4
Shared Docs
4
Same-Page
4 / 4
Mentions
r (A-Number) (if any) 6. U.S. Social Security Number (SSN) (if any) Part 2. Agency Information I. 2. 3. 4. 5. 6. Name of Certifying Agency Federal Bureau of Investigations Name of Cenifying Official Title of Certifying Official Special Agent Division/Office of Certifying Official New York Field Office Agency Maili
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
tration P. A- U.S. Social Number Security Number (SSN) (if any) Part 2. Agency Information 1. 2. 3. 4. 5. 6. Name of Certifying Agency 'Federal Bureau of Investigations Name of Certifying Official Title of Certifying Official Division/Office of Certifying Official Agency Mailing Address Street Number and Name 2
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
stration Number (A-Number) (if any) P. A- U.S. Social Security Number (SSN) (if any) .r Part 2. Agency Information 1. Name of Certifying Agency Federal Bureau of Investigations 2. Name of Certifying Official 3. Title of Certifying Official 4. Division/Office of Certifying Official 5. Agency Mailing Address Street Nu
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
Registration Number (A-Number) (if any) ► A- U.S. Social Security Number (SSN) (if any) Part 2. Agency Information I. Name of Certifying Agency Federal Bureau of Investigations 2. Namc of Certifying Official 'Amanda Young 3. Title of Certifying Official Special Agent 4. Division/Office of Certifying Official 'New Yo
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
Entities connected to both FBI and VTVPA

Jeffrey Epstein
PERSON
United States
LOCATION
Ghislaine Maxwell
PERSONNew York Field Office
LOCATIONU.S. Citizenship and Immigration Services
ORGANIZATION
Birth
PERSONDivision/Office of Certifying
ORGANIZATIONReloc Sent
LOCATIONDelaration of Law Enforcement
ORGANIZATION
Slovakia
LOCATIONU.S. Social Security
ORGANIZATIONEl Completed
LOCATIONDaytime Telephone Number
ORGANIZATIONEl Law Enforcement
ORGANIZATIONDSC 1591(a
ORGANIZATIONDSC 2423(a
ORGANIZATIONSignature of Law Enforcement
ORGANIZATIONSignature of Supervisor
ORGANIZATIONEl State
LOCATIONItem A.
PERSON