EFTA00035216.pdf
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- pdf
- Source set
- data-set-8
Original source
Extracted text
13P.AnCia
JAN 17
ADMINISTRATIVE DETENTION ORDER
U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS
TO: Special H
ng Unit Officer
FROM:
SUBJECT: Placement of
EPSTEIN. JEFFREY EDWARD
(Name/rite)
Reg. No.
(a) Is pending an investigation for a vrolation of Bureau regulations:
(b) Is pending an SIS investigation.
(c) Is pending investigation or trial for a cnminal act:
(d) Is to be admitted to Administrative Detention
(1) Since the inmate has requested admission for protection;
NEW YORK MCC
instsition
Date/Time- 07-29.2019 12-.21
76318-054
in Administrative Detention
I hereby request placement in Administrative Detention for my own protection.
Inmate Signature/Register No.:
Staff Witness Printed Name Signature:
(2) Since a serious threat exists to individual's safety as perceived by staff, although person has not requested admission; referral of
the necessary information wit be forwarded for an appropriate hearing by the SRO.
(e)
Is pending transferor is in holdover status during transfer
(f)
is pending classificatory or
(9)
Is terminating confinement In Disciplinary Segregation and has been ordered Into Administrative Detention by the Warden's
designee.
II is the Correctional SupenAsor's decision based on all the circumstances that the above named Inmate's continued presence in the general
population poses a serious throat lo !de. property, self, staff, other inmates. or to the security or orderly running of the institution because'
PENDING UDC FOR CODE 228 SELF-MUTILATION
Therefore, the above named Inmate is to be placed in Administrative Detention unti further notice. The Inmate received a copy of this Order on
(date / time)
Staff Witness Signature/Printed Name
Date
Supervisor 24 hour review of placement: Signature/Printed name
• In the case of DHO action, reference to that order is sufficient. In other cases, the Correctional supervisor will make an independent review and decision. which I
documented here.
Rec…
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