8P-A0308 ADMINISTRATIVE DETENTION ORDER U.S. DEPARTMENT OF JUSTICE ane FEDERAL BUREAU OF PRISONS PE NEW YORK MCC Instiution Date/Time: 07-29-2019 12:21 TO: S| FROM: (Name/Title) SUBJECT : Placementof____ EPSTEIN, JEFFREY EDWARD _ Reg. No,_76318-054_ in Administrative Detention _ vay Is pending an investigation for a violation of Bureau regulations; (b) 1s pending an SIS investigation. ____(¢) Is pending investigation or trial fora criminal act; (4) Isto be admitted to Administrative Detention (1) Since the inmate has requested admission for protection, | hereby request placement in Administrative Detention for my own protection. Inmate Signature/Register No; Staff Witness Printed Name Signature; (2) Since a serious threat exists to individual's safety as perceived by staff, although person has not requested admission; referral of the necessary information will be forwarded for an appropriate hearing by the SRO. —____(e) Is pending transfer or is in holdover status during transfer. ci] Is pending classification; or Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee. ———_!9) itis this Correctional Superdsor's decision based on all the circumstances that the above named inmate's continued presence In the general population poses a serious threat to life, property, self, staff, other inmates, or to the security or orderly running of the institution because” PENDING UDC FOR CODE 228 SELF-MUTILATION nn nat Therefore, the above named inmate is to be placed in Administrative Detention unti further notice. The inmate received a copy of this Order on (date / time) i QO00U StaffWitness Signature/P rinted Name. Date Supervisor 24 hour review of placement; Signature/Printed mame * In the case of DHO action, reference to that order is sufficient. In other cases, the Correctional supervisor will make an independent review and decision, which is documented here. Record Copy - inmate Concerned (not necessary if placement is a result of holdover status); Copy - Captain; Copy - Unit Manager, Copy - Operation Supervisor ~ Administrative Detention Unit; Copy — Psychology; Copy - Central File POF Prescribed by P5270 (Roptaces BP-A0308 of JAN 86.) EFTA00140247