ted act(s) may result in a rescission or retardation by the Parole Commission of the presumptive or effective parole date. Inmate's Name: EPSTEIN,JEFFREY EDWARD Reg. No.: 76318-054 Inmate Signature: x Date: -1\ Notice of rights given to inmate(Date/time): -1\SCA (3 S ti pm_ by: This form may be replicate