EFTA00038321.pdf

Type

pdf

Source set

data-set-8

Original source

Extracted text

Federal Bureau of Investigation 
Victim Services Division 
Epstein Briefing RSVP 
October 15, 2019 - Miami, FL I I October 23, 2019 - New York, NY 
Please fill out the following form and return to the 
emailbox by October 4, 2019. 
Full Name: 
Phone Number: Click here to enter phone nuri,oL; 
Address 1: Click here to enter address 1 
City: Click here to enter city State: Click here to enter state 
Citizenship: Click here to enter citizenship 
Email Address: 
e:e ;;; 
Social Security Number: Click here to enter SSN 
Address 2: li lL% lure to enter address 2 
Zip: Click here to enter zip 
Country of Birth: lck here to enter country of birth 
If you have spoken with a FBI Victim Specialist, please provide their name: Click here to enter VS name 
Can you attend? 
— Yes, I will attend 
0 No, I cannot attend 
If yes, which location will you attend? 
0 10/15/2019 Miami, Fl 
0 10/23/2019 New York, NY 
You are authorized to bring one support person. Will you be bringing a support person with you to the briefing? 
yes, I will bring one support person 
J No, I will not bring a support person 
Will you need travel arrangements? 
Yes, I will need travel arrangements 
0 No, I will not need travel arrangements 
If yes, which mode of transportation do you preferi
r 
Air 
Bus 
Rail 
0 Mileage reimbursement (if you are utilizing your own vehicle) 
Only economy, roundtrip fares and one checked luggage bag per person will be authorized. You will be responsible for any incidental 
charges incurred such as in-flight snacks, Pay-Per-View, Wi-Fi, etc. 
Date of Birth (required by airlines): Click here to enter date of birth 
Preferred time of travel: Click here to enter preferred time of travel 
Airport of origin: 
Click here to enter departure airport name 
Do you require lodging? 
Only two nights of lodging will be authorized and only hotel room cost and tax will be authorized. You will be required to provide a 
credit card for incidental charges upon check in. You will be responsible for…

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