PDF Prescribed by P5270 Replaces BP-S288.052 Of MAY 94 EFTA00080407 Page 0797 Form 583 Report of Incident Incident #: NYM-19- Submitted By: Skipper-Sott, S. 0076 Date/Time Of Incident: 7/23/2019 1:27 AM Section 1: General Information Staff Aware Date: 7/23/2019 1:27 AM FBI Notified: No USMS Noti

(AT) about the sex offender specific risk factors and suicidal ity. b)(7)(A) Form 583 Report of Incident Incident#: NYM-19- 0076 Submitted By: Skipper-Sott, S. Date/Time Of Incident: 7/23/2019 1 :27 AM Section 1: General Information Staff Aware Date: 7/23/2019 1 :27 AM FBI Notified: No USMS Notified

CI Talladega Should you have any questions, please give me a call . Page 797 Form 583 Report of Incident Incident#: NYM-19- 0076 Submitted By: Skipper-Sott, S. Date/Time Of Incident: 7/23/2019 1 :27 AM Section 1: General Information Staff Aware Date: 7/23/2019 1 :27 AM FBI Notified: No USMS Notified