancy. If the inmate states missing or damaged property, this information should be noted under COMMENTS | | b. Upor release of the innate unit deeming office is a pic the is a pic the inmare that progetty stord as a result of the inmare shousing. The inmar cetifies verse of the pop
executive on this form, and ecopy of the investige by signing below. When the innual claims a discrepares in the extension to resolve the |
| | | | | | Time:
Date: |
| COMMENTS:
Printed Name/Signature of Receiving Officer
I have today reviewed the property returned to me. | | Signature of Inmate | | Register # | Date
Time |
| Original: Central File: Copy: Inmate, R&D, Special Housing | | | | | |
EPSTEIN JEFFREY EDWARD . 6' 0" N'185 GRY BLU
RE".76318-054 NYM 76118.05. EMI»,
EPSTEIN JEFFREY EDWARD 6' 0" .185 w. GRY BLU
ReG• 76318 - 054 NYM
EPSTEIN JEFFREY EDWARD .6'0" .185 .. GRY 5.. BLU
RW. 76318-054 NYM 11,1485. ~MN
ESTEIN JEFFREY 8". EDWARD . 6'0" .5185 "GRY BLU
m.5.76318-054 NYM W1, 446. 'wpm
EPSTEIN JEFFREY Vo ke EDWARD " 6' 0" ' 185 GRY BLU
...76318-054 NYM
EPSTEIN JEFFREY ~WM.. EDWARD " 6' 0" 185 ". GRY BLU n0.76318-054 NYM
'NNNN EPSTEIN JEFFREY EDWARD X6'0" '.185 . . GRY 5, BLU -76318-054 NYM
EPSTEIN JEFFREY I.10.• Name Alfix EDWARD 6' 0" 185 GRY 5, BLU 555.76318-054 NYM
EPSTEIN . JEFFREY 1.31. N.ny 9.tlec EDWARD . 6'0" "'185 GRY 5,,BLU 55.76318-054 NYM
#### BP-S377.058 PRISONER REMAND :DFRM FEB 04
#### U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
| | | | | | Register Number | | |
| ----------------------------------------------------------------------------------------------- | ---------------- | ----------- | ---------------------------------------------------------------------------------------------- | ------------- | -------------------- | ----------------------- | --------------------------------------- |
| Name: Last | | Pit | | Middle | | | |
| AKAs: | | | | | | | |
| Check)
Race (
/
A
I
B
W | Sex (Check)
F | | Ethnic Origin (Check)
\_Hispanic or/ | | D.O.B. | SSN: | FBI:
INS:
Other: |
| CHARGES
CHECK CATEGORY OF CHARGES(S):
FELONY . | | MISDEMEANOR | | | CIVIL CONTEMPT | | MATERIAL WITNESS |
| OTHER | | | | | .0 | 1' | |
| NARRATIVE:
Title:
RRATIVE7--
NA
Title: | USC:
USC: | | | | | | |
| Date of Offense: | | | Date of Arrest: | | | Place of Arrest: | |
| State of Birth | Country.of Birth | | Citizenship | | Current Address | | Zip Code |
| Height
In:
Ft: | Weight | Hair | Eyes | | | Scars / Marks / Tattoos | |
| Injuries / Medication | | | | | Number) | | Emergency Contact:(Name, Address, Phone |
| Arraigned
N
Y | Sentenced | Remarks: | Special Handling: | Y or | N | | |
| | | | | | | | |
| Remanding Official (Name)
Sign | | | Agency/District | | | | Phone/24 Hour Number |
| Print | | | | | | | |
| | | | | | | | Phone/24 Hour Number |
| Remo'
Sign | | | Agency/District
I, | j | | | |
| Prin | | | | | | | |
| Receiving Official (Name)
Sign | | | Date / 7:me | Relga
Sign | | ng Official (Nane) | Date / Time |
| Print | | | | Pr_nt | | | |
| Sentry Load Data: (Must Initial)
Name Search Completed by:
Clearance/Separate Checked by: | | | (OPTIONA
ARS Coded
Add AKA'
Create Cash Account
Deposit Cash
Detainers
Court | | Staff :nit.
7unt. | | |
| | | | Clothing Bag 0 | | | | |
(This form may be replicated via WP) This form replaces BP-5377(58) and BP-377(58) of JUL 91
EFTA00108492
S.
| PRISONER REMAND
BP-S377 058
FEB 04
DEPARTMENT OF JUSTICE
U.S.
Name :
AKAS : | CDFRM | EPSTEIN
First Name
JEFFRE
Middle Name
EDWARD
w. 185
H. 6' 0"
Ex. BLU
Hr. GRY
REG# 76318-054 NYM 78318-054 EPSTEIN | 07-06-2019 |
| -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------- | ---------------------------------------------------------------- |
| Race (Check)
(Check)
Sex
18 | Ethnic Origin (Check)
Hispanic or | D.O.B.
SSN:
Other | FBI :
INS :
Other : |
| CHARGES
CATEGORY OF
CHARGES (S) :
CHECK
OTHER
NARRATIVE:
USC :
Title:
NARRATIVE:
USC:
Title: | MISDEMEANOR | CIVIL CONTEMPT | MATERIAL WITNESS |
| Date of Offense: | Date of Arrest: | | Place of Arrest : |
| Country of Birth
State of Birth | Citizenship | Current Address | Zip Code |
| Height
Weight
In:
E.C : | Hair
Eyes | Scars / Marks / Tattoos | |
| Injuries / Medication | | Number) | Emergency Contact: (Name, Address, Phone |
| Sentenced
Arraigned
N
N | Special Handling:
Remarks : | Y or \_
N | |
| | | CIN | 198 |
| Remanding Official (Name)
Sign
Print | | Agency / District | Phone/24 Hour Number |
| OUR | | OUT | OUT
001 |
| Rem
೭೭ ಡಿ
Pri | | Agency/District | Phone/24 Hour Number |
| Receiving Official (Name)
Sign | FOR BOD USE ONLY
Date / Time | SIC | Time
Date /
(Name) |
| Print
Sentry Load Data: (Must Initial)
Name Search Completed by:
Clearance/Separate Checked by: | OPTION
ARS COO
Add AKA
Create Cash Account
Deposit Cash
Detainers
Court
Clothing Bag # | Staff Init.
Amt. | RIG |
| Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receip
Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in Custody,
(This form may be replicated via WP) | | | For
This form replaces BP-S377 (58) and BP-377 (58) of JUL 91 |
હ
NYMD4 535.03 • INMATE PROFILE PAGE 001 OF 001 76318-054 REGNO: 76318-054 NAME.: EPSTEIN, JEFFREY EDWARD RSP..: NYM-NEW YORK MCC PHONE: PROJ . vu: vnrtnuww PROJ REL DATE..: UNKNOWN PAR ELIG DATE..: PAR HEAR DATE..: PSYCH: OFFN/CHG RMKS: SEX TRAFFICKING CONSP. OFFN/CHG RMKS: SEX TRAFFICKING OF MINORS FACL CATEGORY - - - - - CURRENT ASSIGNMENT 08-10-2019 07:15:51 REG FUNCTION: PRT DOB/AGE.: 01-20-1953 / 66 R/S/ETH.: W/M/O WALSH: YES MILEAGE.: 5 MILES NYM ADM-REL NYM CARE LEVEL NYM COR COUNSL NYM CASE MGT NYM CASEWORKER NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM CUSTODY EDUC INFO FIN RESP LEVEL MED DY ST PGM REVIEW QUARTERS RELIGION SECOND RSP UNIT WRK DETAIL A-PRE CARE1-MH UNT 5N CFSA UNT 5 IN GED UNK UNASSG UNASSG NOT MED CL OCT 204-206LAD UNKNOWN 54N 5 UNASSG FBI NO..: INS NO..: SSN • 090443348 NO DETAINER: NO PRE-SENT ADMIT, ADULT CARE1-MENTAL HEALTH VACANT CERT FOOD SINCERITY APPROVAL IN CUSTODY GED STATUS UNKNOWN FINANC RESP-UNASSIGNED UNASSIGNED NOT MEDICALLY CLEARED OCTOBER PROGRAM REVIEW HOUSE 2/RANGE 04/BED 206L AD RELIGION UNKNOWN USM NYS 54N NEW YORK, NY UNASSIGNED WORK DETAIL CMC..: NO EFF DATE TIME 07-08-2019 1749 07-08-2019 0934 07-22-2019 1805 07-19-2019 1209 07-22-2019 1806 07-06-2019 2124 07-06-2019 2124 07-06-2019 2124 07-06-2019 2124 07-06-2019 2124 10-19-2019 1804 07-29-2019 1221 07-06-2019 2124 07-08-2019 1749 07-22-2019 1806 07-08-2019 1749
19'-cloo r 44,14 b. Co--(L.t -911- 74 -2,(4 0 Li b /2\_
G0000 TRANSACTION SUCCESSFULLY COMPLETED
| LEAVE BLANK | | (STAPLE HERE) | | | | | | |
| ------------------------------------------------------------ | ------------------------ | --------------------------------------- | ----------------- | ---------------------------------------- | -------------- | ----------------- | ---------- | ---- |
| FD-249 (Rev. 3-1-10) | | STATE USAGE
NEF SECOND
SUBMISSION | APPRONIMATE CLASS | AMPUTATION | SCAR | 07-08-2019 | | |
| STATE USAGE
SIGNATURE OF PERSON FINGERPRINTE | | SOCIAL | LAST NAME | FIRST NAME, MIDDLE NAME, SUFFIX
AJ 30 | | | | |
| ALIASES/MAIDEN
LAST NAME, FIRST NAME, MIDDLE NAME, SUFFEX | | | | | | 76318-054 EPSTEIN | | |
| 4 ON 184 | STATE IDENTIFICATION NO. | GATE OF BRIN | MM
00 | SEX
N | HEIGHT
RACE | WEIGHT | EYES
BL | HAHA |
| | ﺍﻟﻤﻮﺿﻮﻉ: ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴﺘﻮﻯ ﺍﻟﻤﺴ | | | | |
| -------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------ | --------- | --------------------------------------- | ----------- |
| | 2. R. INDEX | 3. R. MIDDLE | | 4 R. RING | S.R. LITTLE |
| | r
: | | | | |
| | | | | | |
| 6. L THUMB | 7. L. INDEX | & L. MOC IE | | 9. L. RING | 10 L LITTLE |
| | | | | | |
| | | | | | |
| | | | | | |
| LEFT FOUR FINGERS TAKEN SIMULTANEOUSLY | | I L. THUMB | 1 R THUMB | RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY | |
#### BP—s377.;5c PRISONER REMAND FEB 04
U.S. DEPARTMENT OF JUSTICE
#### FEDERAL BUREAU OF PRISONS
| | | | | Register Number | | |
| ----------------------------------------------------------------------------------------------------------------------- | ----------------------------- | ----------------------------- | ----------------------------------- | ------------------------------------------------------------------------------- | --------------- | -------------------- |
| | | | | | | |
| AKAs: | | | | | | |
| Race (C,heck) | Sex (Check) | | Ethnic Origin (Check) | D.O.S.
SSN: | | FBI:
INS: |
| B ./W \_
/
A | ,d \_F | | \_Hispanic or/ Other | | | Other: |
| CHARGES
FELONY | CHECK CATEGORY OF CHARGES(S): | MISDEMEANOR | | CIVIL CONTEMPT | | MATERIAL WITNESS |
| OTHER | | | | | | |
| NARRATIVE:
Title:
NARRATIVE:
Title: | USC:
USC: | | | | | |
| Date of Offense: | | Date o\_ | ciest. | | riace of Arrest | |
| State of Birth | Country.of Birth | | | Citizenship .Current Address | | Zip Code |
| Height
In:
Ft: | Weight | Hair | Eyes | Scars /.Marks / Tattoos. | | |
| Injuries / Medication | | | | Emergency Contact:(Name, Address, Phone
Number) | | |
| Arraigned
Y
N
Y | Sentenced
N | Special Handling:
Remarks: | | Y or
N | | |
| | | | | | | |
| Remanding Official (Name)
Sign | | | | Agency/District | | Phone/24 Hour Number |
| Print | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| Receiving Official (Name) | | | Date / Time | Releasing Official (Name) | | Date / Time |
| Sign
Print | | | | Sign | | |
| Sentry. Load Data: (Must Initial)
Name Search Completed by: | | (OPTIC | | Print . | | |
| Clearance/Separate Checked.by: | | ARS Co
Add AK | Create Cash Account
Deposit Cash | Staff :nit.
Amt. | | |
| | | Court | Detainers
Clothing Bag | | | |
| | | | | Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Rece | | For |
| | | | | | | |
| Removing Official; Copy-for Control as Remanding Receipt (Inmate): Copy-INS-Ali
(This form may be replicated via WP) | | | | This form replaces BP-537715B) and | | L 91
0 |
| BP-S377.058
FEB 04
U.S. DEPARTMENT OF JUSTICE | PRISONER REMAND | CDFRM | | Last Name
EPSTEIN
First Name
JEFFREY
Middle Name | 07-06-2019 | |
| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------- | ---------------------------------------------------- | ----------------------------------------------------- | ------------------------------------------------------------ | ----------------- | ------------------------- |
| RECYMDCS . | | ON THIS FORM PRIOR TO COMMITING TH | | EDWARD
w. 185
HI. 6' 0" | | |
| Name : | | | | Ex. BLU
Hr. GRY
REG#76318-054 NYM | 76318-054 EPSTEIN | |
| AKAs : | | | | | | |
| Race (Check)
Bu
W
ಿಗೆ | Sex
(Check)
14 | Hispanic or | Ethnic Origin (Check) | D.O.B.
Other | SSN: | FBI :
INS :
Other : |
| CHARGES
FEFONY | CHECK CATEGORY OF CHARGES (S) : | MI SDEMEANOR | | CIVIL CONTEMPT | | MATERIAL WITNESS |
| OTHER | | | | | | |
| NARRATIVE :
Title:
NARRATIVE:
Title: | USC:
USC: | | | | | |
| Date of Offense: | | Date of Ar | | | | |
| State of Birth | Country of Birth | | Citizenship | Current Address | | Zip Code |
| Height
EC :
In: | Weight | Hair
Eyes | | Scars / Marks / Tattoos | | |
| Injuries / Medication | | | | Emergency Contact: (Name, Address, Phone
Number) | | |
| Arraigned
7
N | Sentenced
N | Special Handling: \_\_ Y or _ N
Remarks : | | | | |
| = N | | TN | | IN | IN | 196 |
| Remanding Official (Name)
Sign | | | | Agency / District | | Phone/24 Hour Number |
| Print | | | | | | |
| Official | | | | OUT | OUT | OUT |
| | | | | Agency / District | | Phone/24 Hour Number |
| | | | | | | |
| Receiving Official (Name)
Sign | | Date / Time | FOR BOP | 0/2020
ONIETY | (Name) | Date / |
| Print | | | | | | AVI |
| Sentry Load Data: (Must Initial)
Name Search Completed by:
Clearance/Separate Checked by: | | OPTION
ARS Cod
Add AKA's
Detainers
Court | Create Cash Account
Deposit Cash
Clothing Bag # | Staff Init
Amt. | ર્ | |
| Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCIC);
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
NYMD4 535.03 * 1 - 1 - 1 - INMATE PROFILE - 1 -08-10-2019 08-20-2019 05:48
PROSON 0612-05-2014 054 054 2008 000 000 000 000 100 2012 00 10 2012 012 10 2019 10 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 20 2 2 6 2 2 6 6 2 2 6 6 2 8 RODE : REL METHOD : TORIO : PAX : 646-836-7751 : FBI NC . . : FRO RED RED. . . . DRICONS . . . . DREVER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 07-22-2019 1806
07-08-2019 1806
07-08-2019 1749 NYM SECOND RSP 54N UNIT 5 NYM NYM WRK DETAIL UNASSG UNASSIGNED WORK DETAIL
eport # Amb. CARE 0-97774214 04D
G0000
TRANSACTION SUCCESSFULLY COMPLETED
| | | | LEAVE BLANK | | | |
| --------------------------------- | ------------------------- | ----------------- | ------------------------------------------------- | ---- | ---------- | --- |
| FD-249 (Rev. 3-1-10) | STATE USAGE
NFF SECOND | | | | | |
| STATE USAGE | SUBMISSION | APPROKIMATE CLASS | AMPUTATION | SCAR | 07-08-2019 | |
| SIGNATURE OF PERSON FINGERPRINTED | SCHULL | | LAST NAME. FIRST NAME. MIDDLE NAME. SUFFIX
AMU | | | |
ALIAST NAME. FIRST NAME. MIDDLE NAME. SUFFIX
0 76318-054 EPSTEIN
| FBI NO 2 - 10 | STATE IDENTIFICATION NO. | DATE OF BIRTH | | | | | | | |
| --------------------------------------- | ------------------------ | ------------- | -------- | --------------------------------------- | --------- | -------------- | ------------- | ---------- | --- |
| | | | MM DO YY | SEX
M | RACE
W | HEIGHT
1200 | WEIGHT
તે ર | EYES
BL | HAR |
| | | | | | | | | | GY |
| | | | | | | | | | |
| | | | | | | | | | |
| | . | | | | | | | | |
| | 16 | | | | | | | | |
| | 2. PLINDEX | 3. R. MIDDLE | | 4. R. RING | | | S. R. LITTLE | | |
| | 1 | | | | | | | | |
| | | | | | | | | | |
| | | | | | | | | | |
| | | | | | | | | | |
| 8, L Thuman | | | | | | | | | |
| | 7. L. INDEX | B.L. MIDDLE | | 9 L RING | | | 10. L. LITTLE | | |
| | | | | | | | | | |
| | | | | | | | | | |
| | | | | | | | | | |
| | | | | | | | | | |
| | | | | | | | | | |
| | | | | | | | | | |
| LEFT FOUR FINGERS TAKEN SIMULTANE OUSLY | | | | | | | | | |
| | | L THUMB | R THUMB | RIGHT FOUR FINGERS TAKEN SIMULTANEOUSLY | | | | | |
PRISONER REMAND .058 CDFRM DEPARTMENT OF JUSTICE U.S 07.06-2019 Last Name EPSTEIN COMPLETE ALL POQUIRED Re ARRESTING OFFICER WILL First Name JEFFREY DATA ON THIS FORM PRIOR MCC/MDCs . Suffix EDWARD Mi Name: Last HE 6' 0" w. 185 AKAS : " GRY Ey. BLU REG= 76318-054 NYM 78318-054 EPSTEIN Ethnic Origin (Check Race (Check) (Check) B Hispanic or Othe Vi CHARGES GHECK GATEGORY OF CHARGES (S) MATERIAL WITNESS CIVIL CONTEMPT MISDEMEANOR FELONY OTHER KING CONSPIRAC NARRATIVE Title · NARRATIVE 158/ (4 Title: of MINORS 11 Place of Arrest: Bergin L Date of Offense: Date of Arrest : Birth zenshir irth State Height 00 In: Et: / Medication Emergency Contact: (Name, Address Phone Injur Number) Y or Special Handling: Arrai Senten Remarks: IN IN IN IN IN Phone/24_Hour Number Acen OUT OUT OUT One /2ArHour Number Removing Sign Print FOR BOP USE ONLY Date / Time Date / Time Rece Sign Print 78-19-915An GHT THUMBPRINT Sentr (nitial) (OPTION d by: Staff Name ARS Coc Add AKA's Clear hecked by: Create Cash Account Deposit Cash _ Amt . Detainers Court Clothing Bag #
Original-for ISM as Remanding-Removal receipt; Copy-for Control Receipt (NCCC); Copy-For
Removing Official; Copy-for Control as Remanding Receipt (Inmate); Copy-INS-Alien in This form replaces BP=S377 (58) and BP-377 (58) of JUL 91
(This form may be replicated via WP)
REGNO: NAME.: RSP..: PHONE: PROJ Rk.L MhiHOD: UNKNOWN PROJ REL DATE..: UNKNOWN PAR ELIG DATE..: PAR HEAR DATE..: OFFN/CHG RMKS: SEX OFFN/CHG RMKS: SEX FACL CATEGORY NYMD4 535.03 * PAGE 001 OF 001 76318-054 76318-054 EPSTEIN, JEFFREY EDWARD mvm-mvw vnpv mrr INMATE PROFILE REG FUNCTION: PRT DOB/AGE.: R/S/ETH.: MILEAGE.: PSYCH: NO TRAFFICKING CONSP. TRAFFICKING OF MINORS CURRENT ASSIGNMENT NYM ADM-REL A-PRE NYM CARE LEVEL CARE1-MH NYM COR COUNSL UNT 5N NYM CASE MGT CFSA NYM CASEWORKER UNT 5 NYM NYM NYM NYM NYM NYM NYM NYM NYM NYM UNIT 5 NYM WRK DETAIL UNASSG CUSTODY EDUC INFO FIN RESP LEVEL MED DY ST PGM REVIEW QUARTERS RELIGION SECOND RSP IN GED UNK UNASSG UNASSG NOT MED CL OCT 204-206LAD UNKNOWN 54N • 08-10-2019 07:15:51 01-20-1953 / 66 W/M/O WALSH: YES S MILES FBI NO..: INS NO..: SSN 090443348 DETAINER: NO CMC..: NO PRE-SENT ADMIT, ADULT CARE1-MENTAL HEALTH VACANT CERT FOOD SINCERITY APPROVAL IN CUSTODY GED STATUS UNKNOWN FINANC RESP-UNASSIGNED UNASSIGNED NOT MEDICALLY CLEARED OCTOBER PROGRAM REVIEW HOUSE 2/RANGE 04/BED 206L AD RELIGION UNKNOWN USM NYS 54N NEW YORK. NY UNT MGR. UNASSIG LU WJKM UCIAIL EFF DATE TIME 07-08-2019 1749 07-08-2019 0934 07-22-2019 1805 07-19-2019 1209 07-22-2019 1806 07-06-2019 2124 07-06-2019 2124 07-06-2019 2124 07-06-2019 2124 07-06-2019 2124 10-19-2019 1804 07-29-2019 1221 07-06-2019 2124 07-08-2019 1749 07-22-2019 1806 07-08-2019 1749
t\*c\_ to O le- t=t- - efrfiLJL a crry---142 tk-e oqb 5A.LA id\_ 0--
G0000 TRANSACTION SUCCESSFULLY COMPLETED
| BP-S377 058
FEB 04
MCC/MDCs .
Name : | PRISONER REMAND
U.S. DEPARTMENT OF JUSTICE
DATA ON THIS FORM PRIOR TO COMMITTING | | CDFRM | Last Name
EPSTEIN
First Name
JEFFREY
Middle Name
EDWARD
HI. 6' O''
Hr. GRY
REG=76318-054 NYM | 07-08-2019
Buffa
w. 185
Ey. BLU
76318-054 EPSTEIN | |
| --------------------------------------------------------------- | ----------------------------------------------------------------------------------------------- | ----------- | ------------------------------------------------------------------------------------------------------------ | -------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------- | ------------------------- |
| AKAs :
Race
(Check) | Sex
(Check) | | Ethnic Origin (Check) | D.O.B. | SSN: | |
| B 4
A
W | F
10 | | Hispanic or | Other | | FBI :
INS :
other : |
| CHEC
OTHER
NARRATIVE :
Title:
NARRATIVE :
Title: | CATEGORY OF CHARGES (S) :
FETONY
USC:
USC: | MISDEMEANOR | | CIVIL CONTEMPT | | MATERIAL WITNESS |
| Date of Offense: | | | Date of Arrest: | | Place of Arrest : | |
| State of Birth | Country of Birth | | Citizenship | Current Address | | Zip Code |
| Height
Et:
In: | Weight | Hair | Eyes | Scars / Marks / Tattoos | | |
| Arraigned
N | Injuries / Medication - June
Sentenced
N | Remarks : | Special Handling: Y or N | Number ) | Emergency Contact: (Name, Address, Phone | |
| IN | | IN | | IN | IN | IN |
| Sign
Print | Remanding Official (Name) | | | Agency / District | Phone/24 Hour Number | |
| Out | C | OUT | | OUT | OUT | OUT |
| Remov
Sign
Print | | | | Agency/District | Phone/24 Hour Number | |
| | | | | FOR BOP USE ONLY | | |
| Sign
Print | Receiving Official (Name) | | Date / Time | Relea
Sign
Print | (Name) | Date / Time |
| | Sentry Load Data: (Must Initial)
Name Search Completed by:
Clearance/Separate Checked by: | | (OPTION
ARS Cod
Add AKA
Create Cash Account
Deposit Cash
Detainers
Court
Clothing Bag # | Staff Init
Amt . | | |
Original-for ISM as Remanding-Removal receipt; Copy-for Control as Removal Receipt (NCC); Copy-For
Removing Official; Copy-for Control as Remanding Receipt (Innate); Copy-INS
(This form may be replicated via WP) This form replaces BP-S377 (58) and BP=377 (58) of JUL 91
De Divisio
#### - BP-SY/7.058 PRISONER REMAND CDFRM FEB 04 U.S. DEPARTMENT OF JUSTICE
| | FEDERAL BUREAU OF PRISONS |
| --- | ------------------------- |
| | |
| | | | | Register Number | | |
| ----------------------------------------------------- | ------------------------- | ------------------------------ | -------------------------------------------------- | -------------------------------------------------- | ---------------- | ---------------------- |
| Name:
AKAs: | n | | tte.-ck-tr 2c
f | Middle | | |
| Race (C,heck)
B,./W
A
1 | Sex (Check)
F
/61 | I | 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:
NARRATIVE:
Title: | VSC:
USC: | | iv-k | | | |
| 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 | Sentenced | Remarks: | Special Handling: | Y or | | |
| | | | | | | |
| Remanding Official (Name)
Sign | | | | Agency/District | | Phone/24 Hour Number |
| Print | | | | | | |
| Remo
Sign
Prin | | | IA 4 | Agency/District
1 | | Phone/24 Hour Number |
| | | | | | | |
| Receiving Official (Name)
Sign
Print | | | Date / Time | Rele
Sig
Pri | (Name) | Date / Time |
| Sentry Load Data: (Must Initial) | Name Search Completed by: | Clearance/Separate Checked by: | (OPTIO
ARS Co
Add AKA
Create Cash Account | Staff Init. | | |
# DD ICO LCO Lates Marshals Service (USMS) PRISONER MEDICAL RECORDS RELEASE FORM
completed by the prisoner. Section II may be completed by the USMS Inter. Sections ii & iii are to be
or unvillianches B completed by the prisoner is in the USMS inter. Sceins in and officer Sceins il a ill are ro be
compled by the prisoner. Section II may be completed by the USMS Intake is un or univel by the prisoner. Section II may be complex intern of the sim are of sicc if the sic to in arc to be sicer if the sich of til cri fith consister if the signature blo signature block. All refusals should be immediately reported to sign of sign is unal
s signature block. All refusals should be immediately reported to sign. p Medial Stevies, Prisoner Services Division. The completed USM form 552 is to be retained to the united to the time of Interior of Micragency Ardes.
Section I - USMS Prisoner Information 1. Prisoner Name (Last. First. MI) 2. USMS Prisoner 4. District # S. Custofy Date (Mo/Day/Yr) Section II - Prisoner Personal Data And Medical Information 6. Dale Of Birth (Mo/Day/Yr) 8. Medical Insurance Information Medicate Medicaid 0 ance Of Your P 10. Phone Number Section III - Medical Consent And Records Release
I certify that the information I have provided above is true to the best of my knowledge.
I hereby authorize the United States Marshals Scrives lo request of all motical records of care ports of carr provided to
me during the with answering mail and it all all oth me and a mate alle Claires Stricts Scrice to request, cricer, and lave access to all medical records of care provide d
producine with approprial medical care adjudicaling med providing me with appropriale medical care, adjudicating medical records decemed accessary of the left of Cast.
of the United States Markhal care, adjudicating medical bills of the United States Marchals Service and C.
| | carances. | 115 Hunte in the casiony |
| ---------------------------- | --------- | ------------------------ |
| Signature of
Signature of | | Date
Dalc |
| | | |
Original -- Prisoner File Copy to District File Copy Cpon Transfer
1 - 115M . \$52 1 4 648 10-kD Posted way
| UNITED | STATES
DISTRICT
COURT | |
| ------------------------------------------------------------------- | ------------------------------------------------------------------------------------------- | --------------------------------------------- |
| | for the | |
| | Southern
District
of
New
York | |
| | | |
| United States of America
v. | | |
| | )
Case No | |
| | )
19
Cli | |
| Jeffrey Epstein | | 4
9
0
at |
| Defendant | | |
| | ARREST
WARRANT | |
| To:
Any authorized law enforcement officer | | |
| | | |
| YOU ARE COMMANDED | to arrest and bring before a United States | magistrate judge without unnecessary
delay |
| (name (Person so be wrested)
Jeffrey Epstein | | |
| who is accused of an offense
or violation based on the following | document filed with the court: | |
| Li Indictment
Cl
Superseding Indictment | Cl Information
Cl Superseding Information | Cl Complaint |
| O Probation Violation Petition | O Supervised Release Violation
Petition | O Violation Notice
CI Order of the Court |
| This offense is briefly described
as follows: | | |
| Title 18, United States Code, Section | | |
| Me 18, United States
Code, Sections | 371 (sex trafficking conspiracy)
1591(a), (b)(2), and (2) (sex
trafficking of minors) | |
| | | |
| | | |
| | | |
| | | |
| | | |
| 07/02/2019 | | |
| | | |
| New York, NY | The Honorable Barbara MoseS,.1).S. | \_ktaglatate Judge |
| | | Prbited nate and dde |
| Date:
City and state: | Return | |
| This warrant was received on (ate) | | |
| | , and the person was arrested on (ear.) | |
| | | |
| | | |
| | | Annan, ewer' stvlaare |
| at (clry and state)
Date: | | Printed name and irk |
#### U.S. Department of Justice United States Marshals Service
#### Prisoner Custody Alert Notice
| Prisoner Name: | Prisoner Number: |
| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ---------------- |
| And and management of the printer of the program of the comments of the contraction of the many of the mail of the mail of the mail of the mail of the mail of the mail of the
EPSTEIN, JEFFREY EDWARD | 76318054 |
| | |
| Original | Original Offense | Remark | Arrest |
| ------------ | ---------------- | ---------------------------------------- | ------ |
| Offense Code | Description | | Date |
| 3699 | Sex Offense | 18 USC 371 SEX TRAFFICKING
CONSPIRACY | 7/8/19 |
# Alerts:
| | Code Description | the first for the may be the proper of the program of the model program and any and
Remark |
| --- | ---------------- | ------------------------------------------------------------------------------------------------------------------------------------------ |
| MTL | Mental Concerns | and the first for the maint of the same many of the many on the submit of a mind of a many of a many of a march and
Suicidal Tendencies |
Prepared By:
Received By:
Prepared Date:
Received Date:
Copy 1 - Jail/Copy 2 - USMS Page 1
Form USM-130 Rev. 12/16
#### BP-A0383 AUG 11
# INMATE PERSONAL PROPERTY RECORD CDFRM
U.S. DEPARTMENT OF JUSTICE
#### FEDERAL BUREAU OF PRISON
| Institution: | | | 1. Name | | | | | | | | |
| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------- | ------------------------------------ | --------------- | ----- | ------------------------------ | ----------------------------- | ---------- | ----------------------------------- | ---------------------------------------- | ----------- | ----- |
| 2. Register No: | | | 3. Unit: | | | | | | | | |
| | | | | | | 4. Date & Time of Invontory : | | | | | |
| Purpose of Inventory (Check one that applies): Date and Time of Action
స్ | | | | | | | | 6. Dispesition (Disp.)
D-Donated | M - Mail | | |
| Admission | Hospital | | | | Transfer | Detention | | K-Keep in Possession | | S - Storage | |
| Release | | Incoming Package | Other (specify) | | | | | | C-Contraband (Attach BP-S102) | | |
| 7. Type of Property: | | | | | | | | | | | |
| a. Personally Owned liems | | | | | b. Hygiene, cle. | | | | | | |
| Article | Disp | | Article | Disp. | | Article | Disp. | d. Food
만 | Article | | Disp. |
| Address Book | | Plastic spoon, cup | | | Aspirin | | | Bean | | | |
| Batteries | | Playing Cards | | | Body Soap | | | Cake | | | |
| B elt | | Purse | | | Cotton Swalts | | | Cands | | | |
| B illfold | | Radio (w/earplug)
Religious Medal | | | Deodorant | | | Chips | | | |
| Books. Reading
hard
soft | | Shirt/Blouse | | | Dental Floss
Dentures Power | | | Coffeemate | Cold drink mix, soda | | |
| Books, Religious | | Shoes | | | Hair Oil | | | Cough Drops | | | |
| hard
Soft | | Shoes, shower | | | Petroleum Jelk | | | Fish Packs | | | |
| Boot | | Shoes. Slippers | | | Menthol Mib | | | Fruit | | | |
| Brassiere | | Shorts
Skirt | | | Razoy
Shampoo | | | | Honey. Hi protein | | |
| Cup. Hat
Cost | | Slip | | | Shaving Lotion | | | Mayonnaise | Instant Coffee/Instant Chocolate | | |
| Comb | | Socks | | | Skin Lotion | | | Oatmeal | | | |
| Combination Lock | | Socks. Athletie | | | Soap Dish | | | Pepperoni | | | |
| Dress | | Stamps | | | Toothbrush | | | Noodles | | | |
| Eveglass Case | | Stockings
Sunglasses | | | Toothbrush Holder | | | Rice | | | |
| Eyeglasses
Gloves | | Sweat pants | | | Toothpaste
Tweezers | | | Sausage
Spices | | | |
| Hairbrush/Pick | | T-Shirt | | | | | | Tea | | | |
| Handkerchief | | Sweat Shirt | | | | | | Vitamins | | | |
| Headphones | | Thermal Bottom | | | | | | | | | |
| Laundry Jacket | | Thermal Top.
Underweat/ | | | | | | | | | |
| Laundry Detergent
Legal Materials | | Wptch/Watchband | | | c. Hobby craft | | | | | | |
| Letters | | ANTAJ | | | | Article | Disp. | | e. Miscellancous (List any damaged | | |
| Magazines | | | | | | | | | property and from where it was received; | | |
| Mirror | | | | | | | | e.g. U.S. Marshal) | | | |
| Nail Clippers | | | | | | | | | | | |
| Pen/Ballpoint
Pencils | | | | | | | | | | | |
| Personal Papers | | | | | | | | | | | |
| Photo Album | | | | | | | | | | | |
| Photo | | | | | | | | | | | |
| Plastic Bowl Plastic Spoon, cat | | | | | | | | | | | |
| 8. Items Alleged by Inmate to Have Value Over \$100,00
Description of Propofty | | | | | | | | | Value Alleged by Inmate | | |
| | | | | | | | | | | | |
| | | | | | | | | | | | |
| No individual item over \$100.00 | | | | | | | | | | | |
| 9. Article(s) listed as "Mail" (M) Are to be forwarded to (Name and Address of Consignee); | | | | | | | | | | | |
| 10. Claim Relase: a. The receipt of the propen us possible, wille in eventory with the insertory with the insectify it's accuracy. Poperty that is stored, in possession
of the inmace, mailed of the institution, or donated in the appropriate section of this intenters form. The receiving of the receipt, review and disposition of the propozy
by signing below. The inmale by signing below cettles the accements of the form, elinquishite of ill clim to articles ked as denable, receipt of ill allow able it allow the h
and receipt of a copy of the intentions a discrepares in the inventury, the receiver and attempt or cosber the tisserences . It the innate stativer is there is there is there
or damaged property, this information should be noted under COMMENTS
COMMENTS:
Printed Name/Signature of Receiving Officer | | | | | | | | | | | |
| | | | | | | | | | | | |
| I have today reviewed the property returned to me. | | Signature of Inmate | | | | | | | | | |
| b. Upon release of the innate the celesing office is a give the inmate that property stood wa seessil of the imate's housing. The imate celease of the propers,
except us noted on this form, and receipt of a copy of the innae educas a discrepary in the innate a discrepary in the investory, the releasing of leces shall attempt o resol
discrepancy. If the inmate states that there is missing or damaged property. this information should be noted under COMMENTS
COMMENTS: | | | | | | | | | | | |
| Printed Name/Signature of Receiving Officer: | | | | | | | | Date: | | Time: | |
| I have today reviewed the property returned to me. | | | | | | | | | | | |
| | | Signature of Inmate | | | | | Register # | | Date | Time | |
| Original: Central File: Copy: Inmate, R&D. Special Housing | | | | | | | | | | | |
| | | | | | Prescribed by P5510 | | | | Replace of BP-S383 of AUG 94 | | |
| 11TE LETT PLAN PAPER | | | | | | | | | | | |
| | | | | | | | | | | | |
| | NYMD4 535.07 \* | | CIM CLEARANCE AND SEPARATEE DATA | | | 08-10-2019 |
| ----------------- | -------------- | ---------------------------------------------------- | -------------------------------- | --- | --- | ---------- |
| PAGE 001 OF 001 \* | | | | | | 07:17:28 |
| | | | | | | |
| | | REGISTER NO: I6118:054 NAME: EPSTEIN, JEFFREY EDWARD | | | | |
REGISTER NUMBER LAST NAME 76318-054 EPSTEIN FIRST ARS ARS ARS ARS QTR NAME FCL ASSIGN DATE TIME ASSIGN JEFFREY NYM A-PRE 07-08-2019 1749 Z04-206LAD
\*\*\*\*\* FOI EXEMPT
P0011 THIS INMATE HAS NO CMC ASSIGNMENTS
hilps://bop.tcp.doj.gov:9049/SENTRY/JI PPG20.do 8/10/2019
NYMD4 600.00 * SECURITY/DESIGNATION * 08-10-2019 PAGE 001 OF 001 * DATA * 07:18:27 REGNO: 76318-054 NAME: EPSTEIN, JEFFREY EDWARD ORG: RC/SEX/AGE: W/M/66 FORM D/T: RES: NEW YORK, NY 10021 OFFN/CHG : SEX TRAFFICKING CONSP. SEX TRAFFICKING OF MINORS CUSTODY..: IN BIL: CITIZENSHP: UNITED STATES OF AMERICA CIM CONS.: USM: JUDGE • RECFACL/PGM: VOLSUR: VS DT/LOC: MOS REL: SEVERITY: CHP/CHS/S: VIOLENCE: ESCAPES.: DETAINER.: AGE: EDUC LV: HGC: DRUG/ALC.: TOTAL: SEC LVL: PUB SAFTY: CAR MD/MH: OMDT REF: CCM RMKS.:
P5110 DESIGNATION RECORD DOES NOT EXIST FOR THIS INMATE
hups://bop.tcp.doj.gov:9049/SENTRY/JIPPG00.do 8/10/2019
NYMD4 INMATE DISCIPLINE DATA 08-10-2019 PAGE 001 OF 001 * CHRONOLOGICAL DISCIPLINARY RECORD 07:18:09 REGISTER NO: 76318-054 NAME..: EPSTEIN, JEFFREY EDWARD FUNCTION...: DIS FORMAT: KARON° LIMIT TO MOS PRIOR TO 08-10-2019 RSP OF: NYM-NEW YORK MCC
G5463 NO ENTRIES EXIST IN CHRONOLOGICAL LOG FOR TIME PERIOD REQUESTED
hups://bop.tep.doj.gov:9049/SENTRY/JIPPD50.do 8/10/2019
| FEDERAL BUREAU OF INVESTIGATION, UNITED STATES DEPARTMENT OF JUSTICE | | | |
| -------------------------------------------------------------------- | --- | --- | --- |
| CRIMINAL JUSTICE INFORMATION SERVICES DIVISION,CLARKSBURG, WV 26306 | | | |
| what uses will be made of it " FD-249 (Rev. 3-1-10) | | The Fill acquilities and exhange of dentification is personally subtinciped user 20 USC 54. The FD-240 is to a used on crimal succept and as inder to areas and
inacemation. The Appliant for PD-258 contains and in of Pines Act nices and should be used in renerimal justos purposes. " Social Social Munder (SS-N)
is teplu be teep people accurate people may new the same name and tith dae. Pursual to the Fisher Act 1974 (5 USC 552), any Federal State, of took government agers; which
requents an institution to the responsible for interning to person well be dicision is numbers on while subscript of the successful and | | | | | |
| ---------------------------------------------------- | --- | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | --------------------------------- | ------------ | ------------------ | ---------------------- | -------- |
| JUVENILE FINGERPRINT | | DATE OF ARREST | ORI | NY030117C | | | |
| OplosiWBlog | YES | DD YY
NATAR | CONTRIBUTOR | | METRO CORR CENTER | | |
| TREAT AS ADULT | YES | | ADDRESS | NEW YORK, NY | | | |
| | | | REPLY
VE8
DESIRED? | | | | |
| SEND COPY TO:
(ENTER ORI) | | DATE OF OFFENSE
MM
ם ם
YY | PLACE OF BIRTH (STATE OR COUNTRY) | | | COUNTRY OF CITIZENSHIP | |
| MISCELLANEOUS NUMBERS | | SCARS, MARKS, TATTOOS, AND AMPUTATIONS | | | | | 6 4 24 |
| | | RESIDENCE/COMPLETE ADDRESS | | | | CITY | STATE |
| OFFICIAL TAKING FINGERPRINTS
(NAME OR NUMBER) | | LOCAL IDENTIFICATION/REFERENCE | | | | PHOTO AVAILABLE? | L
YES |
| | | | | | | PALM PRINTS TAKEN? | |
| | | INDICATE SPECIFIC AGENCY.
ANCH OF SERVICE AND SERIAL NO. | | | OCCUPATION | | |
| CHARGE/CITATION
1. | | | | | DISPOSITION
1. | | |
| 2 | | | | | 2. | | |
| 3 | | | | | ਲ | | |
| ADDITIONAL | | | | | ADDITIONAL | | |
| ADDITIONAL INFORMATION/BASIS FOR CAUTION | | | | | STATE BUREAU STAMP | | |
| CRIMINAL
LEAVE BLANK | | (STAPLE HERE) | LEAVE BLANK | |
| --------------------------------------------------------- | -------------------------------------------- | --------------------------------------- | ----------- | --- |
| | STATE USAGE
NEE SECOND
SUBMISSION
A | | 0744-2014 | |
| STATE USAGE | LAST NAB\*, FIRST I
EPSTEIN, JE | EPSTEIN
•JEFFREY | | |
| SIGNATURE OF PERSON FRIG | SOCIAL SECURITY A
090443348 | MOS, Hint
EDWARD
- 6' 0"
Y'185 | | |
| ALIASES/MAIDEN
LAST NAME, MST NAME MIDDLE NAME, SUFFIX | | • GRY
E, BLU
NYM
REG.76318-054 | EPSIVIN | |
| DATE OF BIRTH MM DO
RACE
HEIGHT
WEIGHT
STATE IDENTIFICATION NUMBER
YY
SEX
EYES
01/20/1953
185
BL
M
GY | | | | | |
| ----------------------------------------------------------------------------------------------------------------------------------------- | ------- | --- | --- | --- | ---- |
| | FBI NO. | | | | HAIR |
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#### FEDERAL BUREAU OF INVESTIGATION, UNITED STATES DEPARTMENT OF JUSTICE CRIMINAL JUSTICE INFORMATION SERVICES DIVISION, CLARKSBURG, WV 26306
| The FD's accuisition, penervation and exception is penerally authorized under 28 USC 53. This FD-20 is to be used for criminal justice purpose, such as included
to arrests and incareers on (FD-258) contains application Pagerwork Reduction Act and Privacy Act notices and should be used to noncrimal jusite purposes. " Accia
Security Accuse (SSA) is hebrid to kep records accuse other people may have the same name and birth data. Pursuant to the Febral Privacy Act of 1974 (5 USC 552a), any
Febral, State, or local government agon; which at disclose hisher SSAN is responsible for informing the person whother disclosure is mandatory or
voluntary, by what statutory or other authority the SSAN is solicited, and what uses will be made of it., " FD-249 (Rov. 3-1-10) | | | | | | | |
| --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | -------------------------------------- | --------------------------------- | ------------------ | ----------------------- | ----- | --- | --- |
| JUVENILE FINGERPRINT | DATE OF ARREST | ORI
NY030117C | | | | | |
| SUBMISSION
YES | MM DD YY | CONTRIBUTOR | | | | | |
| | 07/08/2019 | ADDRESS | | | | | |
| YES
TREAT AS ADULT | | Y
REPLY
YES
DESIRED? | | | | | |
| SEND COPY TO | DATE OF OFFENSE | PLACE OF BIRTH (STATE OR COUNTRY) | | COUNTRY OF CITIZENSHIP | | | |
| (ENTER ORI) | MM DD YY | | വട | | | | |
| MISCELLANEOUS NUMBERS | SCARS, MARKS, TATTOOS, AND AMPUTATIONS | | | | | | |
| | RESIDENCE/COMPLETE ADDRESS | | | CITY | STATE | | |
| | NEW YORK, NY, 10021 | | | NEW YORK | NY | | |
| OFFICIAL TAKING FINGERPRINTS | LOCAL IDENTIFICATION/REFERENCE | | | PHOTO AVAILABLE?
YES | | | |
| | 76318054 | | | PALM PRINTS TAKEN? | YES | | |
| IF U.S. GOVERNMENT, INDICATE SPECIEIC AGENCY.
EMPLOYER:
IF MILITARY, LIST BRANCH OF SERVICE AND-SERIAL NO. | | | OCCUPATION | | | | |
| CHARGE/CITATION
1. | | | DISPOSITION
1. | | | | |
| 2 | | | 2. | | | | |
| | | | | | | | |
| 3. | | | 3. | | | | |
| | | | | | | | |
| ADDITIONAL | | | ADDITIONAL | | | | |
| | | | | | | | |
| ADDITIONAL INFORMATION/BASIS FOR CAUTION | | | STATE BUREAU STAMP | | | | |
| | | | | | | | |
LIMITED OFFICIAL USE
| | U.S. DEPARTMENT OF JUSTICE | | | FEDERAL BUREAU OF PRISON | |
| -------------------------------------------------------------------- | ----------------------------------------------------------------------- | ------------------------------------------------------------------------------------------ | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------ | ---------------------------------------------------- |
| Institution: | | 1. Nam | | | |
| | | | | | |
| 2. Register No. | | 3. Unit: | | | |
| | Purpose of Inventory (Check one that applies): Date and Time of Action: | | | 6. Disposition (Disp.) | |
| Admission | Hospital | | Transfer | D - Donated
Detention
K-Keep in Possession | M-Mail
S-Storage |
| Release | Incoming Package | ther (specify) | | C-Contraband (Attach BP-S102) | |
| | | | | | |
| 7. Type of Property:
a. Personally Owned Items | | | b. Hygiene, etc. | d. Food | |
| Article | Disp. | Article
Disp | Article | Article
Disp. | Disp. |
| Address Book | | Plastic spoon, cup | Aspirin | Bean | |
| Batteries | Purse | Playing Cards | Body Soap
Cotton Swabs | Cake
Candy | |
| 13 clt
B illfold | | Radio (w/earplug) | Deodorant | Chips | |
| Books, Reading | | Religious Medal | Dental Floss | Coffeemane | |
| hard
soft | Shirt/Blouse
Shoes | | Dentures Power
Hair Oil | Cough Drops | Cold drink mix, soda |
| Books, Religious | | Shoes, shower | Petroleum Jel | Fish Packs | |
| hard
Soft
Boot | | Shoes. Slippers | Menthol Be | Fruit | |
| Brassiere | Shorts | | Razot | | Honey, Hi-protein
Instant Coffee/Instant Chocolat |
| Cap. Hat | Skirt
Slip | | Shampoo
Shaving Letion | Mayonnaise | |
| Coat
Comb | Socks | | Skin Lotion | Oatmeal | |
| Combination Lock | | Socks, Athletic | Soap Dish | Pepperoni | |
| Dress | Stamps
Stockings | | Toothbrush
Toothbrush Holder | Noodles
Rice | |
| Eyeglass Case
Eyeglasses | Sunglasses | | Toothpaste | Sausage | |
| Gloves | Sweat pants | | Tweezers | Spices
Tea | |
| Hairbrush/Pick | T-Shirt
Sweat Shirt | | | Vitamins | |
| Handkerchief
Headphones | | Thermal Botton | | | |
| Laundry Jacket | Thermal Top | | | | |
| Laundry Detergent | Inderwear | | c. Hobby craft | | |
| Legal Materials | | | Article | Disp. | e. Miscellancous (List any damaged |
| Letters
Magazines | | | | e.g. U.S. Marshal) | property and from where it was received: |
| Mirror | | | | | |
| Nail Clippers
Pen/Ballpoint | | | | | |
| Pencils | | | | | |
| Personal Papers | | | | | |
| Photo Album
Photo | | | | | |
| Plastic Bowl Plastic Spoon. | | | | | |
| 8. Items Alleged by Inmate to Have Value Over \$100.00 | | | | | |
| Description of Propp | | | | | Value Alleged by Inmate |
| | | | | | |
| | | | | | |
| | | | | | |
| | | | | | |
| No individual item over \$100.00 | | | | | |
| | | | | | |
| | | 9. Article(s) listed as "Mail" (M) Are to be forwarded to (Name and Address of Consignee); | | | |
| | | | | | |
| | | | 10. Claim Release: a. The receipt of the progety as possible, will reventory with the inventory with the inmate to scrify if's securas . Popers that is store. Arpi a possion
of the innue, mailed ou of the institution, or denated in the approgrine section of this inventery form. The receing of the receints receifies receifies receifies receiffics | | |
| | | | by signing below. The imate by signing below certifies in entrepry, except as a the form, whiquishing of all clim to articles list as sonned, receipe if allew while is is | | |
| | | | and receipt of a copy of the innate claims a discepany in the invently the eceining officer shall antenpt to resolve the discrepary. It the imates states that here is maising | | |
| or damaged property, this information should be noted under COMMENTS | | | | | |
| | | | | | |
| COMMENTS: | | | | | |
| Printed Name/Signature of Receiving Officer: | | | | | |
| | | | | | |
| I have today reviewed the property returned to mo | | Signature of Inmate | | | |
| | | | b. Upon release of the innate for the election, et .; the rimate that poperty stored as arestl of the imate's housing. The innate's housing. The innate centifies relass of th | | |
| | | | executed on this form, and ecopy of a copy of the innue claims a discepancy in the innual clicerpancy in the inventory the celeaning of resolve the | | |
| | | | discrepancy. If the inmate states missing or damaged property, this information should be noted under COMMENTS | | |
| COMMENTS: | | | | | |
| Printed Name/Signature of Receiving Officer: | | | | Date: | Time: |
| | | | | | |
| I have today reviewed the property returned to me. | | Signature of Inmate | | Register a | Time
Date |
10
2017
aran
2018-0
#### GENERAL INSTRUCTIONS AND PROCEDURES FOR DANDLING INMATE PERSONAL PROPERTY
I. The officer preparing the inventory is to list all property picked up. including that property identified as contraband. The officer is to show the quantity of each item in the lira blank space preceding the name of the property. Property is noilotreidemiticd JS " I Lot." Upon completion Med& inventory, both the form and progeny at,: loess aided W the rcecieing unit. The officer is to certify the inventory by signature in the space below. •
Signature of Officer Preparing the Inventors: Date: Time:
Printed Name of Officer Preparing Inventory:
2. The receiving officer will. as soon as practicable after receipt of the property. rev ices the inventory vv ith the inmate to verify the accuracy of the inventory. The receiving officer is to give the inmate all allowable items, and record this action by placing a in the -Disp." space opposite the name of the property. Property marked "5" is stored until the inmate is able to receive the property (for example. release from the unit). Property which is donated is recorded by placing a TY' in the "Dints" space opposite the name of the property. Property which is lobe mailed to another person is recorded by placing CM" in the "lisp." space opposite the name of the property. When property is mailed out, each package is to be individually inventoried and accounted for by certified mail slip. etc. (See Chapter IS. Custodial Manual). Property identified as contraband is recorded by placing a X niche "blip." space oppositclhe name of the property. The "Confiscation and Disposition of Contraband" form is also to be completed.
The receiving officer certifies receipt. review disposition of the progeny by signing in section It) (al. page I. of this form. In the same section, the inmate. by signing. certifies the accuracy of the inventory. except as noted on the form. relinquishing of all claim to articles listed as donated (DI. receipt of all allowable items (K). and receipt of a copy of the insemory. When the inmate claims a discrepancy in the inventory.. the receiving officer shall attempt to resolve the discrepancy.
3. Upon an inmates release from the unit. detention. etc\_ the releasing officer is to :fleetly inmate that properly which has been stored as a result of the placement. The releasing officer certifies release of the property by signing in section I0 th 1. page I. of this form. In the same section. the inmate, by signing. certifies receipt of all property marked S. When the inmate claims a discrepancy in the inventory. the relasing officer shall a attempt to resolve the discrepancy.
1. In unusual circumstances, such as :tech ins an inmate just prior to shill change. whereby the receiving officer is to store the property and notify the relief officer of the need to ins entory the properly. In such cases, the relief officer also becomes the receiv ing of and signs in the appropriate space.
#### ADDITIONAL. INSTRUCTIONS & PR()CEISI RI s - ( I Si Ilf/USIN(; UNITS
On ...glum bathe pawn' In.litsawn the " , wcoal !yaw Lout I
1. Vi hen an inmate is placed in special housing status, which inmate's property is to be secured as soon as possible. The inmate is to be given the opportunity to advise staff of the inmate's property and its location within the housing area. Where property is not immediately removed from the inmates regular housing area, staff is to ensure that the property is placed 'lithe inmates locker and is secured with a Captain's lock (not the inmates own lock). The name of the officer securing the property is to be recorded in the space below.
Signature of Officer Securing Propeny:
Date: Time:
Printed Name of Officer Securing Properts:
2. When an inmate is placed in special housing status. the of the officer assigned to pick-up and inventory the properly is to be recorded at the space below and in the log book. Where practicable. the same officer shouldhandle the securing, puck -up and inventory of the inmate's property.
- •
| Signature of Officer Picking-Up Property: | Date: | Time: |
| -------------------------------------------- | ----- | ----- |
| | | |
| Printed Name of Officer Picking•Up Property: | | |
3. Where possible. one of the officers working in detention is designated property officer. That officer has general responsibility for the property and, except in unusual C:reurnManCeS. property is only issued during that officer's shin, so that one officer Mintrvists and documents the disposition of property.
4:Ace.lepy of theconn(40 or: for intra-unit mos mem. a local form for identifying inmate personal property is to ba.retained vs Ain Special Housing Unit for at least two years. ^F I '..
Presented by P5510 Replace of BP-S383 of AUG 94
05888 COMP320 and and papkoer 07/04/2007 00/08/201 Classes Contrasso TEA London Dolorioey
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#### U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
JUN 10 INMATE ACTIVITY RECORD
1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BP-A0381
8 - 10
| NAME | | | INSTIT |
| ----------------------------------- | ------------------------------------------------------- | ------------- | ------------- |
| Date | Issue | Initials | |
| 7. | | | |
| | | ACTION | |
| 7.22.19 | | | |
| Date | Issue | Initials | Staff Members |
| | | | |
| | | ACTION | |
| Date | Issue | Initials | Staff Members |
| Date | Issue | Initials | Staff Members |
| | | | |
| | | ACTION | |
| Date | Issue | Initials | Staff Members |
| | | | |
| Show and a states and | 1 | ACTION
195 | |
| IG FORMS TEATEN
CLICE RECORD CHI | | | |
| | FILE IN SECTION 2 UNLESS APPROPRIATE FOR PRIVACY FOLDER | | SECTION 2 |
Prescribed by P5803
Replaces BP-381(58) of OCT 88
.
9. Team Comments: (To include changes in present status) Positive lifestyle program, recreation roof and unit exercise program, unit based programs, leisure activities, library services, religious programs and participate in work programs.
| 10. Si | Date of next review: | D. |
| ------------------ | -------------------------------------- | ---- |
| | Inmate
407/408 REVIEWED AND CURRENT | Date |
| cc: Inmate
File | | |
#### FILE IN SECTION 2 UNLESS APPROPRIATE FOR PRIVACY FOLDER
(THIS FORM AMY BE REPLICATED VIA WP)
#### 2 SECTION
| 07/22/2019 15:15
Date: | | | Page 1 of 1 | |
| ------------------------------------------- | ------- | --- | ------------------------------------------ | --- |
| 76318-054 | | | | |
| - Register
NEW YORK MCC EPSTEIN, JEFFREY | NO DATA | | | |
| VISITOR LIST FOR | | | | |
| | | | Law Enforcement Sensitive But Unclassified | |
..
#### BP.A407 058
This tone Is to be completed by each inmate upon initial entry into the custody of the BOP. Staff shall also complete and sign as appropriate. The form is then re-completed only when the inmate desires a change in any section.
| "a" crtsk:n | Jearm | e ra.
v
er
1(3
Nub
Realmer
I | Institution
MCC NEW YORK |
| ----------- | ----- | ---------------------------------------------- | --------------------------- |
| | | | |
#### 1. CORRESPONDENCE
The staff of each institution of the Bureau of Prisons has the authority to open all mail addressed to you before it is delivered to you. 'Special Mair (mail from the President and Vice President of the U.S.. Attorneys. Members of the U.S. Congress. Embassies and Consulates. the V.S. Department of Justice (excluding the Bureau of Prisons but Including U.S. Attorneys)), other Federal Law enforcement officers. State Attorney General. Prosecuting Attorneys. Governors, U.S. Courts. (inckiding U.S. Probation Officers and State Courts) may be opened only in your presence to be checked for contraband. This procedure occurs only if the sender adequately identifies himself or herself on the envelope and the front of the envelope Is marked 'Special Mall•Open only in the presence of the inmate Other mail may be open and read by the staff.
If you do not want your general correspondence opened and read, the Bureau will return it to the Postal Service. This means that you will not receive such mail. You may choose whether you want your general correspondence delivered to you subject to the above conditions. or returned to the Postal Service. Whatever your choice, special mad will be delivered to you. after it is opened in your presence and checked for contraband. You can make your choice by signing Part I or Pan II .
#### Part I - General Correspondence to be returned to the Postal Service
I have read or had read to me the foregoing notice regarding mail. I do not want my general correspondence opened and read. I REQUEST THAT THE BUREAU OF PRISONS RETURN MY GENERAL CORRESPONDENCE TO THE POSTAL SERVICE I understand that special mad will be delivered to me. after it is opened in my presence and checked for contraband.
| | Register | | |
| ------------------- | -------- | ---- | --- |
| Signature of Inmate | Number | Dale | |
#### Part II - General Correspondence to be Opened. Read and Delivered
I hourosoad-eohad read to me the foregoing notice regarding mall. I WISH TO RECEIVE MY GENERAL CORRESPONDENCE. I understand that the Bureau of Prisons may open and read my general correspondence if I choose to receive same. I also understand that special mail will be delivered to me, after It is opened in my presence and checked for contraband.
0 Signal Register Number Date
Inmate refused to sign this form. He (She) was advised by me that the Bureau of Prisons retains the authority to open and read OH general correspondence. The inmate was also advised that his (her) refusal to sign this form will be interpreted as an indication that he (she) wishes to receive general correspondence subject to the conditions in Part II above.
Printed Name /Signature of Staff Member Date
#### 2. AUTHORIZATION FOR DISPOSITION OF FUNDS
White confined within a prison facility under custody of the U.S. Attorney General or the Attorney General's designee(s), an inmate Is prohibited from directly receiving or possessing (unless specifically authorized by the local institution) U.S. currency or checks. Or other forms of negotiable instruments. To account for funds re hied on behalf of the inmate, the Bureau of Prisons establishes for each inmate a Prisoners Trust Fund Account The Director. Bureau of Prison or the Director's authorized designee(s) serves as the custodian of any and all funds received by an inmate while the inmate is incarcerated in t custody of the U.S. Attorney General.
I hereby authorize n do not authorize [mark one] the Director. Bureau of Prisons, or the Directors authorized designee(s), and the Warden or the Warden's authorized designee(s) in this or In any other federal institution in which I may later be confined, to sign my name as endorsement on all checks, money orders, or bank drafts, or other forms of negotiable Instruments, for deposit to my credit in the Prisoners Trust Fund Account. as long as I am a prisoner in the Bureau of Prisons. I understand that by not providing this authorization.. I will I not be able to receive checks, money orders, or bank drafts. Or other forms of negotiable instruments while confined.
I further understand that all negotiable instruments sent to me should reference my name and register number in order to provide for proper deposit to my account. If my name and re ister number are not referenced the institution mail room officer may return the negotiable instrument to the sender.
| Signature of Irma | Register
Number | nkibt
-cz3-4 O | .7%
As | |
| ----------------- | ------------------ | ----------------- | --------- | --- |
| | | | | |
Inmate refused to sign this form. He (she) was advised by me that his (her) refusal to sign this form will be interpreted as an Indication that he (she) does not authorize the Bureau of Prisons to endorse on his (her) behalf all chocks, money orders. or bank drafts. or other forms of negotiable instruments for deposit to his (her) credit in the Prisoner's Trust Fund Account and that he(she) will not be able to receive such funds while confined.
Printed Name /Signature of Staff Member Date
Record Copy - Central File: Copy - Inmate Replaces BP-407(58) of OCT 88
BP-A408.058
MAY·94
and and and the commend of the may be and the comments of the
研究院的集
### ACKNOWLEDGMENT OF INMATE, PART 3 & 4
And And Propertial
#### U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
AT
#### 3. MONITORING OF INMATE TELEPHONE CALLS
Administrative
| The Bureau of Prisons reserves the author (this includes recording) conversations on any telephone located within its institutions, said
monioning to be done to preserve the security management of the institution and to protect the public. An inmale's use of institutional telephones
consitives consent to this monitoring A property plane call to an atterney is not most contact your unit earn to request an unmonitored
attorney call. | | | | |
| ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | ------------------------------------------------------------------- | ------------------------- | ------- | ------------------- |
| I here water had read to me (esseed one) the monitoring of inmate telephone calls. I understand that telephone calls I make
from institution telephones may be monitored and recorded- | | | | |
| Signature of Inmate | | | | |
| I hereby certify that the above information was (seemanely provided to the inmate to read)-and fully explained by ne to the
above inmate). The inmate (signed) (colused) to sign. | | | | |
| | | | | |
| Printed Name of Staff Member | | Signature of Staff Member | | Date |
| | 4. NOTIFICATION IN CASE OF DEATH / ILLNESS, DISPOSITION OF PROPERTY | | | |
| In the event I should die, I direct that my | (Relationship) | whose name is | | |
| and whose address is | | | | |
| reet) | | ( City ) | (State) | (Zip Code) |
| notified. | | | | |
| In the event the Bureau of Prisons staff is unable to love designated person, following a reasonable search, I authorize the substitution of the
following person in his or her stead. | | | | |
| (Relationship)
(Name) | | (Address) | | (Telephone Number ) |
| I authorize the Bureau of Prisons to ransmit my property and personal effects including money remaining to my creatli in, or due me from the Bureau of Prisons
to my next of kin in accordance with state law. | | | | |
| I agree further that disposition may be may property located within the prison facility, including clothing, in accordance with the rules and
regulations of the Bureau of Prisons. | | | | |
| In case of senous liness or cher emergency the above named persons may be contacted to be notifion. I also desire and authorize that the
following be notified. | | | | |
| Name | Relationship | Address | | Telephone Number |
| | | | | |
| | | | | |
| Signature of Inmate | | | Date | |
| I hereby ordly that the above notification was (every of the inmate to the inmate to read) and fully excluded by me | | | | |
| to the above named inmate) before the inmate (voluntarily signed)(refused to sign) this notificatidhis | | | day of | |
| | | | | |
| | | | | Date |
Record Copy - Central File; Copy -Inmate
This form replaces BP-408(58) dated August 1991
ੰਗ ਸਿੰਘ ਹ
### I. INSTRUCTIONS
The staff member conducting intake screening shall advise the pretrial inmate, depending upon the design, structure, and operation of the individual institution, that the inmate may have contact with convicted inmates. The inmate is to be asked to sign the appropriate portion in Section II of this Pretrial Inmate Work Waiver/Notice of Separation. If the inmate refuses to sign this segment of the form, staff shall document this refusal on the form.
A pretrial inmate who wishes to waive the exemption from work must sign the appropriate portion in Section IV of this Pretrial Inmate Work Waiver/Notice of Separation. This form must be completed prior to the issuance of a work assignment. If the inmate's behavior suggests an inability to comprehend the waiver, or if the inmate has been admitted to a mental health referral for evaluation or treatment, the inmate must be referred to a mental health professional for an assessment as to competency to sign the waiver. The waiver may be rescinded at the inmate's request and reasons for the rescission should be documented in Section V of this form and signed by a staff member. The waiver shall be maintained in the inmate's unit file or record office file and will remain in the file as a permanent document. The inmate may be given a copy of this form if the inmate so requests.
## II. NOTICE OF SEPARATION
- A. I unde d that it is possible that I will have contact with inmates already convicted of a crime. I circle one) aware of any reason why my having contact with convicted prisoners pose a thre my safety or the safety of others.
| B. | 'Az t-arl | 7.g .
( | | |
| --------- | --------- | ---------- | --------------------- | --- |
| Signature | Reg. No. | Date | Statt Signature/ laic | |
- B. Inmate Refuses to Sign
Date
Staff Signature/Title
REASONS STATED (IF ANY ):
| NYMG; 535\*08 \*
IIIIDERAL BUREAU OF PRISONS
INTAKE SCREENING FORM
PAGE 001 | 07-08-2019
16:06:13 |
| ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ | ---------------------------------------------------------------------------------------- |
| EPSTEIN, JEFFREY EDWARD
UNIT
NAME
REGISTER NO: 76318-054
DOB (AGE):
RACE / SEX.: WHITE / MALE
ETHNIC:
RSP O
RESIDENCE: NEW YORK, NY 10021 | 01-20-1953 (66)
OTHER THAN HISP
NYM COURT |
| INMATE
INTE
RVIEW | |
| DATE / TIME ARRIVED: 07-08-2019
TIME INTERVIEWED:
16:05 | C)
'D fel |
| 1) DO YOU KNOW OF ANY REASON THAT YOU SHOULD NOT BE
PLACED IN GENERAL POPULATION ? | YES
NO |
| 2) HAVE YOU ASSISTED LAW ENFORCEMENT AGENTS IN ANY WAY ? | YES
NO |
| 3) ARE YOU A C/M CASE ? | YES
NO |
| 4) HAVE YOU TESTIFIED AGAINST ANYONE IN COURT ? | YES
NO |
| 5) ARE YOU A MEMBER/ASSOCIATE OF ANY GANG ? | YES
NO |
| 6A) HAVE YOU EVER BEEN SEXUALLY ASSAULTED ? | YES
NO |
| 6B) HAVE YOU RECENTLY BEEN SEXUALLY ASSAULTED ? | YES
NO |
| Cr(\\criG
INTERVIEWER COMMENTS: | |
| (-teak
r-sc\
Ctig-%c-e.cp) | |
| | |
| E:
/ HAVE NOT RECEIVED A BUREAU OF PRISONS "ADMISSIONS AND
ION BOOKLET" DEFINING MY "RIGHTS AND RESPONSIBILITIES" AND THE
"PROHIBITED ACTS AND DISCIPLINARY SEVERITY SCALE".
DO YOU WISH TO SELF-IDENTIFY YOUR SEXUAL
ORIENTATION, GENDER IDENTITY, ANY DISABILITIES,
AND/OR SELF-PERCEPTION OF VULNERABILITY ?
YES
INMATE COMMENT:
NMATE SIGNAT'Pr.
w
TITLE:
INTERVIEWER:
STAFF
CHECKLIST
PSI REVIEWED ?
CENTRAL FILE REVIEWED ?
IS THERE A HISTORY OF SEXUALLY AGGRESSIVE BEHAVIOR ?
COMMENTS: | NO17'- N/A
DATE: -1.:6
DATE: 07-08-2019
NO & V
YES
NO
YES
NO
YES |
| euti,3
Nsok (we, | ;A-04-\*-- • |
| IF GENERAL PHYSICAL APPEARANCE IS NOT GOOD, EXPLAIN: | |
| NO
PSYCH ALERT (YES/NO)
•
(IF NO, EXPLAIN)
OK FOR GENERAL POPULATION: YES
NO | (IF YES, DO NOT RELEASE TO GENERAL
POPULATION, NOTIFY PSYCHOLOGY) |
| EFTA00108528 | |
| -------------- | --- |
| -------------- | -- |
BP-A0562
JUN 10
PRE-TRIAL INMATE INTERVIEW FORM
T SERSICIPAT
#### U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS
| | Inmate Name
Reg. No.
Date |
| ---- | ------------------------------------------------------------------------------- |
| | Bond Information:
1. |
| | Offense:
2. |
| | Detainer:
3. |
| | Palle
Dolicitin) Prosphy
Prior Commitments (Offense/Facility/Year):
4. |
| | History of Escape (Year) :
nes
ട്. |
| | History of Violence (Year) :
6. |
| | Medical/Psychological
7.
Concerns: |
| | 8.
SENTRY Information: |
| | ல்
Separation Needs |
| | Notoriety:
10. |
| | |
| | antens
11.
Most Recent Employment: |
| | 12.
Language Spoken: |
| | Case Manager's Recommendation: |
| ur. | Interviewer's Signature: |
| MENT | Unit Manager's Comments: |
Beginner RP-203073) OF ARR 50 grea 250-0200 (7 Jr ef May 94
-
.
.
Pressualis of Dr
27332
\:
#### UNIFORM BASIC SAFETY REGULATIONS CDERM
BP-A0169 JUNE. 10
U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISON
Instit tior MCC New York
Unit RAD
•
ivory effort will be made to provide a safe working environment. As a new commitment you are being provided with a copy of the safety regulations as reflected below, and a copy of the Inmate Accident Compensation Procedures. You are required to sign and date this form at the bottom to indicate you have received this information.
- 1. Each inmate worker is required to exercise care, cooperation, and common sense in the performance of his work assignment. Horseplay on the job will not be tolerated.
- 2. An inmate worker will perform only that work to which he is assigned. Unauthorized use of machines or equipment, or performance of work in an area not specifically assigned, is forbidden and subject to disciplinary action. Machines or equipment in the work area shall not be used to fabricate or repair personal items.
- 3. Inmate workers are not authorized to utilize personal radios while on the job detail.
- 4. Operating machinery without the use of safety guards) as provided is forbidden and subject to disciplinary action.
- 5. Do not adjust, oil, clean, repair, or perform any other maintenance to any machinery while it is in motion. Stop the machinery first and use lock-out devises when provided.
- 4. To protect against physical injury snd/or health hazard, each inmate worker is required to use all safety equipment provided. Personal protective equipment such as hard hats, hearing protection, goggles, respirators, aprons, arm guards, wire mesh gloves, and safety shoes are to be used in designated areas and ma.:. be worn in the proper manner.
- Safety equipment must be worn in accordance with the institution personal protective assess sent.
- S. Vehicle drivers must obey all institutional driving rules.
- 9. Do not ride on tractors, forklifts, or any other tow vehicle. The operator is the only person authorized in the use of such machinery.
- 10. Do not stand up in a moving vehicle or attempt to dismount before the vehicle has come to a complete stop. Sit on seats provided and keep safety chains In place on open back vehicles.
- 11. Smoking is prohibited.
- 12. Safety hazards are to be reported to your work supervisor immediately. If the work supervisor does not agree that an unsafe condition exists, you are to report the unsafe condition to the institution's Safety Manager for further consideration.
- 13. It you are injured while performing your work assignment, no matter how minor it may seem, report the injury report to your work supervisor. Failure to report a work injury within a maximum of 4\$ hours may result in the forfeiture of lost time wages and/or inmate accident compensation.
- 14. It you suffer a work injury. and feel your injury has resulted in Some degree of physical imp sssss nt, you may filo a claim for Inmate Accident Compensation. To do so, you should contact the Safety Manager 45 days prior to your release or transfer to a Community Treatment Center. The Safety Manager will assist you in Completing your claim and will arrange a medical evaluation which must be performed with regard to your claimed injury.
| nformation.
I have re | | | |
| --------------------------------------------------- | --- | ---------------------- | ---- |
| Witnessed by
,
t)-I
e e
-414-t
5161N | I | irc
k.ry
I-7(0,3 | |
| arlagastS | | Reg. No. | Date |
co: Sighed copy will be forwarded to the Innate central rile. Refusal to sign for receipt will be noted en the tore. not•I Should the inmate indicate in any way he is unable to maces, safety regulations will be read to his, and Inmate Accident Compensation PrOredurn •nplalned.
PDF Prescribed by P1600 This form replaces BP-169(16) dated MAY 1994
# III: POLICY
Bureau of Prisons policy states a pretrial inmate may not be compelled to work other than to perform housekeeping tasks in the inmate's own cell and in the community living area.
#### FOR STAFF USE ONLY
I am referring this inmate to the institution's psychologist/psychiatrist because:
The inmate's behavior suggests the inmate may not be able to comprehend this waiver.
The inmate has been admitted for mental evaluation or treatment.
Staff Signature/Printed Name/Title
a
Date
#### IV. WORK WAIVER
I brre-reed-or had read to me the policy provisions in Section II of this form and would like to volunteer for a work assignment which entails more than housekeeping tasks. I understand that as a person not convicted of a crime I may not be required to work.
70.3ition/ 7 c3.1 1 Reg. No. Date
Inmate Signature
### V. REVOCATION OF WAIVER
I hereby rescind the work waiver previously claimed above:
Inmate Signature Reg. No. Date Staff Signature/Title STAFF COMMENTS: WDP Prescribed by P7331 Replaces BP-203(73) OF APR 80 and BP•8203(73) of May 94 2
# ID Card/Lanyard/ID Holder
### New York, New York
I certify that I received an Inmate ID Card/Lanyard/ID Holder from MCC New York Staff. I understand that I must maintain this ID card visible on my person at all times, excluding lock-down hours. I further understand staff will confiscate this ID card when I am at court, furlough or escorted trips. I will also be required to surrender this card to Correctional Systems Staff upon release or transfer from this institution. I will be charged \$5.00 replacement cost should I lose or misplace this ID card/lanyard/ID holder. Lastly, I understand that this ID Card is the property of the Metropolitan Correctional Center — New York.
| | C
ernty
zteS JeA
N,
I |
| ------------------------------------- | -------------------------------------------------------------------------------------------- |
| | PRINT |
| L03/ 13-ary | a
9.
./ 7
5 |
| REGISTER NUMBER | DATE |
| | |
| ST | URE |
| Lla None
fest Mane
^6'0"
GRY | 070.200
EPSTEIN
JEFFREY
EDWARD
^^185
BLU
NYM nptcd. cpsnw
X^1.76318-054 |
| | INMATE PICTURE ID LABEL |
| | |
| | |
| | |
| | FEDERAL BUREAU OF PRISONS
METROPOLITAN CORRECTIONAL CENTER OF NEW YORK (MCC) |