5
Shared Docs
5
Same-Page
5 / 5
Mentions
Supplement 8, Delaration of Law Enforcement Officer for Victim of Trafficking in Persons Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form 1-914 OMBNo.1615-0099 Expires 1//31/2023 START HERE - Type or print in ink. This form should be completed by Federal, state. local,
3. 4. 5. 6. Name of Certifying Agency Federal Bureau of Investigations Name of Cenifying Official Title of Certifying Official Special Agent Division/Office of Certifying Official New York Field Office Agency Mailing Address Street Number and Name 26 Federal Plaza City or Town New York Daytime Telephone Number
te and include his telephone and fax number A A EFTA00155344 Supplement B, U Nonimmigrant Status Certification Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form 1-918 OMB No. 1615-01 Expires 04/30/202 Remarks For 115C IS Use Only ► START HERE - Type or print in black or blue ink. Part 1.
Bureau of Investigations Name of Certifying Official 2.a. Family Name (Last Name) 2.b. Given Name (First Name) 2.c. Middle Name 3. Title and Division/Office of Certifying Official Name of Head of Certifying Agency 4.a. Family Name (Last Name) 4.b. Given Name (First Name) 4.c. Middle Name 5.a. Street Number and
Supplement B, Delaration of Law Enforcement Officer for Victim of Trafficking in Persons Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form I-914 OMB No. 1M 5-0099 Expires 12/31/2023 START HERE - Type or print in ink. This form should be completed by Federal, state, local
ion 1. 2. 3. 4. 5. 6. Name of Certifying Agency 'Federal Bureau of Investigations Name of Certifying Official Title of Certifying Official Division/Office of Certifying Official Agency Mailing Address Street Number and Name 26 Federal Plaza City or Town New York Daytime Telephone Number 7. Fax Number For USC
Supplement B, Delaration of Law Enforcement Officer for Victim of Trafficking in Persons Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form I-914 OMB No. 1615-0099 Expires 12/31/2023 START HERE - Type or print in ink. This form should be completed by Federal, state, local
Information 1. Name of Certifying Agency Federal Bureau of Investigations 2. Name of Certifying Official 3. Title of Certifying Official 4. Division/Office of Certifying Official 5. Agency Mailing Address Street Number and Name For USCIS Use Only Returned Date Date Resubmitted Date Date Reloc Sent Date Da
in Charge EFTA01653121 Supplement B, Delaration of Law Enforcement Officer for Victim of Trafficking in Persons Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form 1-914 OMB No. 1615-0099 Expires 12/3112023 START HERE - Type or print in ink. This form should be completed by Federal, state, local
ifying Agency Federal Bureau of Investigations 2. Namc of Certifying Official 'Amanda Young 3. Title of Certifying Official Special Agent 4. Division/Office of Certifying Official 'New York Field Office 5. Agency Mailing Address Street Number and Name For USCIS Use Only Returned Date Date Resubmitted Date Da
Entities connected to both U.S. Citizenship and Immigration Services and Division/Office of Certifying

Jeffrey Epstein
PERSONFBI
ORGANIZATION
Ghislaine Maxwell
PERSON
United States
LOCATIONU.S. Social Security
ORGANIZATION
Birth
PERSONReloc Sent
LOCATIONNew York Field Office
LOCATIONDelaration of Law Enforcement
ORGANIZATIONVTVPA
ORGANIZATIONDaytime Telephone Number
ORGANIZATIONEl Completed
LOCATION
Slovakia
LOCATIONItem A.
PERSONEl Law Enforcement
ORGANIZATIONDSC 1591(a
ORGANIZATIONDSC 2423(a
ORGANIZATIONSignature of Law Enforcement
ORGANIZATIONSignature of Supervisor
ORGANIZATIONUSC 2423(a
ORGANIZATION