Epstein Secrets

upervisor: Age Eft-14014 II. Employer's business addressai'' /(/(/ NV 1=i III. Employer's telephone number: MI. Dates of Employment: !col pAta B. List all previous employers for the past five (5) years, including employers' addresses and dates of your employment with each employer: EMPLOYER ADDRE

quest needs lobe faxed to the respective Legal Department for the institution you need to visit. Please be advised that it is the responsibility of the Mitigation Specialist/ Doctors to make her/his sponsoring attorney aware of the above procedures. The enclosed Sponsoring Statement form can be reproduced locally. Page 10 of 10

ace of Employment: I. Name of immediate supervisor: H. Employer's business address: III. Employer's telephone number: IIII. Dates of Employment: B. List all previous employers for the past five (5) years, including employers' addresses and dates of your employment with each employer: EMPLOYER ADDRE

uest needs to be faxed to the respective Legal Department for the institution you need to visit. Please be advised that it is the responsibility of the Mitigation Specialist/ Doctors to make her/his sponsoring attorney aware of the above procedures. The enclosed Sponsoring Statement form can be reproduced locally. Page 10 of 10

loyer's business address: _________________ _ III. Employer's telephone number: ________________ _ IHI. Dates of Employment: ___________________ _ B. List all previous employers for the past five (5) years, including employers' addresses and dates of your employment with each employer: EMPLOYER ADDRE

uest needs to be faxed to the respective Legal Department for the institution you need to visit. Please be advised that it is the responsibility of the Mitigation Specialist/ Doctors to make her/his sponsoring attorney aware of the above procedures. The enclosed Sponsoring Statement form can be reproduced locally. Page 10 of 10