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be completed by Federal, state. local, or tribal law enforcement agencies for victims under the Victims of Trafficking and Violence Protection Act (VTVPA). Public Law 106-386, as amended. PART 1. Victim Information I. Full Legal Name Family Name (Last Name) Given Maine (Pint Name) Middle Name (if
6 Federal Plaza City or Town New York Daytime Telephone Number 7. Fax Number For USCIS Use Only Returned Date Date Resubmitted Date Date Reloc Sent Date Date Reloe Rec'd Date Date Receipt Remarks amszitssies Apt. Ste. Flr. Number El State ZIP Code NY 10278 Form 1-914. Supplement B E
be completed by Federal, state, local, or tribal law enforcement agencies for victims under the Victims of Trafficking and Violence Protection Act (VTVPA). Public Law 106-386, as amended. PART 1. Victim Information 1. Full Legal Name (First Name) Middle Name (if any) 2. Provide any other names y
6 Federal Plaza City or Town New York Daytime Telephone Number 7. Fax Number For USCIS Use Only Returned Date Date Resubmitted Date Date Reloc Sent Date Date Reloc Rec'd Date Date Receipt Remarks (Mot 71? (WI, I eptup) Apt. Ste. Fir. Number ID State ZIP Code I NY J 10278 Form 1-914.
be completed by Federal, state, local, or tribal law enforcement agencies for victims under the Victims of Trafficking and Violence Protection Act (VTVPA). Public Law 106-386. as amended. PART 1. Victim Information 1. Full Legal Name Family Name (Last Name) Given Name (First Name) Middle Name (if
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 Date Reloc Rec'd Date Date Receipt Remarks 26 Federal Plaza City or Town (ILSPI VP rode Lank -A Apt. Ste. Flr. Number 0 0 El State
be completed by Federal, state, local, or tribal law enforcement agencies for victims under the Victims of Trafficking and Violence Protection Act (VTVPA), Public Law 106-386, as amended. PART 1. Victim Information I. Full Legal Namc Family Name (Last Name) Given Name (First Name) Middle Name (if
icial 'New York Field Office 5. Agency Mailing Address Street Number and Name For USCIS Use Only Returned Date Date Resubmitted Date Date Reloc Sent Date Date Reloc Rec'd Date Date Receipt Remarks 26 Federal Plaza City or Town New York IMPS ZIP Co* Loging2 Apt. Ste. Flr. State NY 6.
Entities connected to both VTVPA and Reloc Sent

Jeffrey Epstein
PERSON
Ghislaine Maxwell
PERSONFBI
ORGANIZATIONU.S. Citizenship and Immigration Services
ORGANIZATIONDelaration of Law Enforcement
ORGANIZATIONDivision/Office of Certifying
ORGANIZATIONEl Completed
LOCATIONU.S. Social Security
ORGANIZATIONDaytime Telephone Number
ORGANIZATIONEl State
LOCATIONItem A.
PERSONItem B.
PERSONEl Federal
ORGANIZATIONEl Tribal
ORGANIZATIONEl Law Enforcement
ORGANIZATIONDSC 1591(a
ORGANIZATIONDSC 2423(a
ORGANIZATION
United States
LOCATIONSignature of Law Enforcement
ORGANIZATION
Slovakia
LOCATION