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s O No al yes, please attach completed U.S. Citizenship and Immigration Services Forms I-765, Application for Employment Authorization, and I-102, Application for Replacement/Initial Nonimmigrant Arrival/Departure Document.) Note: Information contained in question #7 is not required fora victim to receive Continued Presen
er. 3.a. Street Number and Name Preparer's Full Name 3.b. O Apt. K Ste. O Flr. l.a. Preparer's Family Name (Last Name) 3.c. City or Town I.b. Prepares Given Name (First Name) 3.d. State 3.e. ZIP Code 3.1. Province 2. arees Business or Organization Name (if any) 3.g. Postal Code 3.h. Country
ID No (If yes, please attach completed U.S. Citizenship and Immigration Services Forms 1-765, Application for Employment Authorization, and 1-102. Application for Replacement/Initial Nonimmigrant ArriveDeparture Document.) Note; Information contained in question #7 is not required for a victim to receive Continued Presenc
er. 3.a. Street Number and Name Preparer's Full Name 3.b. O Apt. K Ste. O Flr. l.a. Preparer's Family Name (Last Name) 3.c. City or Town I.b. Prepares Given Name (First Name) 3.d. State 3.e. ZIP Code 3.1. Province 2. arees Business or Organization Name (if any) 3.g. Postal Code 3.h. Country
s O No (If yes, please attach completed U.S. Citizenship and immigration Services FORM 1-765; Application for Employment Authorization, and 1-102, Application for Replacement/Initial Nonimmigrant Arrival/Departure Document) Note: Information contained in question # 7-is not required for a victim to receive Continued Prese
her than the Applicant Preparer's Full Name Provide the following information concerning the preparer: 1.a. Preparers Family Name (Last Name) Lb. Prepares Given Name (First Name) 2. Prepares Business or Organization Name Preparer's Mailing Address 3.a. Street Number and Name 3.b. Apt. K Ste. K Fl
Entities connected to both Application for Replacement and Prepares

Jeffrey Epstein
PERSONPort of Entry
ORGANIZATIONRequesting Law Enforcement Agency
ORGANIZATIONParole and Law Enforcement Programs Unit
ORGANIZATIONNational Crime Information Center
ORGANIZATION
Homeland Security
ORGANIZATIONAlbany
LOCATIONContact Information, Certification
ORGANIZATION
Department of Homeland Security
ORGANIZATIONthe Social Security Administration
ORGANIZATIONNew York Field Office
LOCATION
Michael C.Green
PERSONthe NYS Division of Criminal Justice Services
ORGANIZATIONMonitoring Case
ORGANIZATIONU.S. Immigration and Customs Enforcement
ORGANIZATIONFederal, State
ORGANIZATIONPreparer
ORGANIZATIONMonitoring Group
ORGANIZATIONNew York State Division of Criminal Justice Services
ORGANIZATIONEl Authorization/Extension
ORGANIZATION