Epstein Secrets

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

ponsible officer designated by Warden: O yes: O No Has received prescribed weekly exorcise: K Yot O No Proper documentation and justification in the Central File (Incident Report. OHO Radon, copies of Special Housing Review Form): O Yes: O No if no, why not? Is there a written psychiatric or psychological assessment on ale

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

Mseestbs olllo& designated by Wanien: Yes: K No Has received pniscrlbed wacky exerdea: III Yes; 0 No Proper dccurnentailon and lasliffltdon in the Central File (Incident Report, DHO Repel. copies of Societal /boatel Ftevkair Farm)* yes: 0 No d no, wily man Ls them a wragen gibe/4Mo cc psych/Nogg' esaemment on the Crenate

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 of Next Review: 07.23.2019 Printed Name and Signal Segregation Review Official or the Reviewing Authority and Date Signed RICE, MARQUEA S Record Copy - Central

ponsible officer designated by Warden: O Yes D No Has received prescribed weekly exercise: D Yes: K No Proper documentation and justification in the Central File (Incident Report, DHO Report, copes of Special Housing Review Form): O Yes; O No if no. why not? Is there a written psychiatric or psychological assessment on the

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: 07-26-2019 Printed Name and Signature of Segregatlon Review Official or the Reviewing Authority and Date Signed: (b)(6); (b)(7)(C) Record Copy -

ible officer designated by Warden: ~ Yes; O No Has received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Sp~ial Housing Review Form): if no, why not? I Is there a written psychiatric or psychological assessment on the inmate who

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: 07-26-2019 Printed Name and Signature of Segregatlon Review Official or the Reviewing Authority and Date Signed: r )(6); (b)(7)(C) 1 RecOrd C0p

ible officer designated by Warden: ~ Yes; O No Has received prescribed weekly exercise: ~ Yes; D No Proper documentation and justification in the Central File (Incident Report, OHO Report, copies of Sp~ial Housing Review Form): if no, why not? I Is there a written psychiatric or psychological assessment on the inmate who