Federal Bureau of Investigation Victim Services Division Epstein Briefing RSVP October 15, 2019 - Miami, FL | | October 23, 2019 - New York, NY Full Name: Click here to enter full name Email Address: Click here to enter email address Phone Number: Click here to enter phone number Social Security Number: Click here to enter SSN Address 1: Click here to enter address 1 Address 2: Click here to enter address 2 City: Click here to enter city State: Click here to enter state Zip: Click here to enter zip Citizenship: Click here to enter citizenship Country of Birth: Click here to enter country of birth If you have spoken with a FBI Victim Specialist, please provide their name: Click here to enter VS name OC Yes, | will attend CI No, I cannot attend 0 10/15/2019 Miami, Fl C) 10/23/2019 New York, NY OC Yes, | will bring one support person ZC No, | will not bring a support person C Yes, | will need travel arrangements C2 No, | will not need travel arrangements 0 Air CZ Rail CO Bus (- Mileage reimbursement (if you are utilizing your own vehicle) Only economy, roundtrip fares and one checked luggage bag per person will be authorized. You will be responsible for any incidental charges incurred such as in-flight snacks, Pay-Per-View, Wi-Fi, etc. Date of Birth (required by airlines): Click here to enter date of birth Airport of origin: Preferred time of travel: Click here to enter preferred time of travel Click here to enter departure airport name Only two nights of lodging will be authorized and only hotel room cost and tax will be authorized. You will be required to provide a credit card for incidental charges upon check in. You will be responsible for any incidental charges incurred such as snacks, mini bar, Pay-Per-View, phone charges, etc. OC Yes, | will require lodging ZC No, | will not require lodging CX Yes, | will require transportation to/from the airport ZC No, | will not require transportation to/from the airport EFTA00038321

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Support Person’s Name: Relationship: Friend Email Address: ns Phone Number: Social Security Number: Address 1: Address 2: Click here to enter address 2 City: New York State: NY Zip: 10033 Citizenship: US Country of Birth: USA CZ Yes, my support person will need travel arrangements & No, my support person will not need travel arrangements OD Air CD Rail CO Bus 1) Mileage reimbursement (if they are utilizing their own vehicle) Only economy, roundtrip fares and one checked luggage bag per person will be authorized. You will be responsible for any incidental charges incurred such as in-flight snacks, Pay-Per-View, Wi-Fi, etc. Date of Birth (required by airlines): Click here to enter date of birth Airport of origin: Preferred time of travel: Click here to enter preferred time of travel Click here to enter departure airport name Only two nights of lodging will be authorized and only hotel room cost and tax will be authorized. You will be required to provide a credit card for incidental charges upon check in. You will be responsible for any incidental charges incurred such as snacks, mini bar, Pay-Per-View, phone charges, etc. CI Yes, my support person will require separate lodging ™ No, my support person will not require separate lodging C Yes, my support person will require transportation to/from the airport No, my support person will not require transportation to/from the airport By checking and signing below, | acknowledge | have read and understand that only lodging, lodging taxes, mileage, and commercial transportation expenses (airfare, bus, train, and hotel transportation only) will be authorized as outlined above. | understand that the following will not be included/provided in the authorized expenses: meals, rental vehicle, entertainment, or other incidental charges. & Yes, | acknowledge the above statement [x 10/19/2019 EFTA00038322