Fact Witness Travel Request (Domestic Witness Travel) AUSA, see instructions below. To: SDNY Victim/Witness Unit From: AUSA iii Date: January 10, 2020 Re: — United States v. Ghislaine Maxwell Court Docket No: N/A (grand jury investigation) USAO No: 2018R01618 Witness Name: Witness DO (Name/DOB as printed here will be forwarded to travel agency and then to TSA and must exactly match the witness's driver's license or other travel ID or TSA will not permit the witness to fly.) Witness Address: as Witness TelNos (mobile): Witness e-mail: Witness Needed to Appear in SDNY on Date: January 14, 2020 Time: 3:30 PM Witness Needed to Appear for: Trial ( ) Date: Grand Jury (_ ) Date: Trial/GJ Prep( X) Date: January 14, 2020 Estimated Dates Witness will Arrive: January 13, 2020 Depart: January 15, 2020 Is the person a Fact Witness and not an Expert Witness? Current Federal Civilian or Military Employee? Is the Witness Facing Criminal Charges? Does the Witness Reside Outside the Continental United States? Is this Witness a Victim-Witness? Hotel Required? Has the Witness advised you of any unusual travel expenses? Unusual expenses of fact witnesses can include e special travel arrangements rev. 2019.11.19 (Yes/No): (Yes/No): (Yes/No): (Yes/No): (Yes/No): (Yes/No): (Yes/No): __ Yes No No No No Yes No EFTA00082699

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e care for dependent child or incapacitated family member left at home e kennel fees for pets © necessary travel companion e extra baggage (more than one bag) Please describe the unusual expense: For Victim-Witness Coordinator: 1. (For UEFW other than travel, which must be itemized and approved in advance:) This UEFW is apparently within VWC approval authority and tentatively approved pending receipt(s) for UEFW expenses (Yes/No): 2. Other VWC comments: VWC Initials and Date: Instructions to AUSA: e Use this form for all fact witnesses within the U.S. except government employees and military personnel, for whom a Request for Armed Forces or Government-Employee Witness should be used. e For foreign witnesses, use the International Witness Travel Request. Complete an Early or Extended stay memo if the witness is being brought in more than 3 business days prior to court/GJ testimony. e Witnesses may only be brought in under the FEWS appropriation for grand jury testimony that has been scheduled and where the witness is expected to testify before the grand jury; court testimony; or preparation for same. Any other witness travel, e.g., for investigative interviews, must be covered by the investigating component from litigative funds. <a e See generally DOJ Instruction 1300.01.01 (approved 9/28/2018) and sources referenced therein. rev. 2019.11.19 EFTA00082700