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In the reason for placement Is to be noted m this section. If the reason for placement changes, the inmate must receive a copy of Cis form): Date of Next Review 0740-2019 Rented Name and Senature of aegis° Official or the Reviewing Authoaty and Date Signed. Record Copy • Central Ftie This form replaces B
s documented here. Record Copy • Inmate Concerned (not necessary it placement is a result ot holdover status); Copy - Captain, Copy - Unit Manager. Copy - Operation Supervisor • Administrative Detention Unit: Copy — Psychology; Copy - Central Fine PDF Prescribed by P5270 (Replaces 8P-A0308 of JAN 88.) EFTA00110601 8P
ange in the reason for placement is to be noted in this What If Me reason for placement changes, the inmate must receive a copy &this form): Date of Next Review. 07.23.2019 Printed Name and Signe Segregation Review Official ea the Reviewing Authority and Date Signed. M. I Record Copy - Central File TN'
s documented here. Record Copy - Inmate Concerned (not necessary if placement is a result of holdover status); Copy - Captain. Copy - Unit Manager. Copy - Operation Supervisor • Administrative Detention Unit; Copy — Psychology; Copy - Central Fine PDF Prescribed by P5270 (Replaces 8P-A0308 of JAN 88.) EFTA00110614 8P
the reason for placement is to be noted in this section. If the reason for placement changes, the inmate must receive a copy of this form): Date of Next Review. 07.23.2019 lion Review Official Or the Reviewing Authority and Date Signed. This form replaces BP-295(52) dated January 1988 Page I of 1 7/19/20
s documented here. Record Copy - Inmate Concerned (not necessary it placement is a result ot holdover status); Copy - Captain, Copy - Unit Manager. Copy - Operation Supervisor • Administrative Detention Unit: Copy — Psychology; Copy - Central Fike PDF Prescribed by P5270 (Replaces BP-A0308 of JAN 88.) EFTA00060708 8P
n the reason for placement Is to be noted in this section. If the reason for placement changes. the inmate must receive a copy of this form) Date 01 Next Review 01.23-2019 Printed Name and Sign Segregation Renew Official or the Renewing Authority and Date Signed Record Copy - Central File This form repla
s dteumented here_ Record Copy - Inmate Concerned (not necessary if placement Is a result of holdover status); Copy - Captain; Copy • Unit Manager. Copy - Operation Supervisor f eaeysAdmintstratve Detention Unit Copy —Psychology: Copy - Central Fite PDF Prole Ned by P5270 (Replaces 8P-A0308 al JAN 88.) EFTA00047579 B
Entities connected to both Next Review and Copy - Operation Supervisor
Special Housing Unit
ORGANIZATIONthe Reviewing Authority
ORGANIZATIONLeon Black
PERSONSpecial Housing Review Form
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONthe Segregation Review
ORGANIZATION
Julie K. Brown
PERSONCOMPLETED - CONTINUE PROCESSING
ORGANIZATIONMedical Staff
ORGANIZATIONActon Taken
LOCATIONUNT MGR
ORGANIZATIONOHO Report
ORGANIZATIONR. PROTO
ORGANIZATIONPGM REVIEW
ORGANIZATIONNYM-NEW YORK MCC
ORGANIZATIONthe Central File (Incident Report
ORGANIZATIONSHU Review
ORGANIZATIONEl Continue
ORGANIZATIONNYM CALLOUTS
PERSONCARE1-MENTAL
ORGANIZATION