Federal Bureau of Investigation Victim Services Division Epstein Briefing RSVP October 15, 2019 - Miami, FL | | October 23, 2019 - New York, NY Ful Nome |<< mn 3 10-0213 Social Security Number: Address 1: Address 2: Click here to enter address 2 ty A Stote ip: Citizenship: US Citizen Country of Birth: United States If you have spoken with a FBI Victim Specialist, please provide their name- 4 year old daughter of victim, NS will also attend with victim and victim's mother. Yes, | will attend CI No, I cannot attend & 10/15/2019 Miami, Fl C 10/23/2019 New York, NY Yes, | will bring one support person CI No, | will not bring a support person &) Yes, | will need travel arrangements ( No, | will not need travel arrangements OD Air Rail - Brightline from West Palm to Miami and will need transportation to the field office 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): 2/1/1987 Airport of origin: 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. &) Yes, | will require lodging &) No, | will not require lodging C Yes, | will require transportation to/from the airport No, | will not require transportation to/from the airport EFTA00152995

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Support Person’s Name: Relationship: Mother of Email Address: Phone Number: Social Security Number: Click here to enter SSN Address 1: iy Address 2: Click here to enter address 2 City:Lakewood State: Zip: Citizenship: US Citizen Country of Birth: United States & Yes, my support person will need travel arrangements _] No, my support person will not need travel arrangements 0 Air & Rail - Brightline from West Palm to Miami and will need transportation to the field office OC Bus FC 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 CZ 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. CO Yes, | acknowledge the above statement = Click here to enter your full name Click here to enter signature date EFTA00152996